thomasc93 Posted July 29, 2011 Share Posted July 29, 2011 Hi everyone! Just wanted to get some community input on the aforementioned combos. I suffer from really bad generalized anxiety and racing thoughts at night, as well as insomnia caused by the racing thoughts (in addition to ADHD, but I have good old Adderall for that). A few months ago, I had a really bad night where I just could not shut my mind of and my thoughts kept racing faster and faster, so I ended up in the ER at the request of my mother (I'm only 17, so I obviously still live at home). Before that night, I was just taking 1.5 mg of clonazepam a day. But that night at the ER, my pdoc (who is affiliated with the local hospital's addiction clinic as well as a private practice general psychiatrist) happened to be on call in the inpatient addiction ward, so he came over to the ER and checked me out. He gave me some Remeron and told me to try it for a few weeks. I've been on that combo now (15mg mirtazapine and 1.5mg clonazepam) for the past three months. It's worked pretty well, but still at night I have a lot of trouble sleeping at night. I've been thinking about scraping the Remeron and switching over so Seroquel in addition to lowering my clonazepam use to breakthrough anxiety during the day. Does this sound like a viable option? Or would there be a worser side effect profile/more serious long term effects associated with something like Seroquel? If I did try Seroquel, I would request to my pdoc that I try a very low dose (like 25-75 mg). Also, do you think my pdoc would let me have a stash of Klonopin on hand for breakthrough daytime anxiety? Or would that be scrapped entirely if and when I start Seroquel? Thanks for the input! Link to comment Share on other sites More sharing options...
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