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    Old 07-08-2006, 04:36 PM   #16
    anxiousinnj
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    Re: Going crazy on Remeron- 6 weeks

    trg247,
    I hope they can put together the right cocktail to make you feel better--this must be an unbelievably difficult burden. My fear is getting too wiggy & being put in the hospital for these problems, and I get severe panic when I'm in a hospital.
    I feel guilty complaining.....wishing you all the best !

     
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    Old 07-08-2006, 04:47 PM   #17
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    Re: Going crazy on Remeron- 6 weeks

    Gosh anxiousinnj, our situations DO sound very similar except I have no other health problems so to speak. I just THINK I have health problems. Both my last episode and this one started with obsessions over my health. Last time I was 100% convinced my problems was physical, not mental, and I took medical testing to the extreme. This time around I finally had to admit to myself that it's probably not physical and it is psychological. Hence, my seeking out a psychologist as opposed to a medical doctor. When the psychologist concluded that I had anxiety with underlying depression, she then referred me to a D.O. for a prescription.

    Also like you, I somehow managed to get through the last episode--which really did a number on me I might add since it lasted several months while I awaited the results of my myriad medical tests--without the aid of medication (except a half Xanax here and there) or counseling. I'm thinking, had I been diagnosed correctly that go-around, I wouldn't be where I am now. This feeling is just awful. I want to check myself into an inpatient clinic and get this taken care of as quickly as possible, but I have no idea where to turn for that! So, here I am struggling through like the rest of you. Thanks for the support.

    As for the Remeron and wanting to eat everything in sight, my first dose didn't do that to me. I'm still forcing myself to eat today. We'll see what dose two does for me tomorrow, I suppose.

     
    Old 07-11-2006, 12:42 PM   #18
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    Re: Going crazy on Remeron- 6 weeks

    Just an update on my Remeron progress. I'm now at day 5 and I have to say that I've not had any severe anxiety since starting it. However, I'm also not seeing any of the typical side effects like excessive drowsiness or increased appetite. It does help me fall asleep, but I'd still like better quality sleep and well, to actually feel hunger again would be pretty amazing. Hanging in there but from what I've read, this is one of the faster-acting ADs, with many people seeing some improvement within a week. The literature that came with the prescription said it might take 1-4 weeks to work, so I guess I'll just keep plugging along.

     
    Old 07-11-2006, 01:37 PM   #19
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    Re: Going crazy on Remeron- 6 weeks

    Remeron definately took its sweet time to kick in. What I found I was never hungry during the day but would be starving at night and would constantly eating at night. Also it never helped in the sleep area

    take care
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    Old 07-11-2006, 08:43 PM   #20
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    Re: Going crazy on Remeron- 6 weeks

    anxiousagain,

    Well I'm glad you aren't having any increased anxiety--I felt an increase rather quickly. I would wake in the morning with a feeling of terror....that has passed thank goodness.
    As for hunger--yes I know what you mean--I totally did not know how hunger felt anymore. But literally the first night I took the Remeron I cam down to raid the fridge during the we hours..I couldn't believe I felt hungry.My appetite is still pretty good, in fact I am now telling myself I have to go back to eating more healthy & cutting out the fats as I was just putting in whatever had the most calories to prove that I COULD gain weight--I was scared. Now I don't want to go back to being a bit over weight as I was a year ago. Just can't please me
    It may just be taking a bit to get into your system as they say these drugs are different with everyone. You are taking 15 mgm right?
    I am very chemical sensitive--always seems I need to take half doses of things. I started at 7.5 mgm for a few weeks then went to 15 mgm....now on that about a month. I see the psyche doc next week & I don't know if she will want to increase to 30 mgm, but I don't know if I want to be taking more. I am functoning now, although not completely myself, but a lot of family stress going on so to be expected I guess. Sleep--well I took my Remeron about 45 minutes ago & I'm still up and not feeling tired. But when I do go to bed I will fall asleep quickly and stay asleep.

    When do you see your doc next? My doc insisted I give it 6 weeks before judging it's effectiveness so I've been trying to do as told. I want to feel better !
    Let me know how you are doing as time goes. Since we both have the sever anxiety issues I would like to compare notes. I am better past few days--anxiety is there but I am not wanting to get out of y skin feeling--more manageable if that makes any sense.

    trg247 I hope you are doing ok........when do you have to go into the hospital ?

    Kate anxiousinnj

     
    Old 07-11-2006, 09:08 PM   #21
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    Re: Going crazy on Remeron- 6 weeks

    I get to choose when I enter the hospital. More than likely early fall

    trg247
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    Old 07-12-2006, 08:00 AM   #22
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    Re: Going crazy on Remeron- 6 weeks

    Kate anxiousinnj,

    Well, maybe I spoke a bit too quickly. Last night I did experience a few hours of anxiety, but I somehow distracted myself before I had to resort to my clonazepam. I was prescribed the benzo first on an "as-needed" basis. At the time, "as-needed" felt like all the time, but I still resisted most of the time as the benzos (Xanax, clonazapem, etc.) are notorious for dependency. Still, I like knowing I have them to fall back on if necessary. I don't, however, think the Remeron has added to my anxiety. I think what I felt last night is just residual from the original anxiety, which is something I'd really like to beat without the aid of pills.

    A few questions for you: 1. I've read that Remeron can increase the effects of drugs like clonazepam. Didn't you say you take Xanax as needed? Do you find that it's stronger since starting Remeron? 2. Have you tried seeing a psychologist in conjunction with your medication? I've heard combining medication with CBT is the best way to go, which is my aim. Unfortunately, the psychologist I was seeing is not part of my insurance network and I'm now trying to get in with one who is.

    Yes, I am on 15mg of Remeron, which is what my doctor said is the typcial starting dose for adults. She said I could start at 7.5mg, but that that was usually a geriatric dose. I have a followup appointment with her on the 27th, when I suspect she'll consider upping me to 30mg. My main concern right now is getting an appetite back since the last time I went through extreme anxiety I lost 15-20 pounds. Just taking proactive measures this time around and hoping, like you said, the Remeron is just taking time to build up in my system. I did get a pretty good night of sleep last night.

    You too please keep me posted on your progress. It helps just knowing someone else is going through what I am.

    Kathy, anxiousagain

     
    Old 07-12-2006, 09:16 AM   #23
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    Re: Going crazy on Remeron- 6 weeks

    Hi Kathy,

    Sorry you had a bit of the big "A" last night. I'm having it a bit this morning but there are reasons. Much stress that is out of my control in the family. Wish everything could just be normal for a while at least until I feel more like myself.
    No, I haven't seen a psychologist although I know that is the only way to really get a hold on this monster. I just can't afford it--none of them accept insurance where I am ( NJ) & I have a $2500 deductible for mental health--just had $5,000 out of pocket for gallbladder surgery. I have to pay my psyche doc $125 per visit-- so getting treatment for this anxiety is causing me more anxiety.
    I guess I am hoping the Remeron will get me to a little better place & hopefully get off of it, then maybe I can see a psychologist about CBT to try keep the anxiety at bay.

    Yes, I have Xanax .25 mgm prescribed to use as need up to 3 x day. Now I have never taken it 3 x day. I have taken an occasional 1/2 tab when I felt I just couldn't stand it. I took the 1/2 tab once a day during the first week or so probably almost every day--the psyche doc had advised that I take it in the beginning of the Remeron automatically without waiting for the anxiety to kick in. Her reason for this was she said initially the Remeron might cause the anxiety to increase. She said once the Remeron has kicked in I should not feel the need for the Xanax & would know I didn't need it as it would make me too tired. I have not noticed that I am more groggy if I do take a half of a Xanax...Xanax just makes me feel more "normal". But then again I only take that little dose ( 1/2 of a .25 mgm).
    I am feeling like I need it today but I am going to take a shower & see if getting busy takes the edge off first.

    You have not noticed any appetite increase ? What it did for me is let me experience hunger again. I totally forgot what it felt like--very disturbing. Was forcing myself to eat ...thoughtb I would gag with every bite. Now I am able to eat although it was very hard to get the weight to start coming back on. Even with the return of hunger, I had to force more food than I ever would have eaten before. Just seems I've been burning calories--metabolism must be so keyed up. Now I am up to 110 lbs ( was down to 103 - 104 lbs). I am tiny-- 5' 2" and small frame so this is just fine & I really don't want to put anymore weight on. I just wanted to know that I COULD......that I am healthy & not dying ! It was very scary for a while. All my adult life I have had to work at keeping my weight under 125 lbs--so this is totally weird for me. I'm not sure if the weight loss issue was from the gallbladder sickness or anxiety--probably a combo of both I suppose.

    I suspect the Remeron is just starting to kick in for you...you should feel hungry soon. Expect that the anxiety may be a problem from the Remeron until it is fully working in 4-6 weeks. I'm on week 7 and I think I am probably as good as it gets at this dose. Will know more when I see psyche doc on 7/18 & will share with you. I am so afraid she will say go to 30 mgm. In my mind the more of this stuff I get into me , the harder it will be down the road to get off.........worry, worry, that's the stuff I'm made of...

    Hope you're having a good day. Glad you slept well. I have a hard time getting myself up to bed ( am a nite owl), but once I do I sleeeeeep.

    Kate anxiousinnj

     
    Old 07-12-2006, 12:15 PM   #24
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    Re: Going crazy on Remeron- 6 weeks

    Hi Kate, I'm just curious. What does your anxiety FEEL like when it hits? The reason I ask is because I wonder if it's the same for all of us. For me, my heart and mind start racing to the point that I can't control them. I get this general feeling of massive doom that's so startling it convinces me that I'm going to die. How high does my heart rate go? This time around it doesn't seem to be as bad (although it feels worse), usually just slightly above 100 bpm, but the last time I went through this, where I had two months' worth of medical tests, it registered as high as 160 bpm on a holter monitor!! I thought for sure I must have done major damage to my heart with such prolonged tachycardia, but I read somewhere that your heart can beat at 200 bpm for days, even weeks, at a time without sustaining any real damage. Of course, I don't want to be the one to put that theory to the test, but its good news for us worriers. Before this latest bout of anxiety hit, I had remarked that my heart rate was sometimes as low as 58 bpm. What a drastic turnaround.

    Back to the Remeron, no, I can't say that I've noticed any appetite increase, but I am back to being able to eat a little better. I'm still never hungry, but I'm not gagging on the food I'm making myself eat anymore! Guess we share that in common too. I'm the same size as you, 5'2" but not small-framed. I've always had to exercise daily to keep my weight down. On my visit to the doc last month, I was 131 pounds. That's a little more than I'd typically like to be, but knowing I had a long road ahead of me, I was heartened to learn that if I lost a few pounds, it wouldn't be so dramatic. Last anxiety bout, I think I started at 137 and ended at 117, but I let things go a long time that go-around before I sought medical attention.

    I decided to take the Remeron for the same reason you did: to get my mind in a better place so I could focus on CBT. I've got insurance issues too. I have to pay the first $1,500 out of pocket and my psychologist options are very limited. Amazing how my generic version of Remeron costs $15 a month while CBT costs $135 a session. What the insurance companies don't understand is that when it comes to anxiety, straightening out the mental issues that cause it is much cheaper in the long run than all the unnecessary medical testing a lot of us put ourselves through.

    I have not taken a clonazepam since starting the Remeron, so I'm not sure if the two affect one another. I got no warning from my pharmacist about taking the two together. If I recall correctly, the only thing Remeron does is make the benzos more sedating. When my anxiety is at its peak, sedation is a Godsend, but of course I don't want to be sleeping my life away! I need to get back to focusing on work and trying to be happy. It really sucks knowing that I have such little control over my mind that I can land myself in anxiety and depression land so quickly.

     
    Old 07-14-2006, 07:24 AM   #25
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    Re: Going crazy on Remeron- 6 weeks

    Hi Kathy,

    It's so hard to describe my anxiety......It seems the racing heart sort of stuff is at bay right now. It all feels like it is "under my skin"...numbness down my arms & in my neck, head. Definite feeling of doom constantly...that rarely goes away. Foggy as if my ears are clogged giving me a very uncomfortable heavy feeling in my head. Hard to concentrate because the "doom" feeling is in the way. It's like I just am very uncomfortable in my body & the only relief is sleep. Not exactly how I want to spend the rest of my life.....
    When I was in the hospital for a few days for a cardiac work up not too long ago--it got really bad. I could not stay still, restless leg, could barely converse because I just wanted the feeling to go away. It was then that I decided I had to get some sort of help.

    But if with Remeron where I am at now is as good as it gets, I'm very worried. I just am not right...the anxiety symptoms are still always festering under my skin. Now I know I should resort to the Xanax as the doc told me to do, but like you I am fully aware of the benzo issues. The rebound anxiety from them can be bad.
    This morning I'm not feeling well at all......darn I'm so sick of this.
    My daughter called in the midst of what definitely seemed that she was having a full blown panic attack the other day--she is 5 hours away at school & I felt so helpless & scared for her. I finallly talked her thorughb& she was ok, but all I could think was oh my God, now she is going to suffer with this ! It dawned on me that last few times she was home she seemed like what I am reading as "manic". Very wound up, agitated alternating with hyper silliness, loud laughter....now I am really scared. She promised to get to a doctor, but as we know...that is not a quick fix.
    Of course this is all adding to my anxiety along with other family issues, aging sick parents, etc...
    Well, I'm rambling & getting more worked up--I think I may have to take a half Xanax....I'm going to give in.......

    Hope you are having a better day.......oh & I was up at 3 AM eating blueberry pie.....up to 112 & I really don't want to gain more weight now !

     
    Old 07-14-2006, 12:21 PM   #26
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    Re: Going crazy on Remeron- 6 weeks

    Gosh Kate, I'm so sorry to hear that you're still battling the anxiety. Yeah, I too sorta get that "deafening" feeling when the anxiety hits, but for me that's all part of the overall "out of touch with reality" paranoia I experience. And I can totally relate to the hospital visit making it worse. I've never spent a night in the hospital, but seeing as how my anxiety is precipitated by health concerns, the fact the I *might* be confined to a hospital is enough to send me into a tailspin.

    I have to say that I've not had any real major anxiety attacks since I started the Remeron a week ago, but I'm not convinced that's because of the Remeron. While I'm waiting to get in with another psychologist (I have an appointment next Wednesday) I've been reading a book another psychologist recommended to me: The Anxiety and Panic Attack Workbook by Bourne. It's given me a lot of coping strategies to practice in the event another major attack strikes. It calms me down just to turn to it when I feel edgy these days.

    Knowing that I have clonazepam to turn to as a last resort has eased my mind a bit as well. I'm totally resisting though for precisely the reason you've cited: I fear the withdrawal anxiety from the benzos might be worse than what I'm enduring now. I'm a hard head, so I tell myself either get a handle on this yourself or take the easy way out and depend on a pill. Usually that's enough coaxing for me, although not always. I'm upset enough that I agreed to the Remeron.

    Back to the Remeron, I will say that from day 1 I was a skeptic in regards to ADs, but my severe anxiety had spiraled into pretty severe depression. That's when I relented and decided to give them a go. I'm still feeling pretty down on myself (and darn it that appetite has still not returned; I can only dream about craving a half of a blueberry pie) but I have noticed a slight lift in just one week. It might just be because the Remeron is helping me sleep better (lack of sleep makes me feel like I'm going crazy even without the added anxiety), but I'm going to stick with the Remeron for the time being. Things were definitely worse without it for me.

    When I spoke with my new psychologist today, I asked her point blank if she's had success with patients who were experiencing SEVERE anxiety. She said yes. I also told her that I'm looking for *quick* results and she said her approach is one that should help me to achieve just that. I'll let you know how things go with her. I liked my last psychologist quite a bit, but she was old school, dredging up all the demons in my past, without giving me any real coping skills. Quite honestly, I think that approach has a lot to do with why I became depressed. In any event, knowing that I am doing everything I can to beat this awful affliction (or whatever you prefer to call it) once and for all is helpful.

    Hope the Xanax helped and that your daughter is okay. I'm sure she's fine and that you're just worrying about nothing.

     
    Old 07-14-2006, 07:41 PM   #27
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    Re: Going crazy on Remeron- 6 weeks

    Hi Kathy,
    Well, I did not take the Xanax & got myself busy & some how managed to get through the day. I spoke to my daughter & she insists she is fine. I did speak to her about the episodes of what appeared to me to be a bit manic when she was hom & explained to her that I really would feel better if shees a psychologist. She said this has happened before, but rarely. She is not alone--she is living with her good friend who is older & her friend's Mom & Dad live very near by & are close to my daughter. She has spoken with them about the panic & they are watching over her closely. I just hope it doesn't escalate & I want her to get help before it gets worse.
    Sigh...........

    It sounds like the Remeron may be helping you....and it probably has helped me somewhat. The anxiety hits but somehow I seem to get myself past it & keep moving. I suppose that IS imporvement. I guess I just hoped to feel totally normal again quickly ! From what I am reading on these boards, that doesn't sound likely but one can hope.
    I am also upset with myself for giving in & taking the Remeron. Intellectually I know that is a wrong attitude to take........but what I am afraid of is getting caught up in this medication nightmare & never getting any better.I suspect that is the issue with you as well.

    Maybe we should cut ourselves some slack........accept the help of the med ( which you are doing better than I) & be optimistic that we will be better soon. I thought if I typed that I will maybe begin to believe it..lol.
    I am envious that you are going to start real therapy.
    When I see my psyche doc next week I am going to ask her what she suggests as far as me adding therapy ...maybe she can suggest someone good.I also need to know how good it can possibly get on the Remeron. I'll try to think positive......
    And I really do not want to gain any more weight......and all I can think about is sweets. Had a chocolate milkshake for dinner. This junk food saga must end. I know I am not dying ( thought I was when unable to gain an ounce ) so ok--I want to still fit into those size 4 jeans.
    Trust me when the Remeron kicks, you will eat ! But I do sympathize with the lack of hunger--it is frightening. You will get your appetite back.
    I wonder if you lose your appetitie when you wean off the Remeron?
    Another question for the doc...

    HOpe tomorrow is a good day for you.

    Please do share with me how you make out with the therapist. It sounds very promising & I am praying it will do the trick. I'll be right behind you !

     
    Old 07-15-2006, 07:22 PM   #28
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    Re: Going crazy on Remeron- 6 weeks

    Hi Kate, yes, I do think we need to cut ourselves some slack. That's probably the best advice I've heard yet. In an effort to stop dwelling on this, I'm going to *try* to stay away from the anxiety boards for a while. I think just reading about what other people are going through raises my anxiety. LOL If you would like to continue corresponding with me about our Remeron experiences, you can contact me at REMOVEDI'm really interested to know what you and your doc decide at your upcoming appointment.

    Take care,

    Kathy

    Last edited by msmod; 07-15-2006 at 07:57 PM. Reason: Read and follow the posting rules, don't post off board contact information of any kind for any reason. Ms_Mod

     
    Old 07-16-2006, 08:30 AM   #29
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    Re: Going crazy on Remeron- 6 weeks

    That's probably a good idea...I had thought I should stop reading so much also.
    REMOVED
    So please just stop in & let me know how it goes with the therapist & what to expect.

    Good luck !

    Last edited by msmod; 07-16-2006 at 09:24 AM. Reason: When someones post is edited because they violated the posting rules, there's no need to point it out to them when the edit is clearly visible on their post. Ms_Mod

     
    Old 07-18-2006, 10:17 AM   #30
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    Re: Going crazy on Remeron- 6 weeks

    Hi Kate, just checking in to see how your doctor's appointment went.

    Kathy

    Last edited by moderator2; 07-18-2006 at 07:15 PM.

     
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