Remeron dosage increase or adding SSRI -- Looking for suggestions

Treatment and medication
1

Hi there, new to this site and glad to find this community.

I have been taking Remeron 7.5mg for depression and anxiety for 6 weeks now, along with 5mg Buspar x2/day. Before taking Remeron, I tried Paxil, but the side effect was too strong and had to stop. Remeron 7.5mg helped me with sleep and appetite greatly since the first week. Mood wise I started to feel like almost normal at week 4, I was so happy about it, but something triggered at week 5 and the mood went back to low since then. I’m wondering if the dosage is not enough to stabilize the mood.

I will see my doctor in 2 days and would like to seek some suggestion or experience so that I can have a better discussion with her. I can think of 2 options going forward. Option 1 would be simply increase the Remeron dosage, like 15mg. Option 2 would be adding a different SSRI and keep Remeron 7.5mg, maybe tape off Buspar. If option 2, I would like to have a SSRI with less side effect than Paxil, maybe lexapro or Celexa? Any suggestions or experience to share are greatly appreciated. Thanks everyone.

2

celexa really doesnt have less side effects, it may say that on the leaflet but from personal experience ive come off remeron 3 times currently trying to get off celexa and its brutal! are you sure you dont have withdrawal from previous ssri? as some dont get them for 4-8 weeks! it only gets to me after about 5 weeks of dose change x

3

Thank you for your reply. I actually only took Paxil for 7 days with minimal dosage. The side effects (weakness, nausea, insomnia, more depressed etc) were too strong and my doctor suggested me to stop. As soon as I stopped Paxil, those side effects subdued. I guess it’s only 7 days that’s why no withdrawn symptoms.

4

better to get professional opinion everyone reacts different to meds what might work for someone else might not for u good luck

5

these are strong drugs 7 days is long enough to get withdrawal x

6

Yes, you are right, I will follow Doctor’s instruction. She asked me to stick with Remeron for now and increase dosage to 15mg. Hopefully it will work.