Posted by michael on April 5, 2003, at 21:04:45
In reply to Re: one more remeron ( wellbutrin) question » michael, posted by MoBe on April 5, 2003, at 18:09:49
> > I'm also curious if anyone's used remeron in conjunction with wellbutrin. thanks. michael
>
> I am presently using wellbutrin 150 mg. once a day with 15 mg remeron at night. It works quite well for an excellent sleep and the wellbutrin gives a gentle lift in the morning. However, I feel much better when I take 150 mg wellbutrin TWICE a day rather than once. The only problem is that my family doctor will not prescribe this amount. He will only prescribe both together if each is in half dose. I haven't quite gotten out of him whether he actually thinks this is unsafe or he is just not experienced with that combination/amount. Anybody out there on that combo, and if so - who prescribed it - psychiatrist or general practitioner - and any dangers reported about it?
> MoBeMoBe,
Just thought I'd let you know that it's not dangerous... I've taken 45mg remeron concurrently with 400mg wellbutring sr (that's 200mg sr twice a day), for a number of months. Right now I'm just taking the remeron, but I I'm going to try adding the wellbutrin again in a couple weeks, at my next appt.
My pdoc was the prescriber (& will be again) - he had no qualms about the combo when I suggested/requested adding the remeron to try augmenting the wellbutrin that I was already taking (at least I think that's the order - actually, it may have been the other way around... sorry, I don't recall exactly).
I found the lower doses of remeron too sedating, and was/am hoping that the wellbutrin will help to counter that a bit. My recollection's a bit fuzzy but I think it helped w/that at least a little, when I was previously taking them together. I also want to try to stop smoking - again - which the wellbutrin helped greatly.
Appologies for the rambling - the main point I wanted to make was that there shouldn't be any reason for concern w/that combo. (esp w/the low doses you mentioned that you're currently taking - I generally end up toward the upper end of the dosing ranges for meds that I've tried).
At the risk of rambling on some more... If that combo gets you better results, -- in my opinion, & perhaps a bit crudely stated... -- it's stupid, not to mention wrong, etc., not to allow it. [Especially since there is nothing risky about the combo!].
Too many people (especially here at PB) are on a seemingly endless quest to find somethnig that works... If you've found what works for you, you're fortunate, and should most certainly take advantage of it.
If I were you, I'd do a little rsch (medline, pubmed, etc. -- check the PB tips section too, & depression central.com, etc.) before your next appt., and perhaps bring in a couple abstracts that discuss combination stratagies - and w/any luck you may very well find something that explicitly discusses combinations of those two meds.
Or... try a pdoc, who should (might) be more comfotable &/or experienced w/combo's such as this. It's definitely not dangerous or exotic - or even uncommon.
Or - maybe just a consultation (i.e. phone call) w/a pdoc will make him comfortable with with raising the doses...?
Again - sorry for the rant... but when you've got something that works for you (as you say this does), and it's not only Not dangerous, but is fairly common (i.e.: combining 2 meds) - it should be a crime (perhaps only a misdameanor...?) to withhold it.
Good luck, & I'm glad this is working for you.
[& don't settle for feeling less good just because your doc is inexperienced/uncomfortable/etc.]
... I know, rambling again...michael
poster:michael
thread:94119
URL: http://www.dr-bob.org/babble/20030402/msgs/216550.html