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Even though I haven't had any experience with AD's until now--it seems to be the consensus that you need to give it time tonreally see if it will help.
I just feel I've given it 6 + weeks & I don't like where I'm at at all, in fact anxiety was worse today than in past few weeks.

My psyche doc did prescribe Xanax which she advised me to use up to 3 x day especially in the first few weeks as she said the anxiety can worsen when first on an AD. She said I would know when I didn't need it any more as it would make me feel too tired along with the Remeron. Well, I've only taken half of a .25 mgm Xanax here and there, not everyday, but today was horrible. I would think if the Remeron was providing good effect I should be getting less anxiety, not more.
I'm telling you this because if anxiety is your main problem, you may need something to help the first few weeks with the anxiety even if the Remeron is a good choice for you .

The first 2-3 weeks I was very drowsy & very hungry. Make sure you take it at will sleep well ! The hungry part was good as I was down to 104 lbs. Now up to 109 lbs. If weight is an issue--beware- I have eaten half of a blueberry pie, and several pieces of chocolate peanut butter bars & an enteman's donut today alone ! I am wondering if all this sugar is making my anxiety worse. It is an uncontrollable hunger for sweets with Remeron--maybe it won't affect you that way but for me it has.
I hope the Remeron helps you--don't be afraid of it ( I know how that feels) as I've been able to function for the most part...I just don't like how I'm feeeling past few days & am disappointed, today being particularly bad with the anxiety.

Trg247- if I am to wean off the Remeron, do you think reducing the dose by a 1/4 of a tab a week will be ok? I will be talking to my doc, but trust the people here more.
You say you are on a heavy cocktail now? You think it may be because you went off the Remeron cold turkey? What are you taking now if you don't mind me asking ?

Thanks for your help,
Kate anxiousinnj
I haven't taken Remeron but I did try Paxil and it didn't work for me. I took valium off and on for a while but as I have kids I found it hard to function when I was taking it so stopped. The one thing I've found helps more than anything, is finding a really good psychologist. It's not cheap, I'm in Australia and will have spent about $1000 by the time I stop seeing her, but really, when you're where I was (where I think you all know we can be when we're suffering severe anxiety, there are no words for that world) it's so worth it I couldn't care less if I owe Mastercard forever. She's using CBT (cognitive behaviour therapy), and has convinced me to avoid medication for a few weeks. The first 3 weeks I didn't think I'd manage it, and to be honest if I didn't have kids I'd be on something by now, but between never getting a chance to go the doctor and believing my psychologist, I've stuck it out and am now 'out of the woods' so to speak. If you can see your way to doing it, please try to not just rely on medication. The best thing you can do for yourself is to figure out how this started happening and how to stop it. I'm still working on it and have a way to go yet, but I so feel for you.

One really good book I've read has been 'Power over Panic' by Bronwyn Fox. Also check out [url][COLOR="Red"]REMOVED[/COLOR][/url]

All the best. I wish you all the best!

Well, I took my first dose of Remeron last night and the only side effect I'm feeling this morning is a bit of grogginess. I slept, but wouldn't say it knocked me out--I woke up a few times during the night. I did have more vivid, realistic dreams (not nightmares) like I heard I might. Still waiting for the munchies to hit, though. Like you, Kate, one of the reasons my doc and I settled on this particular AD is that the anxiety had completely KILLED my appetite. I was having to force myself to eat. So, that's actually one side effect I'm hoping for! Hope you're feeling less anxious today. I have to say that while I was terrified to take my first pill, I did wake up a bit less anxious than I had been over the last few weeks. Still too early to tell with this one but I'm optimistic right now. I also completely agree with the poster who recommended seeing a psychologist. That was my first line effort, but the anxiety was SO bad I felt I wasn't going to get anything out of the therapy until I staved it off. I tried clonazepam on an as-needed basis first, which does take the anxiety edge off temporarily. However, that's when the depression settled in. All my life I've been opposed to putting foreign substances in my body unless absolutely necessary, but this time around, I felt it was a necessity. I was barely living, I was so consumed by my anxious thoughts. I want to be the happy, healthy me again. And since I went through a similar ordeal 4 1/2 years ago that I somehow managed to get through without prescription aid, I finally realized this is a problem that's going to keep recurring if I don't do something about it. I'm hoping and praying (I'm a Christian, which made the decision to turn to meds all the harder) that this time around I will nip this awful thing in the bud for good! I'll be praying the same for all of you too.


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 :confused:
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 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
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
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 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
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.
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 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 !
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.

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

Good luck !

Maybe you can teach me the'll pay you $50 a session, how's that?
I know, the big "ifs" are what is getting to me also--you don't give someone with anxiety more anxiety......
Well, I just ook a 1/2 of a .25 Xanax about a half an hour ago. I could have fought it but for some reason I needed to see how it made me feel. I feel better already.

An hour after I took the 30 mgm dose last night I felt the exact moment it kicked--weird, like an instant fog--went to bed & slept all night except for one bathroom run & a sweet attack. ( Whole container of those jelly filled chocolate dipped butter cookies you get in the Italian deli :eek: not all at once , but in 24 hours..not good).
Today has been hard, but you know what? If I need the Xanax during these next couple of weeks of adjustment, I'm going to take it. I'm tired of being miserable......I have so many thing I need to get done.
The doc told me it was fine to use the Xanax especially during the dose transition, but warned it would make me very tired. Like I said previously she said I could take a full .25 mgm 3 x day which I know I never would do.
I'm figuring for you & I it another 4-6 weeks before we know if this is "the one", & if so, then it will be next spring before we could consider weaning if we are to follow the guidelines. OH well, whatever it takes is how I am thinking now. It's just the darn "ifs"......and if Remeron causes the least anxiety side effects, I would be totally afraid of anything else....that's why I am scared.
Well, let's think positive--we are going to feel better ! Remeron is the "one" ! We'll get through this thing together ok?
Good luck Friday--let me know how it goes.

Oh & liz--yes Remeron is not an SSRI--it is in a class all of it's own is how the psyche doc explained it--doesn't fit into the other categories.

anxiousinnj Kate

Actually I am urinating a bit more frequently since starting the Remeron- not so much that it is bothersome, but have noticed that it's a little more often. I read that was a side effect somewhere. Maybe the anxiety made you go more & since the anxiety is less you don't need to go as often ?? Would make sense.
I did not need any Xanax yesterday, & so far so good this morning--just feel the anxiety lurking under my skin if that makes any sense. I don't find my anxiety symptoms related to anything special that I'm's just there. I'm going to try to treat myself as a 5 yr old though--& if I feel it getting uncomfortable I will assign it to my little me & see if I can make little me feel any better. God this is crazy !

Glad you are eating better--hopefully that hunger will kick in soon. I went to lunch with a friend yesterday & it was embarrassing...ate a huge lunch & HAD to have dessert. So I really have to get this sweet thing in check or ai am going to gain too much. I'm at 110 now & I think that's sufficient.

Hope you have a relaxed weekend...I'll be sending hugs to your little me. ( If anyone is reading this thread they may have us locked up :)
That's what I thought...that FREQUENT urination was a possible symptom. I agree that the let up in anxiety has probably helped in that department, but I've been battling with frequent/urgent urination since my last anxiety bout almost five years ago. Just seemed like it never went away. It would be nice if my bladder gets a retraining out of all of this. Still, I'll mention it to my doc next week.

See, my anxiety always flares when I start stressing about serious illnesses to the point of convincing myself I'm dying. Then, even when it abates, it takes me a long time to get back to where I was before it hit. Appetite, unfotunately, is usually the last thing to return. I'm soooo jealous you're hungry all the time! I don't want to be hungry long term, but it would be nice to experience it for a week or two. I don't think the Remeron is going to do it for me, unless a dosage increase works. Perhaps that will do the trick? I'm glad to hear you're still hungry at 30mg. I think I'm one of the rare few who's actually LOST weight since starting Remeron, but again, that's always my most severe anxiety symptom.

Little Me says thanks for the hugs. I have been trying to assign my feelings to her. I can see how the technique may work moving forward. I'm already feeling sorry for her!

You too have a good weekend.

Hi Kate, I just wanted to update you that I'm currently trying to taper off the Remeron. I told my doc that I didn't think it was really doing anything for me and that I'd rather not be stuck on it for months. She told me I could try cutting back to half a pill for a week. If I felt okay, she said I could come off it at that point. If I didn't, we'd go back to the original dosing. By the time I'm potentially off it, I will have been on it for only 4 weeks, really not enough time for me to say whether it is effective or not. I didn't, however, feel any extra anxiety while on it and haven't touched my klonopin in a month. My doc asked if I thought the anxiety had eased because the Remeron was working. I told her I didn't really think that was the case. So, she said the only way we're going to find out is to try getting me off it.

Also had another therapy session yesterday, but other than uncovering a few clues from my past that might impact my anxiety, I'm afraid I don't have anything new to report. Hope you're feeling better soon. I've had a roller coaster week with some bad and good family issues creeping in. Resolving these issues, I think, is the real key to MY recovery.
Hi Kathy,

Thanks for the update--let me know how you feel as you wean off.
If you haven't touched the Klonopin in a month, I would say you are getting things under control.....time will tell if the Remeron was really helping in that department, although...from what my psyche doc had told me, the first few weeks would have additional anxiety, which you don't seem to have had...a good thing.

I've been somewhat disappointed this past week...feeling an increase in what I am assuming is anxiety, but it may be physical symptoms from my other health issues causing me more anxiety...or the change in Remeron dose to 30 am I to tell unless I, like you, wean back off?
So, now I wait until my next appt in mid August. I figure by then, if it was due to the increase in Remeron dose I should be accustomed to it by then. If I am still getting these weird sensations of anxiety creeping in by mid August, I think I will wean off & see how I feel. This is such a long process & I feel I am wasting my life away with this. I took half a Xanax yesterday afternoon & had several hours of feeling normal...felt wonderful. I raced around here trying to get things done that I just can't when I feel the anxiety smothering me.

For me there are also family issues, mainly ill parents which is mentally & physically draining...too much to bore everyone with here...
It is also health anxiety issues & exhaustion from dealing with the health issues. These are real health problems, not imagined ones...lupus, glaucoma which is now not under good control ( it was, but now eye pressure back up & I am out of eye drops to try so surgery is next...), skin cancers which I am over due on having followed up on...just tired of doctors appts.

well, I am going to "try" to get my act together & take my dtr to the ebach for a while. Even that gives me anxiety because of the rituals I have to go through to avoid the sun, but I am going to do it.

sorry this is so long--please do let me know how you make out over this next week--I am hoping you will feel fine & have a handle on things without the darned drugs !

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