Posted by Christ_empowered on January 5, 2019, at 13:08:16
In reply to Re: Mirtazapine (remeron) as SSRI add-on therapy?, posted by mtom on January 5, 2019, at 12:00:15
I think its kind of the same deal as seroquel...until the dose hits a couple 100mgs, seroquel is a densely sedating antihistamine. hit the "therapeutic dose" (not a doctor, I cannot tell you what that is...), seroquel becomes a mix of a D2 agonist and NE reuptake inhibitor, etc.
with remeron...the low doses are very sedating and excellent for hay fever. :-) as the dose goes higher, the sedation level goes down and I think the weight gain effect goes down somewhat, too....European shrinks routinely use 60mgs, even 90mgs/daily, sometimes as monotherapy. meanwhile...
I don't know if its marketing or other factors, but it seems that US doctors keep the doses lower and use it w/ other psych drugs, and the weight gain and sedation are viewed as + for some groups of people/patients.
poster:Christ_empowered
thread:1102691
URL: http://www.dr-bob.org/babble/20181024/msgs/1102695.html