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Ask Dr. Kaushik Your Own Question

Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 3988
Experience:  MD Psychiatry
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hi i know the problem now.it is remeron.i need chat please

Resolved Question:

hi i know the problem now.it is remeron.i need chat please
Submitted: 10 months ago.
Category: Mental Health
Expert:  Dr. Kaushik replied 10 months ago.

Dr. Kaushik :

Greetings !

Dr. Kaushik :

How are you doing ?

Customer:

hi

Customer:

do we talked before?

Customer:

do you know me?

Customer:

i think so

Dr. Kaushik :

Yes.

Customer:

but i feel it is unreal

Customer:

am getting out dissction

Dr. Kaushik :

why , do you not remember ?

Customer:

no

Dr. Kaushik :

Remember we talked sometime before

Customer:

but i feel it is happend

Dr. Kaushik :

and i told you about zyprexa

Customer:

but i feel unreal

Customer:

yes i know it happend

Dr. Kaushik :

and we talked about propanolol

Customer:

and i can remember it

Customer:

i can remember

Dr. Kaushik :

and about remeron

Customer:

but i feel it is unreal!!!

Dr. Kaushik :

good.

Customer:

am sure it is you who help me

Customer:

i feel power

Customer:

confidant

Customer:

creative

Customer:

strong

Customer:

balance

Customer:

i know the problem

Customer:

now

Dr. Kaushik :

have you been taking zyprexa

Dr. Kaushik :

regularly

Customer:

yes

Dr. Kaushik :

ok.

Customer:

but why am taking that?

Dr. Kaushik :

what is the problem that you think of

Customer:

ok

Dr. Kaushik :

you are taking that to get out of dissociation/ fugue

Customer:

when i take remeron 60mg

Customer:

it lead me to

Customer:

weight gain

Customer:

and fugue

Dr. Kaushik :

which has been troubling you ever since you made the journey from home nation to Canade

Customer:

and wrong way

Dr. Kaushik :

Canada

Customer:

yes

Customer:

5 month

Customer:

but still there is problem

Dr. Kaushik :

the part of your travel is what you do not remember ?

Dr. Kaushik :

is not it ?

Customer:

yes

Customer:

you are right

Customer:

it is like you do something god dont creat

Dr. Kaushik :

feeling unreal is a part of dissociation

Customer:

ok

Customer:

am happy now

Dr. Kaushik :

it is called as derealization

Dr. Kaushik :

and depersonalization

Customer:

but still i have problems

Dr. Kaushik :

where one feels that the surroundings are unreal

Customer:

remeron dose

Dr. Kaushik :

and your body is not your own

Customer:

yes

Customer:

ok mr

Dr. Kaushik :

i will want you to come off it

Customer:

please let me ask

Dr. Kaushik :

ok.

Customer:

remeron help me before for ptsd

Customer:

with seroxat

Customer:

at that time the dose was between 15mg-30mg

Customer:

i thought remeron is soultion

Customer:

so i take 60mg

Customer:

and stops seroxat and change to luvox

Customer:

and here problem happend

Customer:

and i get in fugue

Customer:

i fix everything

Customer:

i get back to zoloft.as zoloft and seroxat are for ptsd

Customer:

but now i want to know the dose of remeron for anixety and ptsd?

Customer:

because high doses is just for ocd

Dr. Kaushik :

15 mg/ day

Dr. Kaushik :

15 mg / day for anxiety and ptsd

Dr. Kaushik :

that is most suited for you.

Customer:

for depprission?

Dr. Kaushik :

same

Dr. Kaushik :

15 mg/ day

Customer:

look

Customer:

am still taking 30mg

Dr. Kaushik :

low to moderate dose is better for you

Customer:

and i feel something wrong

Customer:

everyday i wake up bad

Dr. Kaushik :

because as we have discussed before many times that higher doses do not suit you

Customer:

very bad

Customer:

deppressed

Customer:

dissoiated

Dr. Kaushik :

yes can you do one thing

Customer:

more time i spend more better

Customer:

if i still wake up for 2 days

Customer:

without taking remeron

Dr. Kaushik :

can you just replace zoloft with lexapro

Customer:

i feel better

Customer:

so how midcine can help someone and not at same time!!!!!

Dr. Kaushik :

because there is a chemical deficit that happens in the brain

Dr. Kaushik :

which is compensated with the help of drugs which release that chemical

Dr. Kaushik :

some medicines do not work because of the body type

Dr. Kaushik :

like if there is a drug which works for you but the same drug may not work for any other person having the same condition as yours.

Customer:

but it work with me

Dr. Kaushik :

are you getting what i am trying to tell you.

Dr. Kaushik :

yes

Customer:

but bad as well

Customer:

without it is better but worse

Dr. Kaushik :

do you agree that first the drug was good to you and then it turned out bad

Customer:

yes seroxat+remeron

Dr. Kaushik :

So what happened is that after a while your body developed resistance against their action

Customer:

no

Customer:

it is not like this

Dr. Kaushik :

ok.

Dr. Kaushik :

then tell me

Customer:

now if i stop remero for 3 days

Customer:

remeron

Dr. Kaushik :

ok.

Customer:

i feel better

Customer:

but i cant get out dissction without it

Customer:

without remeron

Customer:

so how good and bad happend!!!

Customer:

?

Customer:

now am taking 30mg

Dr. Kaushik :

because you have become dependent on this drug

Dr. Kaushik :

once you try to come off it for the initial few days you feel better

Dr. Kaushik :

but as more time passes by then withdrawal side effects tend to develop

Customer:

no

Customer:

but next day

Customer:

i feel better without taking it

Customer:

i feel better if i dont take remeron

Customer:

lets say

Dr. Kaushik :

why not stop it

Dr. Kaushik :

and try to endure the phase for while

Customer:

because it help getting out dissction

Customer:

maybe the problem with dose

Customer:

maybe 30mg is wrong

Customer:

this why i feel better the next day

Customer:

without taking it

Customer:

if i stay 2 nights without remeron i feel better

Dr. Kaushik :

ok.

Customer:

everyday start bad

Dr. Kaushik :

but you do not go off the drug just like that

Customer:

at morning

Dr. Kaushik :

you have to lower the dose

Customer:

and end good at night just before taking remeron

Customer:

do you understand me?

Customer:

i take remeron at night

Dr. Kaushik :

yes i am trying to understand you

Customer:

but before i take it

Dr. Kaushik :

because at the moment you are sounding a bit different

Customer:

i feel very good

Customer:

even fugue is less

Customer:

sometimes i still 2 nights awake

Customer:

at the end of secound night

Customer:

i feel too much gooooood

Customer:

just before remeron

Customer:

i wake up deppressed

Customer:

i think it has relation with dose

Customer:

so i need the right dose

Customer:

30 is better than 15mg

Customer:

in away but bad in othet

Customer:

other

Customer:

i dont know realy

Dr. Kaushik :

can you do one thing can you take 15 mg on one night and 30 mg on the other night

Customer:

15mg better in thinking

Customer:

but 30mg better in dissction

Dr. Kaushik :

so take these two doses on alternate das

Dr. Kaushik :

days

Dr. Kaushik :

meaning that on one night take 15 mg

Dr. Kaushik :

and the next night 30 mg

Customer:

but i can take 22.5mg

Dr. Kaushik :

can you ?

Customer:

but you are dr

Dr. Kaushik :

do you have 7.5 mg as well

Customer:

since 15mg is good

Customer:

yes 3 quarters

Customer:

i will try this night

Customer:

lol

Dr. Kaushik :

yes do that

Customer:

but there are no remeron 15mg?

Dr. Kaushik :

what do you mean ?

Customer:

but if remeron 30mg is not good why they make it soltab 30mg?!!

Customer:

if 30mg is not normal dose

Customer:

why it come 30mg

Dr. Kaushik :

it is not good for you but there are so many others who respond well to 30 mg

Customer:

it should come 15mg

Customer:

i see

Customer:

lets r

Dr. Kaushik :

it comes in a different brand like remeron

Customer:

lexapro

Customer:

i took it before

Customer:

it is cipralex

Dr. Kaushik :

yes

Customer:

but i feel better on seroxat

Customer:

or good

Dr. Kaushik :

ok.

Customer:

so zoloft should be good

Customer:

why not

Dr. Kaushik :

yes it is good

Dr. Kaushik :

you only said you have responded well.

Customer:

i dont have problem if he stops ptsd

Customer:

and i dont hv side effect

Customer:

except vomiting

Customer:

and i know why

Customer:

because i was taking canadian zoloft

Customer:

once i move to US no vomiting

Customer:

and i just buy 30*30 tablets

Customer:

of zoloft

Customer:

:-)

Dr. Kaushik :

ok.

Dr. Kaushik :

that is good.

Customer:

i will take them to canada

Customer:

so 15mg is for ptsd

Customer:

i will try to se if there is 15mg

Customer:

soltab

Customer:

and take 1 and half

Dr. Kaushik :

yes you can do that

Customer:

ok i have last qestuion

Customer:

remeron side effect

Customer:

should get less by time?

Customer:

like increase apptite

Customer:

if i take 22.5mg

Customer:

by time no side effct

Customer:

or they get less?

Customer:

or same

Dr. Kaushik :

they will get less with time

Customer:

very good

Customer:

thank you

Dr. Kaushik :

take care

Customer:

very much

Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 3988
Experience: MD Psychiatry
Dr. Kaushik and 3 other Mental Health Specialists are ready to help you

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