Transient Global Amnesia and Remeron (w/response)

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Pam said:

<< After a frightening neurological event (Transient Global Amnesia) I had an

intense anxiety reaction that wouldn't let up. After 3 months of nausea, some

vomiting, considerable weight loss, and then insomnia, I was put on .5 mg of

klonopin and then 15 mg of Remeron. It turned me around and I started sleeping

and eating. After 3 weeks, I tapered off the klonopin over a 4 week period (not

too bad), and I've now been on the Remeron for 6 weeks.>>

said:

** The best way off this drug -- FOR YOU [everyone else please note this is for

Pam only. My response is based upon the information I gathered about Pam's

particular situation. Your chemistry is not Pam's. Your history is not Pam's.]

The way off with the least amount of disruption to your life is to do a maximum

of 10% reductions. Ten days after the 1st reduction, ask yourself daily, " Do I

feel as well of better than I felt prior to the reduction? "

If the answer is no, it is not time to do the next 10% decrease. Only when you

can say yes is it time for the next decrease. The 10% is figured on each prior

dose. Example -- if you're taking a total

of 5 mg. of a drug you will want to reduce a total of 0.5 mg . You may split it

up over 2 or more doses making it 0.25 mg if you reduce 2 doses, etc. Your next

decrease (after you have asked yourself if you feel as well or better than you

did prior to the reduction and have answered yes) will be 10% of 4.5 mg. Do the

same thing this time as you did the last. Keep going until you're off.

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pam5231949@... wrote:

Pam's new questions:

, I've been following the taper schedule, and got down to the third cut

- 73% of the 15 mg Remeron that I take at bedtime, and started having mild

dizziness, brain fog, and mild nausea. I have gotten a .001g digital scale, so

that has helped in cutting pretty accurate cuts. First question, is it better

to hold at one level and make the 10 % cut, or is it okay to make even smaller

cuts during the 10 days to get to the 10% level, as long as I am feeling okay

before I make any cut? I was thinking that making these even smaller cuts

might ease the brain into adapting more gently to the decreases. The digital

scale would allow me to do that.

Second, the pharmacist told me that the active ingredient in any pill is not

distributed equally throughout because of the filler and how the pills are made.

Is that true, and does it affect the cutting at all? I thought I'd be so

accurate with the scale, but according to her, I might sometimes be cutting

mostly filler, and sometimes cutting too much active ingredient. Any thoughts?

She was recommending even larger cuts to make sure I was getting enough active

ingredient - such as 25%, which I'm not going to do.

Thanks so much, Pam>>>

** Pam, in all these years I've never had a problem with people not getting

enough of the drug; however, this is why I recommend a liquid titration when

doing cuts that cannot be done by eyeballing a pill and splitting it. I've only

had two other people use a scale. I don't really think there's a benefit to it.

Re: small cuts in between, not a good idea. It's not about feeling okay in the

1st ten days, it's about giving time for the adjustment. If a 10% reduction is

ever too large (and it will be at some point), then people find that by going

back one step, waiting until stable, and then doing a smaller decrease (5% or

less) fixes the problem.

It's good to get an update from you.

Regards,