Remeron Safe?

Medications
1

Is Remeron safe for psychotic depression? Here’s a list of the pills I hallucinated off of: Cymbalta, trazadone, lithium, wellbutrin, and effexor.

I’ve never tried SSRIs or TCAs.

Lamictal worked really well for me but I developed a rash.

I’m either a paranoid schizophrenic or bipolar with schizoaffecive disorder. I was thinking about asking my pdoc to add: remeron and trilafon or prolixin to my clozapine.

I get more social and angry over the summer and experience insomnia while I feel down during autumn/winter time and find myself sleeping a lot and more anxious.

2

Never heard of this drug. I`m going to do a little research.

3

remeron supposedly has less sexual side effects

4

Seems like it:

"Four studies compared different anti-depressants and found that imipramine was more effective than mirtazapine (Remeron) and fluvoxamine (Luvox), that sertraline was more effective than paroxetine (Paxil), and that there was no difference between fluvoxamine and venlafaxine (Effexor). Based on these limited data, the preferred initial agents are imipramine and sertraline. There was a nonsignificant trend toward greater effectiveness of the combination of antidepressant and antipsychotic over an antidepressant alone (two studies, RR 1.44; 95% CI, 0.86 to 2.41). An important practice point for these patients that was not addressed by this meta-analysis is that they should be strongly considered for hospitalization.1

SOURCE
Wijkstra J, et al. Pharmacological treatment for psychotic depression. Cochrane Database Syst Rev. 2005;(4):CD004044."

more info: