I used to take Remeron for about a year. I was at the 30Mg dosage also. I also was given Xanax, but at that time only 1/2Mg per day.
I had found that the withdrawl from Remeron was not as bad as the withdrawl I had from many other antidepressants. (had to switch the remeron for another med because Remeron was no longer working to control my depression)
You said that your on 4Mgs a day of Xanax? HOLD UP! That is WAY too much and if you continue at that dosage you will get severly addicted. Let me tell you that the withdrawl from Xanax at high dosages is no fun at all. Shivers, cold sweats, severe agitation are only a few to name.
You have to taper (slow) that dosage down. Most doctors will not even prescribe more than 2Mgs Xanax per day because of the risk of addiction. Do not underestimate the power of Xanax to make you an addict. It can do so in just a couple months and I tell you that the withdrawl is hell.
ive had panick disorder and depression now for 15 yrs. was on zoloft for most of the time, starting xanax at .5 mg 4 times a day. so ive been taking it for a long time. i have severe panic disorder with generalized anxiety disorder and major depressive disorder. i know im addicted to xanax, the max dosage is up to 6 mg a day, believe it or not. ive been suffering severely again the last year and have been given many diff. antidepressants, lexzapro,paxil,pristique,invega,and now just stopped remeron and am starting all over with a low dose of zoloft 25mg. with the xanax, the xanax only works for me slightly because my body is so used to it. in years past ive been tapered down only to have to have it increased slowly as not to reach the peak dose. the only substitute for xanax is klonapin which ive used in the past, then switched to give my body a break from xanax. thanks for the reply, keep in touch
You sound medication resistant like me. Have you ever given consideration to the fact that you may suffer from a more rare type of Bi-polor NOS (Not Otherwise Specified)
Of course were all familiar with Bi-polor 1 & 2, but some resistant people like you and I are later discovered to be in a NOS type catogory for Bi-polor.
Might I suggest combining that Zoloft with Lithium and Lamictal. I also take an antidepressant like you and have been from one to another a million times. Finnaly I met a Psychiatrist that diagnosed me as having a more rare type of NOS Bi-polor. The symptoms are often confused with those of Uni-polor.
Add Some mood stabilizers to that Zoloft and I bet you feel better. Also keep in mind that 25Mgs of Zoloft is not even enough to have any effect. That is an ultra low dosage.
For 95% of people the effective range for Zoloft is between 50 to 250Mgs a day depending on the severity of the depression and how medication resistant you are.