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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Anxiety And Depression. Remeron And Diazapem Insomnia. Can I Have Both The Medicines Together?

My Doctor has me taking Remeron for Isomonia, he said I had the worst case he has ever seen,its been going on for 6 years when I had several family members die all at once and it has not stopped.I have gone for days without sleep trying to work and take care of my everyday duties,however I was let go because of this and I do not remember what happened its like Iam functioning yet it seems like I am sleep walking. My anxiety level is out of control which makes my depression not improve. . Iam taking Remeron 45 mg at bed time and 10mg of Diazapem 4 times per day..Should I take the Diazapem at bedtime with the Remeron? I read that you should not take them together however I have not had a bad reaction to this but I dont want to harm myself or worse. I am see a specialist as well as my family Dr of 20 years. What do you think?
Fri, 27 Sep 2013
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Psychiatrist 's  Response
Hello
Welcome to HCM

You have witnessed many losses in family in a short span of time and this resulted in depression and loss of sleep. The problem of insomnia is only due to the depressive symptoms. You are currently on Rameron (Mirtazepine) 45 mg per day along with 40 mg Diazepam per day. There is no contraindication in using one dose of diazepam with rameron in night, but please avoid to take all doses in night as this may cause sudden fall in night. If you are not getting proper relief with these drugs please consult your psychiatrist for expert management.

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Anxiety And Depression. Remeron And Diazapem Insomnia. Can I Have Both The Medicines Together?

Hello Welcome to HCM You have witnessed many losses in family in a short span of time and this resulted in depression and loss of sleep. The problem of insomnia is only due to the depressive symptoms. You are currently on Rameron (Mirtazepine) 45 mg per day along with 40 mg Diazepam per day. There is no contraindication in using one dose of diazepam with rameron in night, but please avoid to take all doses in night as this may cause sudden fall in night. If you are not getting proper relief with these drugs please consult your psychiatrist for expert management. Thanks