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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for major depressive disorder

I suffer from major depressive disorder that is treatment resistant and GAD. I was on Remeron at one point but it put lots of weight on so I changed to other sleep medications but am off them now too. I struggle with getting good quality sleep and the only drug that helped me sleep was Remeron. I am considering resorting to it to help me sleep but do not want the weight gain. What can I do to prevent the weight gain associated with Remeron?
Wed, 8 Apr 2015
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Psychiatrist 's  Response
Hi.

I understand your concern.

Remeron can help in sleep but not in depression.

Treatment of depression can help to improve all over psychological health.

Many medicines can be useful and it wont cause wight gain.

SNRI like desvenlaflaxin amd NDRI like bupropion can help.

Newer drug like agomelatine can be useful for sleep and depression.

Mood stabilizer like topiramate can cause weight loss and help to restore euthymic mood.

Detail psychological evaluation will be useful for proper treatment.

Consult psychiatrist for better assistance.

Thank you.
Get well soon.
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Psychologist Dr. K. V. Anand's  Response
Dear
Welcome to HCM
We understand your concerns

I went through your details. Major depressive disorder (MDD) is a mental disorder characterized by a pervasive and persistent low mood that is accompanied by low self-esteem and by a loss of interest or pleasure in normally enjoyable activities. Remeron may not be the culprit in your weight gain factor. Lack of exercise and physical activities could also cause weight gain. People state depression as an excuse against physical activities.

In fact, physical activities and out door agile non-competitive games help you manage your depression well and helps you with weight gain problem also. Cognitive Behavior Therapy, Recreational Therapy should be able to help you immensely.

If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible.

Hope this answers your query. Available for further clarifications.
Good luck.
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