system
Suggest treatment for major depressive disorder
human
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?
gpt
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.