Our expert says:
Only you own doc can explain why he/she chose Remeron ( or any other AD ) and why he'she chose any particular dosage plan. But generally, some effective meds have a relatively higher rate of initial side-effects, and then some docs prefer to start you on a lower dose for the first couple of weeks and then increase it to the dose which is usually effective. Some have rather lower rates of side-effects, and one tends to start immediately on the usually effective dose. For any AD there is a lower dose level below which it is unlikely to be useful to anybody. For many ADs, there is also an upper dose, above which increasing the dose gives no further benefit.
I haven't come across any idea of only increasing doses after 6 months, though ; and a steady increase of doses is not needed. In those of us with recurring Depressions, one may stay on such a drug long-term, but at the same or even a lower dose, not on any steadily increasing dose.
And for Remeron or any other drug, any generic drug is chemically identical to the original drug, and is required to produce evidence that it is similarly absorbed and available and so there should be no difference in effectiveness, only a very welcome lower price
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