BB said Remeron is usually a good drug. She also reinforced the idea, what is good/works for one person might be bad/not work for another person. She saw this happen often at work.
Heywre, I think it is best to let your brother's psychiatrist steer the medication ship. Your brother needs to give the psychiatrist feed back as often as he has a problem. It is usually the client who doesn't say enough to his Dr. when something goes off kilter.
BB won't answer any more of the questions I had about meds because clients/people's reaction is so varied. She firmly believes the Drs seeing him should have the power to determine which med to try. What you can do is encourage your brother to tell the Drs what is going on from your brother's POV.
Like I said, according to BB too many clients tough it out and act better because they want to be better. They are not truthful when the Dr. asks the client questions, then they have problems and often self-limit taking the medication or go off completely. Some meds need to be gradually discontinued over a 2 month period, or there will be troubling symptoms.
I think your brother's psychiatrist has a bit more schooling than the combined forum so go with what he tells you. If your brother doesn’t like the psychiatrist, switch Dr’s.
