So for somewhere around a year now, I've been taking Remeron for my depression. It seemed to work for a while, but now I'm just not getting much "lift" from it. I'm getting sick of sleeping all the freakin' time, and I've gained a good amount of weight (I needed some weight, but I wanted to stop 7 pounds ago...). It has been good for my anxiety, which I'm scared to lose, but I just don't do anything but watch TV anymore. My motivation and energy have never been so low.

My doctor keeps wanting to up my dose (I'm on 60 mg now) but I feel like I'm beating a dead horse. I had mentioned before that I would like something available in generic, but she seems to have passed that over cause she said she'd like me to try Pristiq. My insurance has a much higher co-pay for non-generics and I'm financially scraping the bottom of the barrel as it is. I'm starting to have bad feelings like she's pushing this drug for reasons that don't have my interests at heart. Is there any good reason why I should be willing to shell out the extra cash for Pristiq?