im not liking effexor can anyone recommend a drug to replace it....i am seeing my doctor tommorrow a
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hi folks im currently taking effexor which i dont think are doing me any good...but by now im not sure about how im feeling in general or if it is the effexor ..i just know after taking them for 8 months they havent helped me.......friends are advising prozac but im clueless any help that could be given to me i would truly appreciate as seeing my doctor in the morning,,help
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betsy0603 lesley99443
Posted
If you come off ven, you've been on long enough that you will likely have withdrawal if you come off too fast, and that can include emotional symptoms that can come on months later, making everyone think you have relapsed and NEED to be on meds. Switching to another med won't negate withdrawal from ven, so you still need to come off slowly even if you are going to try another med. Ven withdrawal is notoriously bad, and I am proof of that, since I went through 10 months of protracted withdrawal after coming off too quickly over a year ago.
These meds are not a cure but a band-aid, and should be used as such. That band-aid allows time for you to do the emotional work that leads to real change. Have you been in therapy of some kind?
I reinstated ven after 10 months of withdrawal, thinking I had relapsed. 37.5 mg caused a complete turn around of symptoms within an hour, a sure sign of my dependency, like a junkie getting a fix! It was only after that that I learned about withdrawal. I have been tapering since last July and am now on 25 mg, a sub-therapeutic dose as far as doctors are concerned, but I feel better now than I ever did on even 225 mg!
Your doctor may try to convince you to up the dose, but after 8 months in, you'd be lucky to cut and run rather than invest more time on this drug, because it is so very hard to come off of, and the higher you go the longer it will take to get free of it.
Withdrawal support groups advocate a 10% per month reduction method, and that is 10% of the previous month's dosage. Are you on the extended release capsules with the beads inside? If so you can reduce by counting beads, removing 10% from the starting number. What dosage are you on? Take the average number between a few capsules and then calculate off the average.
Whatever you decide to do, if you taper, NEVER make a cut when you are experiencing withdrawal symptoms! WD symptoms occur because the cut created an imbalance that the nervous system must adjust to, and that process can take a few weeks, so cuts once a month allow for that adjustment before the next challenge. Cutting when you are having WD symptoms is adding more instability onto instability, causing your nervous system to scramble to keep up. This is why following a doctor's schedule of halving doses every two weeks can be disastrous, because the cuts are too big and too often, and the patient makes cuts while having symptoms.
Good luck in whatever you end up doing!
lesley99443 betsy0603
Posted
betsy0603 lesley99443
Posted
Some use Prozac as a bridge to come off ven because it has a longer half life and is supposedly easier for that reason. It still may not cover the withdrawal from Effexor. You can get away with halving your dose down to 37.5 mg. At that point your receptors are still 80% occupied, so dropping off from there can cause big destabilization, virtually a cold turkey. If you have the one with beads, I'd still recommend dropping down more cautiously from 37.5 mg using the bead counting method if you can. If you are on Prozac, you can hopefully go more quickly, 20%? When you start the Prozac, start at the low dose (1 think 10 is therapeutic but you might even start with 5. Keep the Effexor the same, so that you can see if there are start-up side effects. Keep notes.
Good luck!
lesley99443 betsy0603
Posted