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Hello, been on citalopram for 13 weeks, got up to 40mg, but had to reduce to 30mg due to 5 weeks intense anxiety. Pysc suggested giving 30 a go for a few weeks, but recommended a staged dual switch to venlafaxine it it didnt work. Had a meltdown 2 weeks later with anxiety, and have been given diazepam ,by doctor, and advised to switch to ven, as per pysc recommended switch. Realised that doctor was a complete idiot, making 2 mistakes during appointment, had got switch doses wrong ie double ven dose pysc recommemded. didn't trust him, but Reduced cit to 20mg on it's own to give it one last chance, mood seemed to go lower each day. Therefore saw another doctor a week later, seemed to.know what she was doing, said cit dose obviously too low for depression, cant go higher on it due to anxiety, and to start stepped switch over suggested by pysc. Its 20mg cit plus 37gms ven, for 2 weeks, then drop cit to 10 mg keep ven at 37 days into switch for another 2 weeks. Thought continual mood lowering had stopped, but feels like its dropping again. Been on this switch for 5 days now. I cant bare thinking about dropping cit level for a further 2 weeks in a weeks time, with no ven increase. Pysc made his recommendation 4 weeks ago now, seeing him next week, for a follow up appointment. Given my mood dropping quite quickly, do you think he might revised switch process, ie poss drop cit to 10mg but increase ven?. I take ven in morning along with cit, and haven't felt much.in way of side effects, although low diazepam is probably helping. Has anyone done this switch more quickly, or with not reducing dose so much? Only just managing at moment, let alone reducing cit to 10mg for a further 2 weeks, in a weeks time, with no increase in ven. Any experience of such a switch would be appreciated. Thanks.
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