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Re: coming off Effexor (or other SSRIs)

Posted by askBob on December 27, 2002, at 22:53:13

In reply to Re: Effexor coming off of 5 years use. Help! » mxgirl13, posted by jimmygold70 on December 26, 2002, at 13:03:44

Jimmy has a good point. you should gradually replace one med with another in the same family. I think they call this "titration". You should also know that it can take 4 - 6 weeks for any of the SSRI family of antidepressants (Prozac, Zoloft, Paxil, Celexa) to take full effect. And you really ought to check it out with a good psychiatrist or at least an experienced pharmacist, such as at a mental health teaching hospital or university.

Bob

> You should move to a long-acting, cheap AD (i.e. Generic Prozac - $10-15/month) switch in that schedule:
> 1) Week 1 - 150mg Effexor XR + 20mg Prozac
> 2) Week 2 - 75mg Effexor XR + 40 mg Prozac
> 3) Week 3 - 75mg Effexor XR + 40 mg Prozac
> 4) Week 4 - No Effexor
>
> Risperdal might help you as well but it is pricey. In this case, you can add Klonopin (0.5 mg three time a day) for a couple of weeks, taking the dose down slowly over 2 weeks (1.5mg->1mg->0.5mg->Nothing).
>
> I had luck with the above, and talking to some psychopharmacologists - they liked it.
>
> Jimmy
>


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poster:askBob thread:13781
URL: http://www.dr-bob.org/babble/20021223/msgs/133441.html