Posted by babak on April 11, 2003, at 2:09:40
Hi again,
I have finally, that is after seven years, persuaded my pdoc to change my medication from Effexor.I am cross tapering with Paxil. Initially I started on 10mg and then 20mg while reducing Effexor first from 150mg, then from 112.5 XR to 75mg XR. Things were fine, so I increased Paxil to 30mg and reduced Effexor to 50mg and after two weeks on that I reduced Effexor to 37.5 and Paxil to 40mg. I even thought I had noticed some improvement, but probably it was my imagination.
In between all this my usage of Xanax has gone up too.
I had some classic withdrawal symptoms like electric shock like feelings in my arms and legs but they weren't severe at all and they went away after a couple of days. Generally things were again fine for about a week. Then I started getting more depressed and developed insomnia, headaches, back ache, acid stomach, feeling tiered and tense again.Now I am not sure if is it withdrawal or it is Paxil that is not working, at least not as well as Effexor.
I really need to come of Effexor. Although it has been the best amongst the few (Prozac, Reboxetine, Mirtazapine, Amitriptyline, Lithium) I have tried so far, I am still very far from a complete remission and the worst of its side effects are that I have totally lost my libido as well as becoming completely anhedonic.
Can anyone shed light on my predicament as what is going on?
a) Should I wait for another week i.e. the 5th week and see if Effexor withdrawal or whatever it is gets better?
b) Should I increase Paxil or give up on it and go back on higher doses of Effexor and start all over again with another drug, but which AD? After all coming of Paxil is just as bad as that of Effexor, so the longer I am on it, the worst it is going to be.
c) Should I ask for some Prozac to help with Effexor withdrawal? Can you mix Paxil & Prozac?
d) Should I ask for some Klonopin or something else to help me with sleeping?I am frustrated, tired and confused. I think I am no longer of thinking clearly, I could really use some help.
Thank you as always.
P.S. I have finally been diagnosed with recurrent depression and GAD
poster:babak
thread:218433
URL: http://www.dr-bob.org/babble/20030407/msgs/218433.html