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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by geekUK on June 14, 2001, at 14:06:00
God this is hell to write.
a day and 1/2 ago I took 50 effexor xr 75mg. woke up the next day (2hours later) with a shake so pronounced i could hardly stand still, a fever, rash. and a sense of dissociation between the real and mental worlds (things seeming bigger, steps seaming higher)not halluc. and massive nausea. UMM.. now I just have a shake in my hands (day and a 1/2 without meds note). I guess I want to know a few things,
1. I dont think I am in danger of anything now, I feel kinda fine.
2. should I keep this a secret? What would my therapist and GP have to say? I dont feel like I am in danger anymore. It was a bit of an impulse. but a bit not.
anyways, would like some external thought on the matter
thanx
Posted by sl on June 14, 2001, at 14:58:30
In reply to I think I am fine. am I?, posted by geekUK on June 14, 2001, at 14:06:00
I noticed that nowhere in your post did you put the words "attempted suicide". That's important. You DID attempt suicide. You need to acknowledge that. And your dr needs to know.
If nothing else, he needs to know that the meds you were taking (since you had that many on hand, I assume you were taking them) weren't working and you were down enuf to consider a drastic alternative.They can't help if they don't know help is necessary!
sl
PS *goes off to call her dr for an update!*> God this is hell to write.
> a day and 1/2 ago I took 50 effexor xr 75mg. woke up the next day (2hours later) with a shake so pronounced i could hardly stand still, a fever, rash. and a sense of dissociation between the real and mental worlds (things seeming bigger, steps seaming higher)not halluc. and massive nausea. UMM.. now I just have a shake in my hands (day and a 1/2 without meds note). I guess I want to know a few things,
> 1. I dont think I am in danger of anything now, I feel kinda fine.
> 2. should I keep this a secret? What would my therapist and GP have to say? I dont feel like I am in danger anymore. It was a bit of an impulse. but a bit not.
> anyways, would like some external thought on the matter
> thanx
Posted by Cam W. on June 14, 2001, at 15:07:24
In reply to I think I am fine. am I?, posted by geekUK on June 14, 2001, at 14:06:00
geekUK - I would definitely tell both your GP and therapist of the problems with Effexor withdrawl. They need to know of the potential problems some people have of coming off of this drug. My pdoc was surprized when I told him that a lot of people do complain about the serotonergic withdrawl effects. He says that he has never had a problem with people stopping Effexor; he says that he has far more problems with people stopping Paxil. I think that people just aren't telling him if they have problems (although many people do not have problems with stopping Effexor).
One method that many of our other pdocs use for people who have trouble with serotonergic withdrawl symptoms is to add Prozac™ (fluoxetine) to the lowest dose of Effexor that the person can handle. The pdocs add 10mg to 20mg of Prozac to the Effexor (after weaning to 37.5mg or 75mg) for a week,; then the patient stops the Effexor and continues to take the Prozac for another week. The long half-life of Prozac stops the withdrawl symptoms and the Prozac leaves the body slowly; in essence a built-in weaning process.
I hope that this is of some help. - Cam
Posted by SalArmy4me on June 16, 2001, at 11:06:38
In reply to I think I am fine. am I?, posted by geekUK on June 14, 2001, at 14:06:00
You sort of had the right idea in a warped sense--Effexor works better at higher doses. But after 375 mg, the dose-response curve flattens such that any higher dose (than 375) will usually not produce any further improvement in mood.
Posted by somebetter on June 16, 2001, at 13:05:25
In reply to Re: I think I am fine. am I?, posted by sl on June 14, 2001, at 14:58:30
I hope you decided not to keep it a secret. sl is right. Your doc and therapist would want to know. You mentioned 'kind of impulse' and 'kind of not'. Can you remember how long the 'kind of not'had been going on? Is it possible you were afraid to talk about it before?
hoping you're safe and sound -
somebetter
Posted by geekUK on June 17, 2001, at 13:56:05
In reply to Re: have you talked to someone yet?, posted by somebetter on June 16, 2001, at 13:05:25
heya,
still havent really desided. everything in my life is very up in the air now. just finished uni, unemployed and no money for rent. so If my docs deside that they want me in hospital for a week or two, I become homeless (ish) unless I move back with my dad. Thats possibly more depressing than my current situation!
Well I always know when the 'kinda not' feelings are around. this time about 2 1/2 3 months. Key sighns are spending time 'checking safeways for big razors, location and how much?' and other things. Hundreds of excuses i have for myself, for fun, a joke, to make me feel better (which it does), all detracting away from the scaryness.
anyways...off to apply for jobs.
M> I hope you decided not to keep it a secret. sl is right. Your doc and therapist would want to know. You mentioned 'kind of impulse' and 'kind of not'. Can you remember how long the 'kind of not'had been going on? Is it possible you were afraid to talk about it before?
>
> hoping you're safe and sound -
> somebetter
This is the end of the thread.
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