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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by triedit on January 9, 2002, at 22:40:37
Its been awhile since I dropped in. Looks busy!
Just wanted to post that I switched from Effexor XR (35 mg) to Prozac (20 mg) with no side effects whatsoever.
The weight gain has stopped but I havent yet lost what I gained!
The panic attacks are back, but tolerable. The depression is totally gone.
I feel more like my old self again.
Effexor was wonderful for depression and panic, but when I topped 300 lbs I just had to stop taking it.
Posted by CalvaryHill on January 9, 2002, at 23:32:02
In reply to triedit update--not on effexor any more, posted by triedit on January 9, 2002, at 22:40:37
It seems to me that a higher Prozac dose should take care of the panic, assuming that Prozac has the same basic pharmacology as Paxil (almost the gold standard now in panic).
A lot of people actually lose weight on Prozac because of its stimulating effect (http://www.dr-bob.org/tips/split/Appetite-and-SSRIs.html). If you don't lose weight on Prozac, you have many options. One is to fight it with a psychopharmacologic agent like Topamax (topiramate) or Wellbutrin (buproprion), which should add mood stability too. Another option is to add a pure weight loss agent such as Xenical (orlistat) or Meridia (sibutramine).
Good luck to you whatever you decide...
CalvaryHill
Posted by mr.scott on January 10, 2002, at 13:22:22
In reply to triedit update--not on effexor any more, posted by triedit on January 9, 2002, at 22:40:37
How much did you gain on the "side-effexor", and what dose were you at?
Prozac it the only drug to date that caused almost no weight gain for me.
Scott
Posted by triedit on January 11, 2002, at 10:27:39
In reply to Re: triedit update--not on effexor any more » triedit, posted by mr.scott on January 10, 2002, at 13:22:22
I gained about 10 pounds a week, which is what tipped me off.
I have some other health stuff going on (some abnormal gyn problems that surgery will soon be taking care of) that were causing weight fluctuations of 3-7 pounds a month, but 10 pounds a week was astronomical. Diet didnt seem to affect it.
I have been on Paxil with EXTREEMELY bad side effects. I had taken Prozac many years ago (after my second child actually...i think this is a post partum thing because i have an 11 month old now) and lost a LOT of weight--about 60 pounds in a year. Am hoping for the same this time, but Im 40 now and not the young 20 something I was back then *grin*
Thanks for the help and advice you guys!
This is the end of the thread.
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