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Re: input from Dr. Stahl

Posted by Dr. Bob on October 17, 2000, at 3:13:13

In reply to Re: effexor and prozac?? fatal combo? MicheleR, posted by JaneST on October 8, 2000, at 13:16:02

> Dr. Stahl, a venerable psychopharmicist, advidly advocates prozac combined with effexor...

I let him know his name was being invoked here again, and he replied with the below.



Date: Wed, 11 Oct 2000 03:44:50 -0400

Bob, thanks for the chance to have input and to amplify this issue.

Although I do advocate adding Effexor XR to an SSRI such as Prozac, it is generally when an SSRI is not working or only having a partial effect, rather than the other way around, i.e. adding an SSRI to inadequate treatment response to Effexor XR. THis is because adding Effexor to an SSRI adds noradrenergic action whereas adding an SSRI to Effexor largely duplicates the serotonergic action of Effexor. When Effexor itself does not work adequately, I would generally add something else, such as Remeron or Wellbutrin.




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