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Re: Help! EFFEXOR and fatigue, lethargy, apathy:

Posted by DebbieLynn on July 3, 2001, at 21:10:39

In reply to Re: Help! EFFEXOR and fatigue, lethargy, apathy:, posted by rmshed on July 2, 2001, at 18:50:34

> > Thanks for responding. I'm going to have to stick with it long enough to give it time to kick in (or not), and wouldn't mind losing a few pounds. HOWEVER, my pdoc told me to take EffexorXR in the morning (which for me these days is noon!) with food. I'm still tapering off Celexa (take that one at night), so maybe when I finish the Celexa, I can take EffexorXR after dinner. Except I heard it's extended release meant to work throughout the DAY, and some people take one in am, and other at pm; others take all of it in am. This is the first I've heard about taking EffexorXR at night!
> My doctor prescribed my Effexor XR to be taken at bedtime. I also take Doxepin at night, it helps me sleep although it is also an AD. The first few nights on effexor xr 37.5 mg, I experienced a light sleep, I kept waking up about every two hours, but fell back alseep. After taking 37.5 mg for 15 days, my doctor increased my dosage to 75 mg at bedtime, I had a really good nights rest last night. I take my medication with food. As far as the nausea, I take prozac and xanax along with the effexor and doxepin. All of these drugs have nausea as a side effect, I think I have learned to live feeling nauseated, just feeling more at times. I am clueless as to why my doctor has me taking the effexor xr at bedtime, I have to see him on Monday 7/9. He wants to check my blood pressure and he said we will go from there.

I currently take 225mg of Effexor XR. (Never thought I would hit this dose!) I started at 37.5 mg and SLOWLY increased my dose at weekly intervale. When I got to the 150mg dose, it made me lethargic too! Effexor produces a lot of side effects for a lot of people. To the point where they want to stop. I considered stopping it too, but my pdoc put me up to 225mg (150mg in the am and 75mg in the pm) I know that sounds like a lot, but he said to reach optimum results (for depression) I need to reach that dose. After 4 weeks of being on 225mg, I saw the biggest difference. This med has worked wonders for me. For the longest time, before starting Effexor, I did not feel like doing anything, always tired, you know...symptoms of depression, but I did not realize it. Anyway, NOW, I am much more active, I am a nursing student in the psychiatric field (imagine that) and so on, and so on.

Hang in there...It will be worth it!!!

Good Luck




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