Posted by Janelle on March 21, 2002, at 0:38:23
In reply to Moving from nortriptyline to effexor, posted by Kelty on March 20, 2002, at 22:13:10
Unfortunately I can't tell you how to wean off nortrip (although I was on amitrip for awhile but forget how I got off it), but I CAN tell you how to tirate up on Effexor.
I don't know what the lowest dose pill available is for a prescription because my pdoc started me with sample packs ... anyway, start with 37.5 mg/day (that's the lowest dose in the starter sample pack) and take this dose for a week, then go up to 75mg/day for a week. At this point, some pdocs will have you remain at 75mg for awhile to see if that dose kicks in and helps you, while other pdocs may have you increase by another 37.5 weekly, followed by another 37.5 weekly until you're at 150mg/day. At this dose, you should start to feel something. If not, the pdoc can have you go even higher.
The trick is to ride out any side effects as you titrate up because they may go away and then the med will kick in. However, if troublesome side effects do not go away, consult your pdoc.
Hope this helps. Good luck!
-Janelle
poster:Janelle
thread:99128
URL: http://www.dr-bob.org/babble/20020318/msgs/99153.html