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Re: withdrawing from one SSRI to another » CareBear04

Posted by SLS on February 24, 2005, at 9:13:03

In reply to withdrawing from one SSRI to another, posted by CareBear04 on February 22, 2005, at 20:18:00

> hi, i've been on zoloft 50mg for a year and a half, and it has stopped working. it took months to get up to 50, and i can't increase the dose without getting manic-like symptoms and lots of agitation. my pdoc put me on low-dose prozac about six weeks ago. i take 10mg now, and she told me i can increase to 20mg. my other dr tried to take away the prozac and leave the zoloft, but my pdoc and i prefer keeping the prozac and increasing it to 20mg, which is what most people take, right? when i tried to withdraw from zoloft before, i tapered under a pdoc (maybe not slowly enough, though) and going from 25 to 0, i crashed fast and hard. if i have prozac on board, can i withdraw easier from the zoloft since they are similar in action and in the same class? does anyone know? i'm happy keeping both ADs-- may not be elegant, but it keeps me afloat-- but my other dr wants 1 AD only. any thoughts? thanks!

If you are not on a mood-stabilizer, I think that is the first thing you should consider if your reactions to Zoloft are true mania. Is there a history of bipolar disorder in your family? You might be able to bring the Zoloft up to 200mg if necessary if you were taking a drug like Depakote or Tegretol/Trileptal. You might then achieve the robust antidepressant response you are looking for without inducing the mania.


- Scott

 

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