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Re: Cycling...YOU ARE RIGHT!! PLEASE HELP!! » bigcat

Posted by ed_uk on January 8, 2006, at 10:33:23

In reply to Re: Cycling...YOU ARE RIGHT!! PLEASE HELP!! » Tomatheus, posted by bigcat on January 6, 2006, at 23:59:56

Hi Matt

How are you today?

>rapid cycling

How do your depressive episodes on Effexor compare with your depressive episodes before you started Effexor?

> I do feel short of breathe, restless, and twithy now. Is the symptom of akathisia?

It's possible (because you're taking Thorazine), but it could be a symptom of hypomania as well.

>Now that I know this, what should I do? Ed, I've backed the Effexor from 600 to 525, Lamictal kept at 225, Buspar at 20.

I think you need to reduce your Effexor dose substantially. 525mg is still an extremely high dose. I'd reduce the dose in steps of 75mg every few days until you reach 150mg/day, then reduce in steps of 37.5mg until you reach 75mg/day.

When did you start Buspar?

>Been taking thorazine and ambien for sleep since I ran out of my sure-bet sleep med, 400-800mgs Seroquel an hour before wanting sleep.

I think you need to stop the Thorazine and restart Seroquel.

>What other suggestions besides possibly adding Lithiuim (?) and obviously backing off the Effexor significantly??

Tell me about your experience with the following meds.......

1. Lithium
2. Depakote
3. Tegretol
4. Trileptal
5. Zyprexa
6. Abilify

Love

Ed


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URL: http://www.dr-bob.org/babble/20060108/msgs/596539.html