Posted by 49er on January 3, 2010, at 9:10:57
In reply to Re: BF + 49er: prozac taper, posted by Buckeye Fan on January 3, 2010, at 8:13:10
<< Thanks 49er...and since we are on the subject, I have another question. I am already experiencing difficulty in tapering the Pristiq. The 50mg pill is obvioulsy not menat to be cut...even with a pill cutter. I know Effexor is basically the same Med, so what is the group's opinion on me doing on of two things:
>
> 1) Switching to Effexor and then tape.
>
> 2) Reinstating my Zoloft script that worked so well for so many years...and gradually taper it instead.
>
> BF
>
BF,Would your insurance cover compound pharmacies? If it did, you could get your physician to write a prescription for the dose you wanted to cut to which should be 45mg (10% cut) and take it there to be compounded.
I posted a link for finding a local compound pharmacy in a previous post. If you can't find it, I can post it again.
That would be my first choice since you wouldn't have to worry about switching meds. But if insurance doesn't cover it, then the option is worthless unless you can pay out of pocket.
If compounding isn't an option, I think I would switch to Effexor even though you said Zoloft worked well previously. But it may not and switching to Effexor is less of a risk since the chemical makeup is the same.
The only problem is that due to the short life of Effexor, it will be hard to taper. Do a google search for effexor withdrawal to find out how to do it. I have never taken the drug so I am no help.
But if you decide to switch to Zoloft and you don't encounter problems, tapering would be easier since you could get the liquid version.
I guess what I am saying is I don't think either one of your choices is an overwhelming favorite. Pick one and see what happens.
49er
poster:49er
thread:931755
URL: http://www.dr-bob.org/babble/20100103/msgs/932285.html