Posted by orbital on October 16, 2010, at 16:40:31
In reply to Re: Effexor: is it worth it? » orbital, posted by floatingbridge on October 16, 2010, at 15:17:29
FB, thanks for the info :)
I do know people who did well on Effexor, and came off it with little problems.
If you're going to do a Prozac taper, how will that affect your MAOI schedule? Will you have to wait for 6 weeks?
Personally, I think that docs aren't aggressive enough when using the Prozac taper method. For instance, I doubt that one 20mg dose will help much... Prozac is so weak to begin with, and its famed long half life only begins to occur after repeated doses (but not norfluoxetine's).
When I quit Paxil and.. Zoloft?... my doc gave me a good high dose of Prozac for several days.
Not sure if there's anything else involved in (des)venlafaxine's discontinuation that needs to be addressed, though.
> Orbital, I wanted to add some anecdotal info. I do know a few (maybe about 5) that do well on effexor. Side effects are intolerable for some--I did not experience them myself. Because I had done well on effexor in the past, we chose pristiq to which my response is less robust :(.
> When I've considered trying an maoi, the pristiq withdrawal (really as bad as
> effexor, though some docs don't know or acknowledge) has made the decision difficult. My doctor feels confident enough about doing it (prozac cross taper) but is concerned about my destabilization. It can be a lengthy taper done his way by the book. There may be other, faster ways. I don't know.