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Switching from Sertaline to Luvox CR. Thoughts??

Posted by scleme1 on September 14, 2015, at 11:13:01

I'll try to be brief. I was on 40mg Paxil from 2000 to 2011. Switched to Zoloft 200mg in 2011 due to some weight gain and breakthrough anxiety. For the past couple years, I've been struggling with night-time inner nervousness/anxiety that I now attribute to the Zoloft. I think it's a mild case of akathisia, but not 100% sure. Could just be that the Zoloft is messing with my dopamine and my brain doesn't like that.. I've tried Mirapex, Inderal, Ambien, etc. to alleviate the waves of adrenaline I deal with on an almost nightly basis, but the only way I've been able to get through it is 1mg clonazepam each night. Knocks me right out, but I don't want to take clonazepam daily because of dependence.

So...with some reluctance (because the Zoloft works so well for my OCD and anxiety)...my doc is switching me to 200mg Luvox CR. 100mg in the morning, 100mg in the evening. I don't want to get back on the med merry-go-round, but I also know that I don't want to dread bedtime each night because of the nervousness. Doc offered to increase the dose of Mirapex before switching (from .125 to .25), but I hate the idea of treating a side effect with another med.

Also of note: I use an ecigarette, and the nicotine changes the bioavailability of the Luvox., which is something else to consider.

Anyone have any insight on Luvox CR? Anyone made the switch from Sertraline to Luvox CR? Any help/input would be much appreciated.


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poster:scleme1 thread:1082469
URL: http://www.dr-bob.org/babble/20150901/msgs/1082469.html