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Re: Depression switch to anxiety. Starting Effexor. phidippus

Posted by SLS on October 15, 2017, at 11:57:00

In reply to Depression switch to anxiety. Starting Effexor., posted by phidippus on October 15, 2017, at 8:26:16

> So I was on Lithium, Invega and Vyvanse and I was having depression-restlesness, poor concentration, feelings of hopelessness. Then I started getting anxious about everything. I stopped the Vyvanse and the anxiety did not abate. It seems like I traded depression for anxiety. Is my mood unstable? I have started Effexor-how long until it treats the anxiety?
> Eric

Out of curiosity, have you tried taking nortriptyline or any other TCA? Your symptoms now sound much like that of melancholic depression with its attendant anxiety.

I found Effexor 300mg/day + nortriptyline 75 mg/day to be an interesting combination. It was partially helpful for my bipolar depression. Unfortunately, we never went higher on the nortriptyline. It turns out that I need 100 mg/day for maximum effect. I have no compunction to returning to the two drugs at higher dosages if my current regime doesn't demonstrate a trajectory towards remission during the next two months. I am not worried about a switch into mania because Abilify seems to be an effective prophylactic against it. I should think that the Invega would provide you with coverage against mania.

Oh... To answer your original question, I don't know.

- Scott

Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw




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