![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by Lamdage22 on February 17, 2016, at 6:31:31
I figured its better to have a tread of my own rather than to go offtopic on someone elses thread.
> You've been sick for a long time. It might take a few months of steady treatment to feel substantially better, even on the best drugs. If it helps at all, and you find the side effects tolerable, try not to judge its ultimate effectiveness during the first 4-6 weeks.
>
>
> - ScottScott,
If i skip one Effexor dose i become suicidal. If i take it after that, the suicidal feeling goes away within one hour.
I kind of hope that when i take Viibryd (and not Effexor) i wont become suicidal.
I take ¼ of the max dose 300mg Effexor. IE: 75mg. If i take much more it makes me psychotic. that makes me wonder if my Viibryd dosage should be 10mg since the max is 40mg.Or, if i am on Cannabidiol by that time it maybe should be 5mg since the Max Viibryd dosage while on Cyp3a4 inhibitor (Cannabidiol) is 20mg.
Posted by SLS on February 17, 2016, at 8:20:04
In reply to @Scott.On Effexor and switch to Viibryd, posted by Lamdage22 on February 17, 2016, at 6:31:31
Do any pure SSRIs produce mania/psychosis in you?
I have cross-titrated two drugs that have not demonstrated contraindications for mixing. Sometimes, I'll skip the morning dose of the old drug and begin taking the new drug that evening. This is really more of a switch than a cross-titration. With cross titration, you gradully reduce the dosage of the old drug while simultaneously increasing the dosage of the new drug. People will express concern over serotonin syndrome (SS) while taking both drugs. This is an uncommon reaction. However, when MAOIs are involved, SS is a rather common sequalae.
For me, I have chosen both of the following strategies:1. Skip one or two doses of Effexor to discontiue it, and begin taking the Viibryd using a moderate titration schedule. You will feel like crap for a little while. This is more or less a direct switch
or
2. Remain on 37.5 mg/day to 75.0 mg/day of Effexor while titrating the dosage of Viibryd taking kinetic interactions into consideration. Once you reach a therapeutic dosage of Viibryd, you can then taper the Effexor if necessary. The advantages to this is that you might not suffer too badly between drugs, and that you will be effectively testing to see if a combination of Effexor and Viibryd works well for you.
- Scott
Posted by Lou Pilder on February 17, 2016, at 10:16:05
In reply to Re: @Scott.On Effexor and switch to Viibryd, posted by SLS on February 17, 2016, at 8:20:04
> Do any pure SSRIs produce mania/psychosis in you?
>
> I have cross-titrated two drugs that have not demonstrated contraindications for mixing. Sometimes, I'll skip the morning dose of the old drug and begin taking the new drug that evening. This is really more of a switch than a cross-titration. With cross titration, you gradully reduce the dosage of the old drug while simultaneously increasing the dosage of the new drug. People will express concern over serotonin syndrome (SS) while taking both drugs. This is an uncommon reaction. However, when MAOIs are involved, SS is a rather common sequalae.
>
>
> For me, I have chosen both of the following strategies:
>
> 1. Skip one or two doses of Effexor to discontiue it, and begin taking the Viibryd using a moderate titration schedule. You will feel like crap for a little while. This is more or less a direct switch
>
> or
>
> 2. Remain on 37.5 mg/day to 75.0 mg/day of Effexor while titrating the dosage of Viibryd taking kinetic interactions into consideration. Once you reach a therapeutic dosage of Viibryd, you can then taper the Effexor if necessary. The advantages to this is that you might not suffer too badly between drugs, and that you will be effectively testing to see if a combination of Effexor and Viibryd works well for you.
>
>
> - ScottFriends,
The advocating of taking the two drugs in combination could lead those that follow Scott's example to their deaths. You see, when these drugs are combined, the effects are increased exponentially. Here with both Effexor and Viibryd combined, the taker of such a concoction could kill themselves as suicidal ideation could be exponentially increased.
The influence of the psychiatrist here that allows such to be posted here could cause a false mindset that taking these drugs together is safer than it really is. That could lead to the deaths of children thinking that a psychiatrist is validating the taking of these drugs in combination. And adults likewise.
These drugs kill thousands of people every month. How this site gets away with promoting these concoctions of death with impunity to the rules of the FDA is unbeknownst to me. At least, with my warning to you here, those that are killed by accepting what Scott has posted all allowed by Mr. Hsiung, their blood will not be upon me.
Lou
Posted by Lamdage22 on February 17, 2016, at 14:03:23
In reply to Re: @Scott.On Effexor and switch to Viibryd, posted by SLS on February 17, 2016, at 8:20:04
> Do any pure SSRIs produce mania/psychosis in you?
I have no idea.
> I have cross-titrated two drugs that have not demonstrated contraindications for mixing. Sometimes, I'll skip the morning dose of the old drug and begin taking the new drug that evening. This is really more of a switch than a cross-titration. With cross titration, you gradully reduce the dosage of the old drug while simultaneously increasing the dosage of the new drug. People will express concern over serotonin syndrome (SS) while taking both drugs. This is an uncommon reaction. However, when MAOIs are involved, SS is a rather common sequalae.
>
>
> For me, I have chosen both of the following strategies:
>
> 1. Skip one or two doses of Effexor to discontiue it, and begin taking the Viibryd using a moderate titration schedule. You will feel like crap for a little while. This is more or less a direct switch
>
> or
>
> 2. Remain on 37.5 mg/day to 75.0 mg/day of Effexor while titrating the dosage of Viibryd taking kinetic interactions into consideration. Once you reach a therapeutic dosage of Viibryd, you can then taper the Effexor if necessary. The advantages to this is that you might not suffer too badly between drugs, and that you will be effectively testing to see if a combination of Effexor and Viibryd works well for you.
>
>
> - ScottThanks, Scott. I think i will see what my doctor has to say. Its probably several weeks in the future as i hope to be trying Cannabidiol after march 10th.
Posted by Lamdage22 on February 17, 2016, at 14:08:31
In reply to Re: @Scott.On Effexor and switch to Viibryd, posted by Lamdage22 on February 17, 2016, at 14:03:23
I have no idea what Cannabidiol will fix and how much so..
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.