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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by Anna Laura on December 21, 2001, at 9:14:26
Hi folks
I've tapering effexor from 300 mg. to 75 mg. cause my pdoc wanted to put me on Tranycylpromine (Parnate).
I live in Italy and the only Parnate version on the market is a mixed compound (tranycylpromine + an antypsychotic). I can't tolerate antypsychotics (with or without antidepressants) cause they make my depression worse; when i found out that this drug (brand name Parmodaline) had the antypsychotic in it i considered to go back to my previous effexor dose. I was on 37, 5 tablet a day and i added a tablet the next day. This was Wednesday of the last week (about ten days ago or so). I've been adding one more tablet every two days; i eventually came back on full dosage yesterday. I was on reboxetine also, and now i'm back to 8 mg. per day.
After taking 150 mg. this morning (as is i used to) i had a panic attack. I'm still anxious and can't understnad what's going on. Did any of you experience anxiety going back on effexor? Did i go back on it too abruptely?
The last panic attack i remember of was May of this year when i was switching to Prozac.
I really hope it's the drug cause i'm scared it could be a sort of relapse.
Need a feedback on this please, really scared.
Thanks in advance
Posted by Guinnee Pig on December 21, 2001, at 10:16:25
In reply to Coming back on Effexor: panic attack, posted by Anna Laura on December 21, 2001, at 9:14:26
What I can't understand is why does it seem so many people on this site seem to change their dosage of medication etc. without discussing with their doctor first. Or at least tapering off everything completely and cleaning their system out for a couple weeks and then trying something new. It seems so many people have so many problems when drugs are mixing in their bodies and they don't realize it. It's bad enough most of these medications are still baffling to the medical world as to how they are working etc.... Not to mention the mixing of the drugs really confuses everyone in this
non-exact science. If the answers were out there we wouldn't have to be here begging the general public for answers.
Something about your thread brought this out in me and I am not only directing this comment/question to you...I guess I am a bit frustrated today. More later. Kristin
Posted by IsoM on December 21, 2001, at 15:41:02
In reply to Coming back on Effexor: panic attack, posted by Anna Laura on December 21, 2001, at 9:14:26
Anna, just a thought.
It was 10 days ago, if I followed this right, that you increased your dosage back to the old amount. Ten days isn't probably long enough to be getting the full effect from the increased Effexor. I'm wondering if your panic attack is the result of just being down & is a one-shot thing (or maybe two).After your brain adjusts to the increased dose again, I'm thinking you'll probably feel better again. It may take a week or so more. If I also remember correctly from other posts, initial side-effects from Effexor can cause jitters & anxiety. Perhaps increasing it that rapidly, made the side-effects worse. I only took Effexor for a little over a week as it made me so anorexic, I'd have been happy never to eat or see food again, so I can't speak from experience.
Anna, isn't there some other MAOI that your doctor could put you on without the antipsychotics in it?
And have you ever tried Celexa? I'm not pushing it but it's what I take & I like it very much. It worked quickly as compared to other SSRIs & I honestly haven't noticed ANY side-effects. After the initial 10mg dose pooped out around 2 months, it was increased to 20mg & I've been fine ever since. (You may remember I take Olmifon [adrafinil] from overseas too as I've always had trouble staying awake, even before I ever took meds.]Can you actually buy Olmifon without a prescription where you live? This is what the web-sites say. I find it an amazing medication!
I've been having trouble finding a doctor for you. It would help if I knew what are of Italy you live in besides the Riviera. I found some info but not being familiar with Italy, I'm not sure where it is. Looks like I'll have to dig out my atlases.
Take care, please about your meds. I've still been thinking of you.
****************************************************************************************************
> Hi folks
>
>
> I've tapering effexor from 300 mg. to 75 mg. cause my pdoc wanted to put me on Tranycylpromine (Parnate).
> I live in Italy and the only Parnate version on the market is a mixed compound (tranycylpromine + an antypsychotic). I can't tolerate antypsychotics (with or without antidepressants) cause they make my depression worse; when i found out that this drug (brand name Parmodaline) had the antypsychotic in it i considered to go back to my previous effexor dose. I was on 37, 5 tablet a day and i added a tablet the next day. This was Wednesday of the last week (about ten days ago or so). I've been adding one more tablet every two days; i eventually came back on full dosage yesterday. I was on reboxetine also, and now i'm back to 8 mg. per day.
> After taking 150 mg. this morning (as is i used to) i had a panic attack. I'm still anxious and can't understnad what's going on. Did any of you experience anxiety going back on effexor? Did i go back on it too abruptely?
> The last panic attack i remember of was May of this year when i was switching to Prozac.
> I really hope it's the drug cause i'm scared it could be a sort of relapse.
> Need a feedback on this please, really scared.
>
>
> Thanks in advance
Posted by jay on December 21, 2001, at 20:45:28
In reply to Coming back on Effexor: panic attack, posted by Anna Laura on December 21, 2001, at 9:14:26
Anna:
Can you possibly get access to a benzo for a few weeks to a month? It *greatly* helps in the adjustment period, and if it continues working, stay on the dose of the benzo.
I may have some other thoughts about what to add for Effexor based anxiety, as I have been on Effexor for a very long time. I will post more..
I dreadfully know how horrid Effexor can add to anxiety.Best wishes..
Jay
> Hi folks
>
>
> I've tapering effexor from 300 mg. to 75 mg. cause my pdoc wanted to put me on Tranycylpromine (Parnate).
> I live in Italy and the only Parnate version on the market is a mixed compound (tranycylpromine + an antypsychotic). I can't tolerate antypsychotics (with or without antidepressants) cause they make my depression worse; when i found out that this drug (brand name Parmodaline) had the antypsychotic in it i considered to go back to my previous effexor dose. I was on 37, 5 tablet a day and i added a tablet the next day. This was Wednesday of the last week (about ten days ago or so). I've been adding one more tablet every two days; i eventually came back on full dosage yesterday. I was on reboxetine also, and now i'm back to 8 mg. per day.
> After taking 150 mg. this morning (as is i used to) i had a panic attack. I'm still anxious and can't understnad what's going on. Did any of you experience anxiety going back on effexor? Did i go back on it too abruptely?
> The last panic attack i remember of was May of this year when i was switching to Prozac.
> I really hope it's the drug cause i'm scared it could be a sort of relapse.
> Need a feedback on this please, really scared.
>
>
> Thanks in advance
Posted by Anna Laura on December 22, 2001, at 0:19:35
In reply to Re: Coming back on Effexor: panic attack » Anna Laura, posted by IsoM on December 21, 2001, at 15:41:02
> Anna, isn't there some other MAOI that your doctor could put you on without the antipsychotics in it?Unfortunately Nardil has been withdrawn from the market. The only MAOI i could try are the latest generation MAOIS (RIMAS) like Moclobemide. I'm waiting to find a pdoc i feel comfortable with before taking it. I'm not so irresponsible and reckless of danger as some people on this board are trying to say.
I just followed the prescriptions my pdoc gave me this summer when i was put on effexor: in fact he put me on effexor full dosage after ten days. May be i didn't consider some psychological implications since i've been put under a lot of pressure lately (my mother's fianceé has been diagnosed with cancer and i just found out my father is going to have an illegitimate son); sure the situation is different from this summer when i was waiting quite for the effexor to kick at my mother's house in the country, the only worry being to watch after her dogs!
> And have you ever tried Celexa?I've tried Zoloft and Prozac but they don't seem activating enough my main problem being anhedonia. My pdoc told me that since i didn't respond properly to these two meds it was unlikely for me to respond to some other med in the SSRI category.
I've been considering viloxazine, a serotonine enhancer which seems more activating then the other SSRIs (it lacks of anticholinergics effects and doesn't seem to cause sexual disfunction).
But again, wanna see a pdoc first before taking it.
I've been thinking about Adafrinil but it's not on the market yet. We've got Modafinil here though.
If you want to post me, i'll tell you where i live.Thanks for answering
Posted by Anna Laura on December 22, 2001, at 0:26:01
In reply to Re: Coming back on Effexor: panic attack » Anna Laura, posted by jay on December 21, 2001, at 20:45:28
> Anna:
>
> Can you possibly get access to a benzo for a few weeks to a month? It *greatly* helps in the adjustment period, and if it continues working, stay on the dose of the benzo.
>
> I may have some other thoughts about what to add for Effexor based anxiety, as I have been on Effexor for a very long time. I will post more..
> I dreadfully know how horrid Effexor can add to anxiety.
>
> Best wishes..Thanks for your support Jay.
Yes i've got a benzo and i'll take it when i need it.
I can't take it continuosly though cause i've been addicted to benzos in the past and they seem to make my depression worse. Both antypsyhcotics and benzos make me feel horrible if i take them for an extended period.
Posted by Jane Wallace on December 22, 2001, at 1:48:24
In reply to Re: Coming back on Effexor: panic attack, posted by Guinnee Pig on December 21, 2001, at 10:16:25
> What I can't understand is why does it seem so many people on this site seem to change their dosage of medication etc. without discussing with their doctor first. Or at least tapering off everything completely and cleaning their system out for a couple weeks and then trying something new. It seems so many people have so many problems when drugs are mixing in their bodies and they don't realize it. It's bad enough most of these medications are still baffling to the medical world as to how they are working etc.... Not to mention the mixing of the drugs really confuses everyone in this
> non-exact science. If the answers were out there we wouldn't have to be here begging the general public for answers.
> Something about your thread brought this out in me and I am not only directing this comment/question to you...I guess I am a bit frustrated today. More later. KristinMaybe you are one of the fortunate ones who has a doctor that is helpful in this regard. What about the time that I was already taking 25 mg. Doxepine at bedtime for fibromyalgia and my doctor prescribed 50 mg. Zoloft taken in the morning? I almost wrecked my car falling asleep at the wheel. The doc knew I was taking doxepine when she prescribed the zoloft. Who should we trust?
This is the end of the thread.
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