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Dr. Bob is Robert Hsiung, MD,
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Posted by lorily on August 2, 2004, at 3:33:44
In reply to Panic/anxity, posted by chaoz on August 2, 2004, at 1:08:46
Alot of people here seem to have great success with effexor. Cymbalta I here works the same way, without the side effects, but it's not available in the US yet. I have to agree with your doctor and wife on the Xanax. It's a highly addictive drug. I'm in recovery and know plenty of people who curse the doctors who put them on it, they cannot get off. I also know people in AA who use xanax to get high since they're supposedly "sober" they use it as a substitute. I would stay away
Posted by Alesa on August 3, 2004, at 13:14:02
In reply to Re: afraid to take effexor/bad experience w/paxil, posted by Cindy W on April 10, 2000, at 21:52:43
For anyone who is afraid to take meds now because of a bad experience with Paxil, I have had the same experience. I took Paxil once, and instantly had terrible side effects. I couldn't sleep, I shook like crazy, my jaw was tense and trembling, my muscles kept seizing, I couldn't sleep, had nausea, and severe panic attacks. I felt like I was being poisoned. After three days of that torture, I went off of it.
Ever since, I had been very reluctant to try anything. But then my mother died, and my depression and panic was out of control. I found a new doctor, who convinced me that Effexor may work for me if I started on an extremely low dose. So now I take half of the 37.5 mg a day, by breaking the pill into quarters for each dose. It's fine-I feel a little better already. I felt a bit wierd at first, and my jaw is tense and a little trembly, but it's not bad. I also have to pee alot, and have dry mouth, but again, it's not awful. I can live with the symptoms because I feel better with more energy, and not so incredibly sad, awful and irritable like I felt before. I feel more relaxed and mellow, a little spacey, but it's kind of cool. I think I feel wierd because I'm so used to feeling anxious sad and tense, and my body is not used to feeling good and relaxed.
is there any suggestions for me
> Stef, there are lots and lots of antidepressants: tricyclics (like imipramine), SSRI's (Paxil, Luvox, Zoloft, Celexa), Effexor-XR, Serzone, Remeron, MAOI's, etc. Have you talked with your pdoc about your fears? He/she can probably suggest a new med depending on what your symptoms are and what side effects you have experienced in the past. Have you ever tried anything besides Paxil? Also, if you try another med, you may want to start VERY slow (some people even crush the pill and put it in water and take VERY VERY small doses until they see how they are going to react).
>
Posted by Alesa on August 3, 2004, at 13:19:42
In reply to Re: Effexor Side Effects Atticus, posted by PoohBear on July 26, 2004, at 9:45:30
Alot of people here are saying they experienced sexual disfuntion and anorgasmia with Effexor. I've had the opposite. I have had increased sexual drive since I've started it! Isn't that wierd? Anyone else experience this? I think it's because I've had increased energy with Effexor.
Posted by lorily on August 3, 2004, at 13:52:05
In reply to Increased sex drive » PoohBear, posted by Alesa on August 3, 2004, at 13:19:42
And probably because you feel so much better about yourself while taking it!
Posted by lorily on August 3, 2004, at 13:57:08
In reply to Re: afraid to take effexor/bad experience w/paxil » Cindy W, posted by Alesa on August 3, 2004, at 13:14:02
My jaw felt a bit weird when I first start taking effexor, kind of like when I used to take mescaline, remembered that feeling right when I was coming onto the mesc, right before all the giggling and laughing. I put two and two together and realized that tingling feeling in my jaw was because I hadn't been smiling or laughing for so long, it was foreign. :)
Posted by PoohBear on August 3, 2004, at 14:11:09
In reply to Increased sex drive » PoohBear, posted by Alesa on August 3, 2004, at 13:19:42
> Alot of people here are saying they experienced sexual disfuntion and anorgasmia with Effexor. I've had the opposite. I have had increased sexual drive since I've started it! Isn't that wierd? Anyone else experience this? I think it's because I've had increased energy with Effexor.<
The other thing could be that you're less depressed. People who are in the midst of depression *usually* don't feel like having sex...
Tony
Posted by chaoz on August 4, 2004, at 0:31:30
In reply to Re: afraid to take effexor/bad experience w/paxil » Cindy W, posted by Alesa on August 3, 2004, at 13:14:02
don't forget work out or ride a bike
3 to 4 times a week for 30 mins.
be suprised what that can do.
for anxity and panic,also no caffine
that really can make things worse
Posted by lorily on August 4, 2004, at 3:55:13
In reply to Re: afraid to take effexor/bad experience w/paxil, posted by chaoz on August 4, 2004, at 0:31:30
Chaoz, thanks for mentioning that. We get trapped into the "take a pill" mode for everything that we forget about the things we should be doing anyway for our health!!!
Posted by pablo1 on August 4, 2004, at 9:12:54
In reply to Re: afraid to take effexor/bad experience w/paxil » Cindy W, posted by Alesa on August 3, 2004, at 13:14:02
Alesa,
How long has it been? I agree a larger dose may not be necessary. That's powerful stuff. I didn't want to go above 37.5 but the doc talked me into it.> I found a new doctor, who convinced me that
> Effexor may work for me if I started on an
> extremely low dose. So now I take half of the 37.5
> mg a day, by breaking the pill into quarters for
> each dose. It's fine-I feel a little better
> already.
Posted by crazychickuk on August 5, 2004, at 6:04:40
In reply to very low dose effexor, posted by pablo1 on August 4, 2004, at 9:12:54
it really isnt that bad, it was a wonder drug for my depression but i messed that up when i went from 37.5mg all the way to about 400 mg in one night for a laff to be feel even higher.. its was awfull, but my physc made me see it was my doing and not effexor's.. give it a go... start low stay lo if u can help it.. :-)
Posted by pablo1 on August 5, 2004, at 10:13:56
In reply to very low dose effexor, posted by pablo1 on August 4, 2004, at 9:12:54
BTW, I know someone else doing that exact same story. Same hideous reactions from other AD's and 37.5 gave migranes so split that and feels great. First week so far so good.
Posted by Alesa on August 5, 2004, at 15:22:28
In reply to very low dose effexor, posted by pablo1 on August 4, 2004, at 9:12:54
Pablol,
It's only been one week. My doctor will monitor me for one month, and change to a higher dose if it doesn't work. If I feel better, she said I can stay at this level, and go off of it after a few months, if I want to. I'm not sure if I feel better already because the weather has suddenely changed and my boyfriend just came back home from 3 weeks in Europe, or if it's the medication. Like I said, I feel a few physical side effects for sure, like dry mouth and a trembly jaw, and a little dizziness. I keep waking up too, twice a night, and it's hard to fall back to sleep. I do get a decent night's sleep, but I feel tired all day.
Alesa,
> How long has it been? I agree a larger dose may not be necessary. That's powerful stuff. I didn't want to go above 37.5 but the doc talked me into it.
>
> > I found a new doctor, who convinced me that
> > Effexor may work for me if I started on an
> > extremely low dose. So now I take half of the 37.5
> > mg a day, by breaking the pill into quarters for
> > each dose. It's fine-I feel a little better
> > already.
Posted by pablo1 on August 5, 2004, at 18:46:46
In reply to Re: very low dose effexor, posted by Alesa on August 5, 2004, at 15:22:28
The repeated mid-night wakeups were a persistent problem for me and probably my main reason for giving up after 7 weeks at 75mg. I got the same thing from Wellbutrin previously & suspect the norepenephrine component so my thought is to combine an SSRI with a pure dopamine stimulant like Survector. I tried regular stimulants for inattentive ADD & while I didn't have trouble sleeping (they are very short acting) I did not get the mental calming that is touted, just more wired & obsessive.
Posted by Normal Again on August 5, 2004, at 22:35:29
In reply to Panic/anxity, posted by chaoz on August 2, 2004, at 1:08:46
Effexor has done wonders for me. I've suffered with anxiety and chronic depression for about 12 years and finally found Effexor. I can honestly say it has saved my life, my love life and my relationship with my family, and it's only been about three months. I'm a new and (more importantly) normal person. I'd almost forgotten what that felt like. My only advice is to give it time to work, it takes a while before you get to the final effect, for me a little over 2 months. Also suggest to your doctor that you increase doses by 1/2 at a time. I currently take 1 1/2 doses and it works great, but it's a little out of the ordinary as that's actually a combination of the starter dose (37.5) and the regular dose (75), technically the next step after that is the double dose (150), but my doctor decided to try the first two together and it worked great. During the starter dose you will still be able to get depressed, and you might feel increased levels of apathy or "dullness" but it goes away. If you're still getting depressed on the regular dose you probably need to up it. Make sure you don't miss a day, or you'll regret it as the worst side effects happen when you stop suddenly. You should also take it just before bed because it seems to energize your body about 8-10 hours after taking it so if you take it too early in the day it will wake you up or you just won't get to sleep.
hope that helps.
Posted by Louoicu81 on August 5, 2004, at 22:37:29
In reply to Re: Success so far; don't ever run out; and drinking., posted by Sinnielou on June 14, 2004, at 17:05:55
Hello, everyone! I have dealt with anxiety/depression for as long as I can remember...and I'm only 22. About two years ago I had a complete nervous breakdown. I suffered from bulemia then also. I thank God every day for my family, my faith, and Effexor. I didn't care to live anymore. After taking Effexor for two years now and plans to get married and have children in the near future at hand, I have decided to quit taking the medicine. I took 150mg, twice a day. I am now on 37.5mg once every three days. I will have my BSN in nursing and have worked in the pharmacy for four years now so I know how POWERFUL of a drug this actually is. I am absolutely sick from weaning off of effexor. It makes me feel like I wish I would have never been on it in the first place, but who knows where I would be if I wasn't. I guess you can't win. What are the things that everyone is talking about called "brain flashes." I have this side effect that I cannot think of how to explain but it sounds like brainflashes is it. It feels like the whole world just flashes right in front of my face and then my stomach gets sick. Please describe how you feel when you get one. Any other advice?
Posted by Normal Again on August 5, 2004, at 22:43:33
In reply to Re: very low dose effexor, posted by Alesa on August 5, 2004, at 15:22:28
Alesa,
Don't worry about the dry mouth and the "jitters", they go away after a couple weeks once you find your ideal dose. If you're having trouble sleeping it might have something to do with when you take the pill. I have found that it energizes you about 8-10 hours after taking it so, for me, it works best to take it just before i go to bed, that way it starts to kick in just after i get up.
Hard to sya what dose will work best for you but you can go as high as 300 mg aparently, though most people take 75. I personally take 1 1/2 doses (75 mg + 37.5 mg) and it works really well for me.
Hope that helps.
N/A
> Pablol,
>
> It's only been one week. My doctor will monitor me for one month, and change to a higher dose if it doesn't work. If I feel better, she said I can stay at this level, and go off of it after a few months, if I want to. I'm not sure if I feel better already because the weather has suddenely changed and my boyfriend just came back home from 3 weeks in Europe, or if it's the medication. Like I said, I feel a few physical side effects for sure, like dry mouth and a trembly jaw, and a little dizziness. I keep waking up too, twice a night, and it's hard to fall back to sleep. I do get a decent night's sleep, but I feel tired all day.
>
> Alesa,
> > How long has it been? I agree a larger dose may not be necessary. That's powerful stuff. I didn't want to go above 37.5 but the doc talked me into it.
> >
> > > I found a new doctor, who convinced me that
> > > Effexor may work for me if I started on an
> > > extremely low dose. So now I take half of the 37.5
> > > mg a day, by breaking the pill into quarters for
> > > each dose. It's fine-I feel a little better
> > > already.
>
>
Posted by Normal Again on August 5, 2004, at 23:14:05
In reply to Re: Sexual Disfunction of Effexor, posted by Misha on May 20, 2003, at 7:23:57
why would you take a pill without first reading the papers that come with it?
Yes the side effects can be bad, but they go away. If i hadn't gone on Effexor, i could very likely have taken my own life. I would take night sweats over death any day.
It didn't work for you, my sympathies. Perhaps you weren't on it long enough to see that the side effects go away, or maybe it just wasn't for you, but please be considerate in your responses as you may inadvertently turn someone away from a product that could save their life.
Posted by pablo1 on August 5, 2004, at 23:43:09
In reply to Re: Panic/anxity » chaoz, posted by Normal Again on August 5, 2004, at 22:35:29
Thanks for the info about the 8 hour wakeup scenario! I asked around and got various guesses about when to take the stuff... I was getting a nice calming sedative effect in the hours following consumption and tried various times without joy. Doc's advice was a few hours before bed which did not work. Based on this, I'd suggest a small dose mid-morning or noon (so you feel it during the stressful part of the day) and a half dose at bed time (to sleep). The famous withdrawls are due to the short action so two-a-day doses makes sense.
PS
HOLY CRAP! six months is a long time for withdrawal!!!! I guess it's possible my seven week trial was inadequate. I'll tell you what though, I was impatient (after other failures) & the doc shoved the starter pack in my face & I gulped the things without reading anything. ANd I was very resistant to the idea of SSRI's. And it worked immediately. I am not suicidal but was at the pivot point in a divorce.I don't regret the trial and may attempt again. We'll have to see how long the withdrawl lasts though...
I'd be real interested in other folks experiences with sleep and dosage timing and time to 'cure'.
Posted by corafree on August 6, 2004, at 4:46:18
In reply to trouble waking - when to take effexor, posted by pablo1 on August 5, 2004, at 23:43:09
Living has become a daily nightmare this past week and a half. Since I have borderline
personality disorder, it is time to begin DBT (dialectical behavioral therapy). My
therapist told me I had to be absolutely sure ??? I could go to both sessions a week, one
w/ her and one w/ the group. Since my last doc w/ the God syndrome, whom I will no
longer see, said I was noncompliant (It was becaue I was in the midwest watching my
father die!), I have become noncompliant. That was one of his reasons for taking me off
Klonopin. I was on six a day. Now, I AM missing appts., all kinds of appts. My anxiety
level has gone way up, beyond what two Klonopin can even touch, and I can’t go
anywhere and am agoraphobic. The system I’m in hasn’t even appointed me a new doc
yet. I am either in physical or emotional pain constantly and suidical ideation is at its
greatest. The will and the way are literally worked out. My therapist said that if I failed
to comply w/ DBT it could be very bad for me. I am so undescribably scared and fear (I
HATE FEAR) is ruling me. Still my fam of origin does not show that they care about my
illness, as did my father. My children love me so much that they are even willing to let
me go if I can no longer stand living. My caseworker says ‘don’t sabotage yourself.’ but
I am. HELP! Please help me hang on. I don’t know how to go it alone anymore! I need
you all so very much. cf
Posted by lorily on August 6, 2004, at 8:43:13
In reply to Re: Sexual Disfunction of Effexor, posted by Normal Again on August 5, 2004, at 23:14:05
I have myself always posted here that effexor saved my life. I am so happy to be off of it, and I wrote about my experiences with withdrawals here. I am so happy that I am able to live without it, that I do not have to depend on medication at this point, happy that I do not have to depend on whether or not my doctor is in the mood to see me for my scheduled appointment, etc. If I were to need an AD again however, I would try something else before going back on effexor, only because of the withdrawals. if there is anyone reading this who is considering not taking effexor because of this and that cymbalta is unavailable in their area, It's really a decision you have to make very carefully, weigh the pros and cons. For me it was feel better or die, pretty much an easy choice, but I fought taking meds because I thought I could "handle it" blah, blah, blah. Once again, Effexor saved my life. I wasnt on a high dose, I SLOWLY lowered my dosage to wean off it and have not taken any since July 14. Today I have no side effects. If you have the opportunity to change your life around take it. Effexor is not a life sentence.
Posted by lorily on August 6, 2004, at 8:50:48
In reply to New Girl, posted by Louoicu81 on August 5, 2004, at 22:37:29
Hey, everyone around here usually refers to them as brain zaps. lol. slow down on you withdrawal. I didnt have a whole lot of side effects, or really that were so terrible the way I did it. People here have posted they take claritin, I tried benadryl, even dramamine for the equilibrium disturbance. I guess they worked because I was ok. the turning my eyes and feeling like the elevator jumped was a bit unsettling at times, lol. Just do it slowly. You've been on it 2 years already, if it takes months to go down at a comfortable level what's the harm? You don't want to relapse into depression shocking your brain into trying to learn how to do it alone. Take your time. Be well
Posted by Shyla on August 6, 2004, at 9:05:54
In reply to Re: Panic/anxity » chaoz, posted by Normal Again on August 5, 2004, at 22:35:29
I have been having a difficult time getting a full night's sleep on Effexor XR. I have been taking it first thing in the morning. I'm intrigued by your suggestion to take it at bedtime. I think I will give it a try. My doc has never suggested that. But, night after night of waking and staying fully awake is getting to me. I'll try your suggestion and see what happens. Thanks!
Posted by Shyla on August 6, 2004, at 9:16:35
In reply to SORRY TO JUMP IN - BUT HELP PLEASE?!, posted by corafree on August 6, 2004, at 4:46:18
It sounds like you are in a bad way. I hope others are responding to your plea. It sounds like you need professional help, rather than just us laymen here. Of course, we want to you be well, and not harm yourself. BUT, you need to connect with a professional who has experience with others in similar situations as you. I'm sure I speak for all of us here. I wish you the best of luck. Peace.
Posted by pablo1 on August 6, 2004, at 10:28:07
In reply to SORRY TO JUMP IN - BUT HELP PLEASE?!, posted by corafree on August 6, 2004, at 4:46:18
I agree the therapy should be a really good thing now. Twice a week is great when you are at this pivotal point. Ask your kids for support on that and I wish you the best with it. Tell the therapist & the group you are afraid and to be gentle with you, I'm sure they will oblige. I know how it feels to want to run away from therapy but even the ones I ran away from were helpful for a period so give it a try. Probably you are hyped up enough that it will actually help now. Try to relax and let it work.
Posted by PoohBear on August 6, 2004, at 10:34:04
In reply to SORRY TO JUMP IN - BUT HELP PLEASE?!, posted by corafree on August 6, 2004, at 4:46:18
Cora:
If you want, PM me at treynolds AT teague.com
Remove the "AT" and replace with "@".
Sounds like you need someone to "chat" with.
Tony
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Dr. Bob is Robert Hsiung, MD,
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