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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by CaffeinePoet on June 23, 2010, at 20:07:32
For years, I was on Effexor for migraine prevention -- a low dose of 50mg/day. It worked like a charm, I now know -- because I started having daily optical migraines 3 months after coming off of it.
I am considering going back on the Effexor as a preventative. But after many years, it caused me problems of low concentration, low motivation, and low energy. However, daily migraine auras are also wrecking my concentration and energy.
Any tips for dealing with the mental and physical fatigue induced by a med like Effexor?
Posted by europerep on June 24, 2010, at 9:39:37
In reply to Effexor: the good without the bad?, posted by CaffeinePoet on June 23, 2010, at 20:07:32
maybe you could try desvenlafaxine, I think it's called pristiq... it's only the "good" enantiomer (is that what it's called?), the "bad" one isn't in it anymore.. these two molecules are like what your left hand and your right hand.. kind of the same but when you put one on top of the other they are quite opposite.. and the actual beneficial effect of efexor is caused by one of them only..
whatever, removing the bad enantiomer is thought to reduce side effects, though at least for escitalopram I haven't heard about much better results than for citalopram.. desvenlafaxine isn't out over here yet, so I have no idea about it, but you could just consider looking into it..
Posted by jade k on June 24, 2010, at 12:33:50
In reply to Effexor: the good without the bad?, posted by CaffeinePoet on June 23, 2010, at 20:07:32
Just fyi, I have migraines that can last for days. When I started parnate they completely disappeared. Not one for over a year. I then switched to Pristiq and my headaches returned.
Good luck.
~Jade
Posted by Phillipa on June 24, 2010, at 16:11:01
In reply to Re: Effexor: the good without the bad?, posted by jade k on June 24, 2010, at 12:33:50
Jade that is interesting didn't know caused headaches. Can you take a triptin for them? Phillipa
Posted by CaffeinePoet on June 25, 2010, at 9:22:32
In reply to Re: Effexor: the good without the bad?, posted by jade k on June 24, 2010, at 12:33:50
interesting, Jade. I guess I would try the venlafaxine again because it worked so effectively, and there are studies backing it up as an anti-migraine.
Posted by CaffeinePoet on June 25, 2010, at 9:26:22
In reply to Re: Effexor: the good without the bad?, posted by europerep on June 24, 2010, at 9:39:37
> maybe you could try desvenlafaxine, I think it's called pristiq... it's only the "good" enantiomer (is that what it's called?), the "bad" one isn't in it anymore.. these two molecules are like what your left hand and your right hand.. kind of the same but when you put one on top of the other they are quite opposite.. and the actual beneficial effect of efexor is caused by one of them only..
>
> whatever, removing the bad enantiomer is thought to reduce side effects, though at least for escitalopram I haven't heard about much better results than for citalopram.. desvenlafaxine isn't out over here yet, so I have no idea about it, but you could just consider looking into it..thanks for the suggestion. I think that venlafaxine might have worked for my particular migraines, because it does have the negative side effect of increased blood pressure. in my particular migraine disorder (Basilar Artery), the problem is too much constriction of the blood vessels as opposed to too much dilation as in normal migraines. I suspect that Effexor helps to blow those migrainous vessels open and keep them there.
Posted by Conundrum on June 27, 2010, at 16:11:45
In reply to Re: Effexor: the good without the bad?, posted by CaffeinePoet on June 25, 2010, at 9:26:22
Before starting pristiq I had joint pains. It got worse after starting pristiq. If you look up info on effexor and joint pains you will find that unlike cymbalta, an SNRI approved for CFS/fibro pain, effexor(and probably pristiq) increases joint pain. I wouldn't be surprised if it can increase pain in the brain as well. SSRIs give me headaches as well.
Posted by Phillipa on June 27, 2010, at 20:39:28
In reply to Re: Effexor: the good without the bad? » CaffeinePoet, posted by Conundrum on June 27, 2010, at 16:11:45
Although the three months was on 60mg of cymbalta didn't eliminate mild depression or anxiety not a pain to be had. When I stopped it have had back pain since so great for pain. Don't know about HA and SSRI's hasn't happened to me. Phillipa
This is the end of the thread.
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