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Ican03: switching AD - help needed


Ican03

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Thank you everyone in advance . I’m am new here and come for some help. I was switched from 5mg paroxetine to 100mg generic Pristiq 5 days ago. Was on the paroxetine for almost 3 years. I’m having a very rough time with increased anxiety, tingling , inner shaking and bad panic attacks. My shrink says I should not be having withdrawal symptoms as I replaced the paroxetine for something better. I am not sure if it is withdrawal or the new medicine or a mixture and don’t know what to do if stick to the new med or go back to Paroxetine , anyone in a similar situation? Today is my 5th day on the new AD. Thank you !!! 

GAD, health anxiety and panic attacks since 2007 
Paroxetine 20 mg 2017-2019

Paroxetine 5 mg 2019- Sept 16 2020

Sept 16 2020 switched from the 5mg paroxetine to 100mg generic Pristiq

Clonazepam 1mg daily 

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  • ChessieCat changed the title to Ican03: switching AD - help needed
  • Moderator Emeritus
Welcome to SA, Ican03.
 
Here is a link to Pristiq side effects.
 
https://www.drugs.com/sfx/pristiq-side-effects.html
 
100mg Prisiq is a very high dose.  Recommended maximum dose is 50mg.  It's difficult to ascertain equivalencies in dosage between SSRIs like Paxil and SNRIs like Pristiq, but it's clear you're taking a lot more drug now with 100mg Pristiq than when you were on 5mg Paxil.  I recommend you drop your dose to 50mg Pristiq.  This should minimize or eliminate side effects. 
 
We don't recommend a lot of supplements on SA, as many members report being sensitive to them due to our over-reactive nervous systems, but two supplements that we do recommend are magnesium and omega 3 (fish oil). Many people find these to be calming to the nervous system. 
 
 
 
Add in one at a time and at a low dose in case you do experience problems.
 
This is your Introduction topic, where you can ask questions and connect with other members.  We're glad you found your way here.
 
 
 
 

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper of 18.75mg Valium 

End 2021  year 1 of Valium taper at 6mg

End 2022 year 2 of Valium taper at 2.75mg 

End 2023 year 3 of Valium taper at 1mg

Jan. 24, 2024: Hold at 1mg and shift to Imipramine taper.

Taper is 95% complete.

 

Imipramine 75 mg daily since 1986.  Jan.-Sept. 2016 tapered to 14.4mg  

March 22, 2022: Begin 10%/4 week taper

Aug. 5, 2022: hold at 9.5mg and shift to Valium taper

Jan. 24, 2024: Resume Imipramine taper.  Current dose as of May 2: 6.1mg

Taper is 92% complete.  

  

Supplements: multiple, quercetin, omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg, iron, serrapeptase, nattokinase


I am not a medical professional and this is not medical advice but simply information based on my own experience, as well as other members who have survived these drugs.

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Thank you very much for your reply , my shrink insists that 100 mg is the correct dose for anxiety and panic attacks and I don’t think I can’t cut the pill in half. I am on day 6 today so will stick to the dose for a few more days , if it gets worse then I will insist on lowering the dose to 50mg. When in the day do you think it is best to take omega 3? 

GAD, health anxiety and panic attacks since 2007 
Paroxetine 20 mg 2017-2019

Paroxetine 5 mg 2019- Sept 16 2020

Sept 16 2020 switched from the 5mg paroxetine to 100mg generic Pristiq

Clonazepam 1mg daily 

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  • Moderator Emeritus
3 hours ago, Ican03 said:

When in the day do you think it is best to take omega 3?

I take it three times a days, after breakfast, lunch and after dinner.  The total EPA/DHA is around 1000mg.  You could start with that dose and if it works well, some members take more.

 

No, you can't cut Pristiq in half.  It does come in 50mg dosage.

Edited by Gridley

Gridley Introduction

 

Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.

 

Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper of 18.75mg Valium 

End 2021  year 1 of Valium taper at 6mg

End 2022 year 2 of Valium taper at 2.75mg 

End 2023 year 3 of Valium taper at 1mg

Jan. 24, 2024: Hold at 1mg and shift to Imipramine taper.

Taper is 95% complete.

 

Imipramine 75 mg daily since 1986.  Jan.-Sept. 2016 tapered to 14.4mg  

March 22, 2022: Begin 10%/4 week taper

Aug. 5, 2022: hold at 9.5mg and shift to Valium taper

Jan. 24, 2024: Resume Imipramine taper.  Current dose as of May 2: 6.1mg

Taper is 92% complete.  

  

Supplements: multiple, quercetin, omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg, iron, serrapeptase, nattokinase


I am not a medical professional and this is not medical advice but simply information based on my own experience, as well as other members who have survived these drugs.

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  • Moderator Emeritus

Hi and welcome from me too,

 

If it was me I would be reducing to 50mg ASAP.  It takes about 4 days for a dose change to get to full level in the blood and a bit longer for it to register in the brain.

 

I had multiple issues whilst on 100mg Pristiq.  The most obvious one was my diastolic blood pressure increased a lot.  Unfortunately my doctor did not connect the increase in my dose from 50mg to 100mg Pristiq with the BP increase and just doubled my BP drug.  It wasn't until several years later when I started researching because I felt so rotten and found out the side effects that I realised that what I was experiencing was caused by the drug.

 

The slow release action of Pristiq is contained within the whole tablet (the glue), not the coating (like many other drugs).  It is okay to cut the tablets, but because of their shape it can be difficult to get an accurate dose.  If you cannot get Pristiq 50mg straight away and wish to reduce to 50mg then you could try cutting a 100mg tablet.  If the tablet breaks into a few different pieces you could eyeball 1/2 and take the broken pieces about 1 or 2 hours apart to try to overcome any dose dumping.

 

When changing from one psychiatric drug to another because of the different actions of the drugs you may still get withdrawal symptoms from the original drug, but you can also get start up, side effects and/or a bad reaction from the new drug.  Because of the changes made it can be hard to tell what is causing what.  However, 100mg Pristiq IS a high dose.

 

Please note that SA suggests only making one change at a time, otherwise you won't know if something helped/harmed.  It would be better to wait until after reducing your Pristiq before starting anything new.

 

the-rule-of-3kis-keep-it-simple-keep-it-slow-keep-it-stable

 

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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Thank you all for your replies. I talked to my shrink and unfortunately she does not want to lower my dose to 50mg. She says that she will explain better in our next appointment ( which is in about 2 weeks).  I will have to stick with these side effects and on the 100mg dose until we speak again or until the symptoms become so unbearable that I try to cut the pill in half. I will try to stay calm and positive and hope for the best as tomorrow I hit a one week mark with the new medicine.  

 

GAD, health anxiety and panic attacks since 2007 
Paroxetine 20 mg 2017-2019

Paroxetine 5 mg 2019- Sept 16 2020

Sept 16 2020 switched from the 5mg paroxetine to 100mg generic Pristiq

Clonazepam 1mg daily 

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  • Moderator Emeritus
36 minutes ago, Ican03 said:

I talked to my shrink and unfortunately she does not want to lower my dose to 50mg. She says that she will explain better in our next appointment ( which is in about 2 weeks). 

 

This is not acceptable.  She's already put you on too high a dose of Pristiq.  And it may be that you are experiencing side effects caused by that and/or an adverse reaction.  Another 2 weeks (which would be 3 altogether) at 100mg Pristiq will mean that you will most likely have to taper it, but you might be able to reduce it quicker than a regular taper.   It can take as little as 4 weeks for the brain to become physiologically dependent on a drug.    And tapering Pristiq is difficult because of the only doses available are 25mg (in some countries, but not Australia), 50mg and 100mg.  I have to pay extra and get mine compounded.  Your regular doctor can write scripts.  I would be contacting them and requesting a script for 50mg Pristiq.

 

I would also be cancelling the appointment with this psychiatrist and if you feel that you still need to see one, I'd be finding a new one.  This is not the right way to be treating a patient who is experiencing the symptoms you are.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • Moderator Emeritus

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • Moderator Emeritus

Hi there. I agree with Chessie wholeheartedly. You need to do what is best for you, not what is convenient for your doctor. Now is not the time to play “obedient patient” and follow orders. Now is the time to listen to your body and make an informed decision. 
 

I have several questions for you:


1) What was the reason for switching the paroxetine to the Pristiq? Were you not tolerating paroxetine well or was this a mostly arbitrary decision from your doctor?

 

2) When was your last dose of paroxetine? Or are you currently taking it? We don’t want you to go through withdrawal from paroxetine at the same time as having an adverse effect to a high dose of Pristiq. 
 

3) I see that you take Clonazepam 1 mg daily. When did you start this medication? We don’t want you to become dependent on benzos and have to taper from that too. 

Apr 2018: Began 10 mg Amitriptyline (for headaches & insomnia from concussion).

Jul - Aug 2018: Fast taper to 5 mg and then 2.5 mg (too fast, hellish withdrawal at 2.5 mg). Sept 2018: Reinstated 10 mg (many symptoms improved). Oct 2018 - Apr 2019: Updosed & stabilized on 11 mg (2 waves at 3 and 5 months post-withdrawal). Apr 2019 - Apr 2020: Tapered 0.5-0.25 mg per month using compounded pills: 11 mg —> 6 mg. (2 waves at 12 and 16 months post-withdrawal.) Apr 2020 - present: Switched to a liquid taper at rate of 0.1 mg per month. Currently: 1.1 mg. No more waves. 

 

Supplements: Omega-3 fish oil, Vit B12, coenzyme Q10, Hawthorn extract (for tachycardia) Tools for insomnia/waves (as needed): Epsom salt foot soaks, 0.5 mg Melatonin, quality time, waves WILL PASS. Lifestyle: Eat real foods, mostly plants; sunlight, walking, yoga; symptom tracking on adapted Glenmullen chart.

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Thank you all very much. I think I can actually get the pristiq 50mg in 3-4 days and just lower the dose myself. I just though I should be a good patient and follow instructions. 
 

To answer Composter’s questions :

 

1. I starting having bad panic attacks and major anxiety all day. I had not had an appointment with a shrink in about 5 years  and though it will be a good idea , she suggested that pristiq was better than paroxetine and that I change will do good for me. 
 

2. My last dose of 0.5 mg paroxetine was last Wednesday and then started pristiq on Thursday. My main doctor explained that I’m probably going through both withdrawal and new side effects from Pristiq altogether but also said to trust the shrink. ( I’m so confused on what to do ).
 

3. I am for sure dependent on benzodiazepines already , I have Been taking 0.5 mg daily for about a year and a half now but with this AD change the new shrink upper my Dose  while I get “adjusted”. 
 

 

GAD, health anxiety and panic attacks since 2007 
Paroxetine 20 mg 2017-2019

Paroxetine 5 mg 2019- Sept 16 2020

Sept 16 2020 switched from the 5mg paroxetine to 100mg generic Pristiq

Clonazepam 1mg daily 

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  • Moderator Emeritus

Thanks for your reply. I’ve asked mods to weigh in on your situation further given the details you’ve just shared. 
 

The drugs act on your brain in different ways so an abrupt switch from one to another can really throw off the receptors and put you into a combo of withdrawal and adverse startup effects. 
 

If I were you I would focus on reducing the Pristiq to 0 over the next 1-2 weeks. As for the paroxetine did you taper at all from 5 mg to 0.5 mg? If so when did you start that taper and what was the schedule?

 

7 hours ago, Ican03 said:

I am for sure dependent on benzodiazepines already , I have Been taking 0.5 mg daily for about a year and a half now but with this AD change the new shrink upper my Dose  while I get “adjusted”. 


Your psychiatrist is clearly unaware of benzo dependence and appropriate dosing. I would focus on non-drug coping tools like mindfulness, acceptance, journaling, and soothing activities. I would recommend these any day over an upper dose of a benzo. I’ll have other mods weigh in on a plan for your benzo eventually but keep in mind our approach here is to only make one change at a time. This allows the brain to adjust and helps narrow down the culprit if something goes haywire.

 

Did you increase the benzo dose last Weds as well? 
 

We appreciate your cooperation. All the info you can provide will help us build a better picture of what you’re going through. 
 

IMHO your “shrink” is someone who prescribes drug changes only and subscribes fully to the medical management of mental health via psych drugs. I imagine you would benefit a great deal from therapy, and learning to manage panic and anxiety through mindfulness and CBT. 

Apr 2018: Began 10 mg Amitriptyline (for headaches & insomnia from concussion).

Jul - Aug 2018: Fast taper to 5 mg and then 2.5 mg (too fast, hellish withdrawal at 2.5 mg). Sept 2018: Reinstated 10 mg (many symptoms improved). Oct 2018 - Apr 2019: Updosed & stabilized on 11 mg (2 waves at 3 and 5 months post-withdrawal). Apr 2019 - Apr 2020: Tapered 0.5-0.25 mg per month using compounded pills: 11 mg —> 6 mg. (2 waves at 12 and 16 months post-withdrawal.) Apr 2020 - present: Switched to a liquid taper at rate of 0.1 mg per month. Currently: 1.1 mg. No more waves. 

 

Supplements: Omega-3 fish oil, Vit B12, coenzyme Q10, Hawthorn extract (for tachycardia) Tools for insomnia/waves (as needed): Epsom salt foot soaks, 0.5 mg Melatonin, quality time, waves WILL PASS. Lifestyle: Eat real foods, mostly plants; sunlight, walking, yoga; symptom tracking on adapted Glenmullen chart.

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Hello composter,

 

I did not tapper the paroxetine, went from 5mg to the Pristiq, from one day to the other.  Also, yes, my clonazepam was also increased when starting the Pristiq to mitigate the side effects plus (what I now know) is withdrawal as well. As of today, I started tapering the clonazepam very slowly and using other techniques to cope.  I am waiting to see if I can get the 50mg dose of the Pristiq to also lower that down.  I am not sure if I can now be completely off meds because I was having major panic attacks ( main reason I consulted with this new psychiatrist).  I also agree that I need ASAP a therapist to help me out instead of relying on medication only.  

 

Thank you very much for your help. 

 

Are there any recommended mindfulness links, apps that focus on anxiety that you can recommend?  

GAD, health anxiety and panic attacks since 2007 
Paroxetine 20 mg 2017-2019

Paroxetine 5 mg 2019- Sept 16 2020

Sept 16 2020 switched from the 5mg paroxetine to 100mg generic Pristiq

Clonazepam 1mg daily 

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  • Moderator Emeritus
On 9/23/2020 at 1:00 AM, Ican03 said:

 

I just though I should be a good patient and follow instructions.

 

 

You might read this member's post about his experience of following his doctor's/doctors' advice.  Note that he states that the multiple back surgeries were unnecessary:

 

albert-preparing-to-get-off-paxil-paroxetine-for-good

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • Moderator Emeritus
21 hours ago, Ican03 said:

As of today, I started tapering the clonazepam very slowly and using other techniques to cope.  I am waiting to see if I can get the 50mg dose of the Pristiq to also lower that down.


We strongly recommend making only one medication change at a time. This way you know which change is to blame if issues arise. That being said you made the Clonazepam increase relatively recently (1 week ago) so you may be ok with cutting back to the 0.5 mg relatively quickly and staying on that while you taper the Pristiq. 
 

As for the 50 mg dose you can likely prepare this yourself. I am not familiar with whether it comes in beads or a tablet form. But there are many ways to taper listed on our site which folks often use to great success. 
 

21 hours ago, Ican03 said:

Are there any recommended mindfulness links, apps that focus on anxiety that you can recommend? 


Glad you’re interested in all this. I recommend you review the threads in the Symptoms and Self-care section which share lots of ideas. Claire Weekes is an expert on managing anxiety and many people on here find her work to be helpful. As for apps I personally use the Calm app which does have some free meditations. I believe the app Insight Timer is mostly free for meditation. 
 

Sorry I’m on mobile right now so it’s harder for me to find all the links to various threads on managing anxiety. I trust you can peruse through these sections. 

Edited by composter

Apr 2018: Began 10 mg Amitriptyline (for headaches & insomnia from concussion).

Jul - Aug 2018: Fast taper to 5 mg and then 2.5 mg (too fast, hellish withdrawal at 2.5 mg). Sept 2018: Reinstated 10 mg (many symptoms improved). Oct 2018 - Apr 2019: Updosed & stabilized on 11 mg (2 waves at 3 and 5 months post-withdrawal). Apr 2019 - Apr 2020: Tapered 0.5-0.25 mg per month using compounded pills: 11 mg —> 6 mg. (2 waves at 12 and 16 months post-withdrawal.) Apr 2020 - present: Switched to a liquid taper at rate of 0.1 mg per month. Currently: 1.1 mg. No more waves. 

 

Supplements: Omega-3 fish oil, Vit B12, coenzyme Q10, Hawthorn extract (for tachycardia) Tools for insomnia/waves (as needed): Epsom salt foot soaks, 0.5 mg Melatonin, quality time, waves WILL PASS. Lifestyle: Eat real foods, mostly plants; sunlight, walking, yoga; symptom tracking on adapted Glenmullen chart.

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  • Moderator Emeritus
20 minutes ago, composter said:

As for the 50 mg dose you can likely prepare this yourself. I am not familiar with whether it comes in beads or a tablet form. But there are many ways to taper listed on our site which folks often use to great success. 

 

tips-for-tapering-off-pristiq-desvenlafaxine

 

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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I can’t thank you all enough for the suggestions. I am following the advise!! 

GAD, health anxiety and panic attacks since 2007 
Paroxetine 20 mg 2017-2019

Paroxetine 5 mg 2019- Sept 16 2020

Sept 16 2020 switched from the 5mg paroxetine to 100mg generic Pristiq

Clonazepam 1mg daily 

Link to comment

Hi all again ,

 

I will be able to buy the pristiq 50mg dose next Monday. That will be 13 days on the 100mg dose , will it be ok to tapper / lower the dose at that point ? I’m now sure , after reading all of the stories here I don’t want to be on such a high dose. !!!

GAD, health anxiety and panic attacks since 2007 
Paroxetine 20 mg 2017-2019

Paroxetine 5 mg 2019- Sept 16 2020

Sept 16 2020 switched from the 5mg paroxetine to 100mg generic Pristiq

Clonazepam 1mg daily 

Link to comment
  • Moderator Emeritus

It might be better to do some time, perhaps 1 or 2 weeks, on 75mg by cutting 50mg tablets in half, unless you can also get a script for 25mg tablets.  And then go to 50mg.

 

Hopefully the other mods might be able to weigh in on this.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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  • Moderator Emeritus

The mods are discussing your situation and what the options might be.

* NO LONGER ACTIVE on SA *

MISSION ACCOMPLISHED:  (6 year taper)      0mg Pristiq  on 13th November 2021

ADs since ~1992:  25+ years - 1 unknown, Prozac (muscle weakness), Zoloft; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after); Pristiq:  50mg 2012, 100mg beg 2013 (Serotonin Toxicity)  Tapering from Oct 2015 - 13 Nov 2021   LAST DOSE 0.0025mg

Post 0 updates start here    My tapering program     My Intro (goes to tapering graph)

 VIDEO:   Antidepressant Withdrawal Syndrome and its Management

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I think it is important to mention that this generic Pristiq has a different oval large shape that looks very easy to cut. Wondering if I can upload a picture...?

GAD, health anxiety and panic attacks since 2007 
Paroxetine 20 mg 2017-2019

Paroxetine 5 mg 2019- Sept 16 2020

Sept 16 2020 switched from the 5mg paroxetine to 100mg generic Pristiq

Clonazepam 1mg daily 

Link to comment
  • Administrator
On 9/21/2020 at 9:44 AM, Ican03 said:

Thank you very much for your reply , my shrink insists that 100 mg is the correct dose for anxiety and panic attacks and I don’t think I can’t cut the pill in half. I am on day 6 today so will stick to the dose for a few more days , if it gets worse then I will insist on lowering the dose to 50mg. When in the day do you think it is best to take omega 3? 

 

Hello, you were taking 5mg paroxetine? 100mg desvenlafaxine (Pristiq) is about 8 times as strong as your paroxetine dose.

 

Further, paroxetine is an antidepressant among the worst for withdrawal symptoms. You probably have paroxetine withdrawal as well as excessive stimulation from a too-high dose of desvenlafaxine.

 

If I were you, I would get another doctor and go back to paroxetine as soon as possible.

 

As this is a site for going off psychiatric drugs, ordinarily we don't assist in drug switches, that's what your doctor gets paid for. We will be happy to provide you support when you decide you want to reduce or go off your drugs.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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