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ibmclone: Weaning off of Effexor


ibmclonne

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For the past 9 years, I've been using Prozac at 40 mg/day, along with Wellbutrin at 450 mg/day. 2 months ago, my psychiatrist decided to take me off the Prozac and put me on Effexor at 75 mg/day. I've been having side effects, like lack of motivation. I tried to wean myself off of them by taking them every 2 days, instead of everyday. I started getting withdrawal symptoms. Now I'm taking them every 4 days. The symptoms aren't as bad, but they're still there. Especially when I take that 75 mg. dose. How can I find a doctor who will properly wean me off this crap? And not put me on anymore antidepressants?

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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  • Moderator Emeritus

ibmclone: -- Welcome to Surviving Antidepressants (SA)
 
Last question first: You may have difficulty finding a doctor who knows how to transition people SAFELY OFF these medications. They do exist but they are rare.

It's not a good idea to taper by taking medications every other day. Because Effexor has a 4 hr half life, skipping days with Effexor is essentially going cold-turkey every other day. Please read:
Before you begin tapering -- what you need to know.

The symptoms that started 2 months ago are either one or a combination of

  • withdrawal effects from discontinuing Prozac,
  • side-effects from Effexor, and/or
  • interaction effects between Effexor and Wellbutrin.

A request: Would you summarize your history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly?

  • Any drugs prior to 24 months ago can just be listed with start and stop years.
  • Please use actual dates or approximate dates (mid-June, Late October) rather than relative time frames (last week, 3 months ago)
  • Spell out months, e.g. "October" or "Oct."; 9/1/2016 can be interpreted as Jan. 9, 2016 or Sept. 1, 2016.
  • Please leave out symptoms and diagnoses.
  • A list is easier to understand than one or multiple paragraphs.
  • You can find instructions in this topic: Please put your withdrawal history in signature
  • If you are using a phone or mobile device, you need to switch to the "full" or desktop version of the site. Instructions are in Post 9 and Post 10

When a someone is taking multiple medications, we ask that that you post an interactions report. Follow the link below to get your report. Just select the text, copy it and paste it in a post here.
Drugs-dot-com Drugs Interactions Checker.

To minimize the risk withdrawal symptoms, we suggest reducing dose by no more than 10% per month. It's a bit like driving a car in along the top of a cliff: you can drive fast OR you can arrive safely.
Why taper by 10% of my dosage?.
 
Please see these discussion topics relevant to your situation:
Taking multiple drugs? Which to taper first.
Tips for tapering off Effexor (venlafaxine)
Tips for tapering off Wellbutrin XR, SR, XL (bupropion)

 

I hope you'll find the information in the SA forums helpful for your situation. I'm sorry that you are in the position that you need the information, but am glad that you found us.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.
1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results

Cymbalta 60 mg 2012 - 2015; 2016: 20 mg to 7 mg exact doses and dates in this post; 2017: 6.3 mg to  0.0 mg  Aug. 12; details here


scallywag's Introduction
Online spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet

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  • Administrator

Welcome, ibmclone.

 

Why did your doctor switch you to Effexor? How was the switch accomplished? Did you have any odd symptoms after you made the change?

 

Why are you taking Wellbutrin?

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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So Effexor and Wellbutrin is all you take? Skipping days and going every two days with your meds is not recommended at all. It will just make you worse. You have to take everyday and drop slowly or your brain will not adjust. Once taking them again

You need to wait till your stable. Once stable u can slowly start to wean off them by 10% and holding four to six weeks, then depending on how you react you drop again. The people here are great and will give amazing info to help. Ali

10 years citalopram 30mg- tapered down in December 15/2015- Jan 15/2016 to 20mg for two weeks, ten for one week and five for another week, then stopped, less then two weeks later, sheer hell broke lose with debilitating withdrawal symptoms.

 

Update-- reinstated 5mg of celexa on feb 5-- within hours noticed immediate difference in WD symptoms-- Holding holding and more holding.

 

Updose- March 23/16 too 10mg- relieved the harsher head symptoms- current symptoms headaches, dizzy, numbness and tingling in my head.

 

Benzos- 2015-Ativan on and off for 6 months 2mg- switched to clonazepam nov 2015- 2mg till Jan 2016 Zopiclone 7.5mg nov-dec 2015- was tapered off over 4weeks- Currently in protracted withdrawal. ????????????????????????????????

 

Update- ended up in the hospital April 18/16 major suicidal ( never had that before) was admitted/ been there ever since, put me back to full dose celexa 30mg no drugs added, IAM FINALLY STABLE AFTER 3 months of tortuous hell. Got a great physiatrist that new all about WD, he will help me taper properly in a couple of months at 5% deductions holding 8 weeks. I never want to relive that hell again.

 

Udate- stable and holding, doing things slowly is key.

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Altostrata:

 

My doctor switched me to Effexor because the increase in dosage of Prozac made me more lethargic and had sexual side effects. She decreased the dosage of Prozac to 20mg a day for a week. 2 days before I stopped using the Prozac, I started taking the 75mg capsules of the Effexor. After the change, my symptoms gradually went from bad to worse. I'm using Wellbutrin because it's a supplement to the Prozac, for more energy. The Psychiatrist decided to use it as a supplement to the Effexor as well.

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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I saw my Psychiatrist yesterday afternoon. She's weaning me off the Effexor for good. It should take 3 weeks. I'll still be using Wellbutrin after that. I'd like to stop using those too. I'm glad we're on the same page now. One thing at a time. I'm very fortunate.

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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  • Moderator Emeritus

You may want to ask your doctor

  • what symptoms you should watch during and after the taper -- how will you know if you are having "normal" symptoms or severe ones?
  • what should you do if severe symptoms occur?

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.
1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results

Cymbalta 60 mg 2012 - 2015; 2016: 20 mg to 7 mg exact doses and dates in this post; 2017: 6.3 mg to  0.0 mg  Aug. 12; details here


scallywag's Introduction
Online spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet

Link to post
  • Administrator

Good questions, scallywag. We would not consider 3 weeks to be an adequate taper.

 

Taking 2 antidepressants is surely redundant, though. Adding a drug to counter adverse effects from the first drug is a common practice in psychiatry but bad medicine.

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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  • 2 weeks later...

As of Wednesday Feb. 22nd:

 

  • Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

So far so good.

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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  • Moderator Emeritus

 

 

 She decreased the dosage of Prozac to 20mg a day for a week. 2 days before I stopped using the Prozac, I started taking the 75mg capsules of the Effexor. After the change, my symptoms gradually went from bad to worse.

 

Hi ibmclonne,

How are you feeling now?

 

I included the above quote because it occurred to me that the cause of your worsening symptoms could be withdrawal from Prozac. A 50% reduction for a week and then stopping is not much different from going cold turkey. There is no guarantee that Effexor, a different kind of antidepressant will 'fix' prozac withdrawal.

 

As Alto wrote, 3 weeks is too fast for a taper off Effexor. But its not just this current trial of Effexor you need to consider but the 10 years of Prozac use. I would expect you would need much longer than a one week 'taper' to be able to come off 10 years of Prozac use without symptoms.

 

We suggest reducing by no more than 10% of the current dose every 4 weeks, this reduces the risk of withdrawal symptoms arising. Please read through this which will explain why:

  

Why taper by 10% of my dosage?

 

I'm hoping that your increased symptoms were an adverse reaction to Effexor, but if you are suffering from Prozac withdrawal, a fast taper off Effexor now will not stop that.

 

Please stay in touch and let us know how you are doing.

 

Petunia.

I'm not a doctor.  My comments are not medical advise. These are my opinions based on my own experience and what I've learned. Please discuss your situation with a medical practitioner who has knowledge of tapering and withdrawal...if you are lucky enough to find one.

My Introduction Thread

Full Drug and Withdrawal History

Brief Summary

Several SSRIs for 13 years starting 1997 (for mild to moderate partly situational anxiety) Xanax PRN ~ Various other drugs over the years for side effects

2 month 'taper' off Lexapro 2010

Short acute withdrawal, followed by 2 -3 months of improvement then delayed protracted withdrawal

DX ADHD followed by several years of stimulants and other drugs trying to manage increasing symptoms

Failed reinstatement of Lexapro and trial of Prozac (became suicidal)

May 2013 Found SA, learned about withdrawal, stopped taking drugs...healing begins.

Protracted withdrawal, with a very sensitized nervous system, slowly recovering as time passes

Supplements which have helped: Vitamin C, Magnesium, Taurine

Bad reactions: Many supplements but mostly fish oil and Vitamin D

June 2016 - Started daily juicing, mostly vegetables and lots of greens.

Aug 2016 - Oct 2016 Best window ever, felt almost completely recovered

Oct 2016 -Symptoms returned - bad days and less bad days.

April 2018 - No windows, but significant improvement, it feels like permanent full recovery is close.

VIDEO: Where did the chemical imbalance theory come from?



VIDEO: How are psychiatric diagnoses made?



VIDEO: Why do psychiatric drugs have withdrawal syndromes?



VIDEO: Can psychiatric drugs cause long-lasting negative effects?

VIDEO: Dr. Claire Weekes

 

 

 

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As of Wednesday Mar. 1st:

 

  • Mar. 1st, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 12.5mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

So far so good.

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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Hi Petunia:

 

You have a good point about any Prozac withdrawal, once I don't have any Effexor in my system anymore. I'll look out for it. For the past few years, I was calling in sick from work a lot, due to stomach cramps. My primary care physician said I have Irritable Bowel Syndrome. I bet using Prozac for several years made that happen. I just hope all these stomach cramps and calling in sick comes to an end real soon

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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Tuesday, my supervisor at work formally counselled me on calling out sick too much. If things don't improve fast, I could end up losing my job.

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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  • Moderator Emeritus

Hi Petunia:

 

You have a good point about any Prozac withdrawal, once I don't have any Effexor in my system anymore. I'll look out for it. For the past few years, I was calling in sick from work a lot, due to stomach cramps. My primary care physician said I have Irritable Bowel Syndrome. I bet using Prozac for several years made that happen. I just hope all these stomach cramps and calling in sick comes to an end real soon

 

Psychiatric drugs change the brain, so it is not a case of getting the drug out of your system, with system meaning in the body or blood stream.  The brain needs to adapt to not getting as much of the drug, if we are tapering, or not getting any of the drug if we have done a fast taper or cold turkey.  And it's a domino effect, because the changes in the brain affect the whole body, which is why we can experience such a wide variety of withdrawal symptoms:  Dr Joseph Glenmullen's Withdrawal Symptoms

 

These helped me to understand:

 

Brain Remodelling

 

Video:  Healing From Antidepressants - Patterns of Recovery

 

What is Happening in Your Brain

NEW!!!     INTERVIEW with Altostrata, SA's founder    NEW!!! 

 

Plodding along inch by inch:  12" = 1',  3' =  36 " or 1 yard,  1760 yards  = 63,360" or 1 mile

Current from 17 Apr 2021:  Pristiq 0.2665mg  now holding each dose for 3 weeks

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 Oct 2015 

My tapering program   My Intro (goes to my tapering graph)  My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

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As of Thursday March 9, 2017:

 

I stopped taking Effexor dosages. This was the plan me and my doctor made. I'm still using Wellbutrin at 450mg/day and vitamin D supplements at 5000 IU a day. Wish me luck. I'll need it.

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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  • Moderator Emeritus

Good luck! I hope your CNS is resilient enough to respond favourably to your doctor's aggressive plan.

 

Let us know how the road is for you.

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.
1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results

Cymbalta 60 mg 2012 - 2015; 2016: 20 mg to 7 mg exact doses and dates in this post; 2017: 6.3 mg to  0.0 mg  Aug. 12; details here


scallywag's Introduction
Online spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet

Link to post
  • 3 weeks later...

Today its been 3 weeks since I used Effexor or any SSRI. My energy level definitely increased, due to agitation. I've always been like that, when not on antidepressants. I started to change my diet to more healthy foods and supplements. Today, my agitation got real bad. It was unusually busy at work and I'm a janitor, at a hospital. I was more productive than usual. I couldn't sit still and decided to have my pulse taken. It was unusually high. After work, I called my Psychiatrist and told her my symptoms. She said to lower the dosage of the Wellbutrin from 450 mg/day to 300 mg/day. I'm gonna do that. Overall, things have been getting better for me.

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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  • 3 weeks later...

Today its been 5 weeks since I used Effexor or any SSRI. My energy level is still high. It was a crazy day at work. I was all amped-up. After work, I saw my Psychiatrist and told her my symptoms. She said to lower the dosage of the Wellbutrin from 300 mg/day to 200 mg/day (one 100mg capsule in the morning and 1 in the afternoon). Other than that, things are improving.

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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  • 2 weeks later...

Wednesday April 19th, I called in sick. I had stomach cramps and a headache. The stomach cramps is from Irritable Bowel Syndrome. I can't explain the headache. I've been having low energy since. Today, April 22nd, I went to work and felt real depressed. I was irritable, felt spent, sad. One moment, I was ready to lose my temper on one of the nurses, for a comment that had nothing to do with me. Later that day, I felt that I was ready to break down crying. I just don't feel right at all today. Does this have something to do with not using SSRI's anymore? Or does this have something to do with the Wellbutrin I'm still using?

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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On Tuesday, April 25 I started using Lamotrigine at 25mg/day. My psychiatrist prescribed it. I surrendered and gave-in. I couldn't handle the depression anymore. I'm still using Wellbutrin at 100mg in the morning and another 100mg in the afternoon. I don't what else to say anymore.

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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  • Moderator Emeritus
scallywag

How have things been going for you over the last few days after starting Lamictal?

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.
1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results

Cymbalta 60 mg 2012 - 2015; 2016: 20 mg to 7 mg exact doses and dates in this post; 2017: 6.3 mg to  0.0 mg  Aug. 12; details here


scallywag's Introduction
Online spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet

Link to post
ibmclonne

To Scallywag:

 

Things have improved for me. Thanks for asking. I still have some depression, though. My psychiatrist wants me to double the dosage of Lamotrigine, a week from now. I'm leery of doing that.
  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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  • Moderator Emeritus
ChessieCat

Please read this post by Alto Strata (this site's owner) regarding the caution needed with Lamotrigine:

 

lamictal-lamotrigine-to-calm-post-discontinuation-withdrawal-symptoms

NEW!!!     INTERVIEW with Altostrata, SA's founder    NEW!!! 

 

Plodding along inch by inch:  12" = 1',  3' =  36 " or 1 yard,  1760 yards  = 63,360" or 1 mile

Current from 17 Apr 2021:  Pristiq 0.2665mg  now holding each dose for 3 weeks

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 Oct 2015 

My tapering program   My Intro (goes to my tapering graph)  My website

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

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  • Moderator Emeritus
scallywag

Increasing after a week seems to be a standard protocol. You could ask your doctor about staying at the lower dose for a month before increasing to see if it helps more over time. 

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.
1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results

Cymbalta 60 mg 2012 - 2015; 2016: 20 mg to 7 mg exact doses and dates in this post; 2017: 6.3 mg to  0.0 mg  Aug. 12; details here


scallywag's Introduction
Online spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet

Link to post
  • 5 weeks later...

2 weeks ago, I increased the dosage of  Lamotrigine from 25 mg/day to 50 mg/day. I'm still at 100mg of Wellbutrin in the morning and 100mg in the afternoon. I ended up waiting like a month before increasing the dosage of Lamotrigine. So far, so good. Lately, I've been "amped", restless. I'll try to talk my doctor into lowering the dosage of the Wellbutrin. At least thats one medication I can try to gradually stop using.

  2003 initially started using Zoloft and Wellbutrin
 
  2005 switched medications (stopped using Zoloft and started using Prozac)
 
  2006 discontinued using Prozac and Wellbutrin
 
  2007  re-instated using Prozac 20mg a day
 
  2008  increased Prozac use to 40 mg a day
 
  2010 started using Welbutrin 300mg a day
 
Mid-Oct. 2016 increased Prozac use to 60mg a day; increased Wellbutrin use to 450mg a day
 
Mid-Dec. 2016 switched medications (stopped using Prozac and started using Effexor at 75mg a day); continued Wellbutrin use at 450mg a day
 
Late-Jan. 2017 started using Effexor and Wellbutrin only every 2 days at same dosages
 
Early-Feb. 2017 started using Effexor and Wellbutrin only every 4 days at same dosages
 
Mid-Feb. 2017 started using Effexor and Wellbutrin every 2 days at same dosages again
 
Feb. 15, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 50mg a day, Wellbutrin at same dosage every day, for the next 7 days
 
Feb. 22, 2017 started a tapering off regimen with my Psychiatrist, Effexor at 25mg a day, Wellbutrin at same dosage every day, for the next 7 days

 

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