Jump to content

grammajan1950: Tapering Paxil - starting Effexor


grammajan1950

Recommended Posts

I have been on Paxil for several years (with a history of Celexa & Zoloft prior to this).

  • My psychiatrist wants me to switch from from Paxil (10mg) to Effexor.
  • I normally take 5mg of Paxil at 8 a.m. and 5mg at night (seems to help my stomach upset). I know it's considered a small dose, but I'm highly sensitive to all medications. 
  • He stated the transition would take 'several months" - however, he told me to replace my night time 5mg Paxil with 5mg of Effexor the first day (for a month).
  • I was too wary of the Paxil side effects so I took 2.5 Paxil & 2.5 Effexor instead. After 3 days I'm having bizzaar dreams, headaches and feeling woozy. 

 

Question: Mixing the two drugs can't be easy on my brain. Is there an easier way to taper one and add the other? At this point I'd rather just taper the Paxil w/o the Effexor and be AD free ... 

 

 

 

Link to comment
  • ChessieCat changed the title to grammajan1950: Tapering Paxil - starting Effexor
  • Moderator Emeritus
23 hours ago, grammajan1950 said:

I have been on Paxil for several years (with a history of Celexa & Zoloft prior to this).

  • My psychiatrist wants me to switch from from Paxil (10mg) to Effexor.
  • He stated the transition would take 'several months" - however, he told me to replace my night time 5mg Paxil with 5mg of Effexor the first day (for a month).
  • so I took 2.5 Paxil & 2.5 Effexor instead. After 3 days I'm having bizzaar dreams, headaches and feeling woozy. 

 

Hello and welcome to SA. 

 

It is no wonder you're having these symptoms, as going from 5mg to 2.5 mg is a 50% cut. 

It is correct that changing properly would take at least several months--in which case I'm not sure why he is having you do such a drastic cut.

 

Generally, this is a site for people who want help coming off their SSRIs (or related drugs). This is of course a highly individual decision, and we don't attempt to make this decision for people. However, please know that we will not be able to support drug-switching (simply coming off one SSRI to start another one). Your doctor would be the person to monitor and support that. 

 

In case you are interested in learning about a more gentle approach you might want to share with your doctor, here is our thread on 10% reduction: 

https://www.survivingantidepressants.org/topic/1024-why-taper-by-10-of-my-dosage/

 

I hope you are able to make a decision that works best for you. 

Current: 2019: 0.04 mg Paxil!! This is real. Soon, after taking Paxil my entire adult life, I will be free.

Long story short: After 18 years on Paxil, "tapered" almost completely off over a month, at doctor's advice in July 2015.

Self-care includes magnesium, reasonable exercise, mindfulness, this forum and nutrition/eating enough food.

Also on 100 mg Zoloft unfortunately!! (which I now will have the knowledge to taper properly)

-------------------------------------------------------------------------------------------

Longer version: On Paxil since 1996--anxiety & depression caused by (undiagnosed) under-eating / eating disorder.

Doctor kept increasing dose, up to 60 mg; it never really helped but said it really was the best "med" for me.

Rapid doctor-led "taper" July 2015, down to 5 mg, with Zoloft as a "cross-taper" = Essentially a cold turkey. 

Severe withdrawal but didn't know it; believed it was my "underlying condition," and kept tapering, 5mg to 4 to 3  to 2 to 1.  

Feb 2016: Found SA! As of June 2016, tapering from 1mg at rate of 5-10% per month, Brassmonkey Slide! 

Link to comment
  • Moderator Emeritus
On 8/6/2018 at 12:41 PM, grammajan1950 said:

 

Question: Mixing the two drugs can't be easy on my brain. Is there an easier way to taper one and add the other? At this point I'd rather just taper the Paxil w/o the Effexor and be AD free ... 

 

 

Hi again,

Sorry--I now see (another moderator kindly pointed it out to me) that you're wanting to taper the Paxil and be AD-free. That we can definitely help you with! 

 

Please let us know a bit more about your situation by creating a drug signature using these instructions: https://www.survivingantidepressants.org/topic/18343-please-put-your-withdrawal-history-in-your-signature/?do=getNewComment

 

The good news is that since you haven't come off yet, you can become informed about how to safely taper, and do so as gently as possible. It can be done! Many of the problems people have are from coming off too fast (like your doctor had you do), which can be avoided or minimized if you're well-informed before starting.

 

A good place to begin is Altostrata's post on the first page of this thread:

https://www.survivingantidepressants.org/topic/405-tips-for-tapering-off-paxil-paroxetine/

 

Current: 2019: 0.04 mg Paxil!! This is real. Soon, after taking Paxil my entire adult life, I will be free.

Long story short: After 18 years on Paxil, "tapered" almost completely off over a month, at doctor's advice in July 2015.

Self-care includes magnesium, reasonable exercise, mindfulness, this forum and nutrition/eating enough food.

Also on 100 mg Zoloft unfortunately!! (which I now will have the knowledge to taper properly)

-------------------------------------------------------------------------------------------

Longer version: On Paxil since 1996--anxiety & depression caused by (undiagnosed) under-eating / eating disorder.

Doctor kept increasing dose, up to 60 mg; it never really helped but said it really was the best "med" for me.

Rapid doctor-led "taper" July 2015, down to 5 mg, with Zoloft as a "cross-taper" = Essentially a cold turkey. 

Severe withdrawal but didn't know it; believed it was my "underlying condition," and kept tapering, 5mg to 4 to 3  to 2 to 1.  

Feb 2016: Found SA! As of June 2016, tapering from 1mg at rate of 5-10% per month, Brassmonkey Slide! 

Link to comment

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
×
×
  • Create New...

Important Information

Terms of Use Privacy Policy