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Prozac is used as a bridge for all classes of antidepressants, including SNRIs. How this works, I don't know.

 

Doctors will substitute Prozac for an antidepressant when withdrawal symptoms appear, so the switch isn't always done when the person is stable but to relieve severe withdrawal.

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

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Good question.   I have read that with most ADs, you should wait a minimum of 3 weeks before making the next cut. With Prozac, you might want to wait a minimum of 4 weeks.   Personally, I exp

I was stable before I did my switch but I imagine this technique would be beneficial to anyone having w/d symptoms on another SSRI.

 

Also, glad to hear your withdrawal went well, Shanti!

Currently withdrawing from fluoxetine after a switch from sertraline.
04/12-12/12 5.0-0.9 ml
30/01/13 - 0.88 ml     29/08/13 - 0.72 ml     21/11/13 - 0.66 ml     16/04/14 - 0.63 ml     29/03/15 - 0.58 ml
22/02/13 - 0.86 ml     12/08/13 - 0.74 ml     04/12/13 - 0.64 ml     21/11/14 - 0.62 ml     08/05/15 - 0.57 ml
14/05/13 - 0.84 ml     25/09/13 - 0.72 ml     19/12/13 - 0.62 ml     26/12/14 - 0.61 ml     23/05/15 - 0.56 ml

11/06/13 - 0.80 ml     13/10/13 - 0.70 ml     31/12/13 - 0.63 ml     23/01/15 - 0.60 ml

06/07/13 - 0.76 ml     07/11/13 - 0.68 ml     06/01/14 - 0.64 ml     08/03/15 - 0.59 ml

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Do you think Prozac or Effexor would be more likely to cause anxiety/akathisia?

 

I'm tempted to ask my Dr for Prozac next week, but I'm guessing that may not be the best course of action. I've been able to switch Paxil->Lexapro->Effexor by just stopping the old one and starting the new one the next day, and had no problems. However, after I fast tapered Effexor and went on mirtazapine I went nuts, so I tried Zoloft for a week, which made me feel overstimulated. Then I tried Celexa for a week, which also made me overstimulated and caused akathisia. Eventally I went back on Effexor, which caused overstimulation/akathisia in the beginning but it eventually got better, although mild akathisia still remains.

 

I suspect I had problems switching from the effexor because I had already fast tapered and was in full w/d mode. If I had switched from one to the other immediately it may have gone smoother. That's why I think if I stay on Effexor until I'm as stable as possible and do an immediate switch, or fast cross taper, things are more likely to go smoothly. Trouble is I don't know if the symptoms I have are w/d or side effects. If they're side effects then it feels like I'm wasting time staying on Effexor when I could try Prozac now. OTOH, if it's w/d then staying put is the best course of action. I'm very impatient :)

2003-2011: Paroxetine,Citalopram,Effexor; Aug/Sept 2011: Effexor to Mirtazapine; Oct 2011: C/T Mirtazapine back to Effexor; Nov/Dec 2011: Fast Tapered Effexor - w/d hell; Feb 2012: Reinstated Effexor 37.5mg; June 2012: Dropped to 35.6mg; Jan 2016: Propranolol 2.5mg per day for general anxiety; Feb 2016: Finasteride 0.25mg per week to slow hair loss; 18th May - 8th June 2019: Started Vyvanse 7.5mg and increased by 7.5mg weekly to 30mg (lowest “therapeutic” dose for adults).; 21st June 2019 - 12th July: Cross tapered from venlafaxine brand Rodomel to Efexor (1/4 > 1/2 > 3/4 weekly before ditching Rodomel); 13th July 2019: Cut Vyvanse dose to 15mg; 15th July 2019: Akathisia returned after years of being free; 16th July 2019: Went back up to Vyvanse 30mg

Supplements: Omega-3, Vitamin D, Zinc, Phosphatidylserine 

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Your system may have become sensitized by all the drug switching and particularly the adverse reactions.

 

Your reaction to a switch to Prozac cannot be predicted. Note that some methods recommend a lower dose of Prozac, which is less likely to cause an adverse reaction or serotonin syndrome when overlapped with your current medication.

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

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I would be way too scared to try switching to prozac if i was stable incase it induced withdrawal and too impatient to switch if i was in withdrawal - better the evil you know is my motto!

Started in 2000 - On 150mg most of the time, (but up to 225mg at highest dose for 6 months in the beginning)
Reduced off easily first time - but got depressed (not too much anxiety) 6 months later
Back on effexor for another 9 months.
Reduced off again with no immediate w/d - suddenly got depressed and anxious ++ again 3 or 4 months later.
Back on effexor - this time for 3 years
Reduced off over a month - 6 weeks later terrible anxiety - back on.
Rinse and repeat 4 more times - each time the period before the anxiety comes back got shorter and shorter
Jan - July 2012 75mg down to 37.5mg;, 8/3/12 - 35mg. 8/25/12 - 32mg. 9/11- 28mg, 10/2 - 25mg, 10/29 - 22mg, 11/19 - 19.8mg; 12/11 - 17m,
1/1- 15.5mg; 1/22 -14mg, 2/7 14.9mg, 2/18 - 17.8mg - crashed big time: back to 75mg where i sat for 2 years....

4th  March 2015 - 67.5mg;   31st March - 60mg;  24th April - 53mg; 13th May - 48mg; 26th May - 45mg;  9th June - 41mg; 1 July- 37.5mg; 20 July - 34mg; 11 August - 31mg; 1st Sept - 28mg;  1st Dec - 25.8mg;  28th Dec - 23.2mg; 23rd Jan-21.9mg; Feb 7th- 21mg; March 1st - 20.1mg, March 30th - 18mg

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jr, if you're wanting to come off ADs altogether, it is probably easier with Prozac. It's what I'm currently doing and I haven't found it too bad.

 

Well that's what I think too but I'm afraid it might make things worse. I'm going to hold on Effexor for now until my paresthesia/akathisia and jaw tremors go away (assuming they will eventually).

2003-2011: Paroxetine,Citalopram,Effexor; Aug/Sept 2011: Effexor to Mirtazapine; Oct 2011: C/T Mirtazapine back to Effexor; Nov/Dec 2011: Fast Tapered Effexor - w/d hell; Feb 2012: Reinstated Effexor 37.5mg; June 2012: Dropped to 35.6mg; Jan 2016: Propranolol 2.5mg per day for general anxiety; Feb 2016: Finasteride 0.25mg per week to slow hair loss; 18th May - 8th June 2019: Started Vyvanse 7.5mg and increased by 7.5mg weekly to 30mg (lowest “therapeutic” dose for adults).; 21st June 2019 - 12th July: Cross tapered from venlafaxine brand Rodomel to Efexor (1/4 > 1/2 > 3/4 weekly before ditching Rodomel); 13th July 2019: Cut Vyvanse dose to 15mg; 15th July 2019: Akathisia returned after years of being free; 16th July 2019: Went back up to Vyvanse 30mg

Supplements: Omega-3, Vitamin D, Zinc, Phosphatidylserine 

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Electron

 

I am following this topic as I am in the process of coming off Effexor with Flox. (my abbrev.). Thanks for the encouragement.

It is my goal to get off A.D. meds and hopefully learn to live so I don't require meds. I see you have been decreasing by 2 ML per week.

 

Hi amg.. that would be .4mls. He has usually been cutting the dose by .2 mls. He was able to cut .4 mls this time round because he held for a longer. You are better to keep to a consistent cut for each drop until you get more experience. Try to stabilize where you are for now. Cut sizes vary depending on how our nervous system responds. :)

As always, LISTEN TO YOUR BODY! A proud supporter of the 10% (or slower) rule.

 

Requip - 3/16 ZERO  Total time on 25 years.

 

Lyrica: 8/15 ZERO Total time on 7 or 8 yrs.

BENZO FREE 10/13 (started tapering 7/10)  Total time on 25 years.

 

Read my intro thread here, and check the about me section.  "No matter how cynical you get, it's almost impossible to keep up." Lily Tomlin

 

 

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Schuyler

 

Thanks for bringing the .2 mls cut to my attention. Yes, I will wait til I stabilize before I consider cutting anything further at this time.

 

Feel pretty crappy at the moment and feel like summer is passing me by and summers are way to short for that. Still have not gone off the property - 8 days now.

 

When I wake in the morning - and I am sleeping well since I went to Flox. from Venfx. (thank goodness for this)... anyway my body feels terrible in the morning particularly.....feels like I have a horrible flu. Headaches have dissipated since I made the switch over too. So, should I look and the improvement in sleep and less headache as a positve due to the siwtch or is this just due to progression period?

I think! Too much!

Jan. 2009 150 mg. Venlafaxine

2012

5 June 112.5 mg. Venflx

25 June 75 mg. Venflx

8 July Fluox 5ML (0 Venflx)[/b]

10 July aprox. 20 mg Fluoxetine liquid, trouble measuring between 4 - 5 ml, 0 Venflx.

15 July Fluox 5 ML + Vnflx. 10 - 6 grains

24 July Fluox 5ML + 37.5 mg Venflx.

10 Aug Fluox 4.5 ML

13 Aug.Fluox 18 mg liquid; 18 Aug. Fluox 17 mg; 25 Aug. Fluox 16 mg;

2 Sept Fluox 15 mg; 10 Sept Fluox 14 mg; 17 Sept. Fluox 13.6 mg; 29 Sept. Fluox 13 mg.

7 Oct. Fluox 12 mg; 14 Oct. Fluox 11 mg; 21 Oct; Fluox 10 mg; 23 Oct. 9mg; 26 Oct. 8 mg.

21 Nov. 5 mg; 3 Nov. ZERO

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  • Administrator

The Prozac is taking effect. That's good.

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

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I asked this in my intro thread but I wanted to ask again.If we are helped to switch to prozac for withdrawls, why don't the doctors forget the other SSRI's and usually just prescribe prozac? I fear doctors/pharmacy reps have a host of reasons, but the main one may well be M-O-N-E-Y.

Zoloft 50--100mgs Oct 98 through Oct 06.

4 week taper with every WD symptom then crash.

Dec. 06 went on 20mgs lexapro

July 2012 15mg

August 10 mgs

Sept 5 mgs

Began using scale to taper

Oct. .18 mgs

Nov. .16 mgs

Dec. .15 mgs

Jan. .14 mgs

Feb. .13mgs

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Good question, and the right answer.

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

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Are there many on this forum who tried to switch to Prozac and failed? What happened?

2003-2011: Paroxetine,Citalopram,Effexor; Aug/Sept 2011: Effexor to Mirtazapine; Oct 2011: C/T Mirtazapine back to Effexor; Nov/Dec 2011: Fast Tapered Effexor - w/d hell; Feb 2012: Reinstated Effexor 37.5mg; June 2012: Dropped to 35.6mg; Jan 2016: Propranolol 2.5mg per day for general anxiety; Feb 2016: Finasteride 0.25mg per week to slow hair loss; 18th May - 8th June 2019: Started Vyvanse 7.5mg and increased by 7.5mg weekly to 30mg (lowest “therapeutic” dose for adults).; 21st June 2019 - 12th July: Cross tapered from venlafaxine brand Rodomel to Efexor (1/4 > 1/2 > 3/4 weekly before ditching Rodomel); 13th July 2019: Cut Vyvanse dose to 15mg; 15th July 2019: Akathisia returned after years of being free; 16th July 2019: Went back up to Vyvanse 30mg

Supplements: Omega-3, Vitamin D, Zinc, Phosphatidylserine 

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You might search for Prozac in the Intros forum and post what you find here.

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

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I had a quick look. Seems one person failed because she didn't overlap the old with the new. Another failed because they tapered off their old AD too quickly, had w/d symptoms, then tried to stop them with Prozac.

 

I guess it comes back to the advice alto gave in the OP - overlap them for a week or so and do it before w/d from the old AD starts.

 

The majority of people who came up in the search made the transition successfully.

2003-2011: Paroxetine,Citalopram,Effexor; Aug/Sept 2011: Effexor to Mirtazapine; Oct 2011: C/T Mirtazapine back to Effexor; Nov/Dec 2011: Fast Tapered Effexor - w/d hell; Feb 2012: Reinstated Effexor 37.5mg; June 2012: Dropped to 35.6mg; Jan 2016: Propranolol 2.5mg per day for general anxiety; Feb 2016: Finasteride 0.25mg per week to slow hair loss; 18th May - 8th June 2019: Started Vyvanse 7.5mg and increased by 7.5mg weekly to 30mg (lowest “therapeutic” dose for adults).; 21st June 2019 - 12th July: Cross tapered from venlafaxine brand Rodomel to Efexor (1/4 > 1/2 > 3/4 weekly before ditching Rodomel); 13th July 2019: Cut Vyvanse dose to 15mg; 15th July 2019: Akathisia returned after years of being free; 16th July 2019: Went back up to Vyvanse 30mg

Supplements: Omega-3, Vitamin D, Zinc, Phosphatidylserine 

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Thank Electron! I'm glad it's working for you too. I'm still doing fine. In fact, getting better every day. Even in the last month I've had a cortisol injection and tubaligation with anathesia, and all went well.

 

Someone had written to me asking exactly how I did the switch. I'll just paste what I wrote to her in case anyone wants to see clarification of my signature in how I switched. However, check with your doctor.

 

11/22/11 - 20 mg Paxil + 5 to 20 mg Prozac titrate.

12/03/11 - 20 mg Prozac

 

I can tell you that I did it in just a few weeks. I stayed at 20 mg Paxil and started at 5 mg. of Prozac, increasing it 5 mg a week until I was at 20 mg Prozac and 20 mg Paxil. Then I simply dropped the Paxil. Then I stabilized on the Prozac for a couple of months at 20 mg to give my CNS time to adjust. Then you can see my taper from there on my signature.

Taper from Cymbalta, Paxil, Prozac & Antipsychotics finished June 2012.

Xanax 5% Taper - (8/12 - .5 mg) - (9/12 - .45) - (10/12 - .43) - (11/12 - .41) - (12/12 - .38)

My Paxil Website

My Intro

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In Ontario, Canada seniors (65 +) pay only a $100./year deductible for most prescriptions then after that just pay the processing fee which is just a few dollars. Unfortunately the liquid Prozac is not covered.... so I have informed my doctor of the situation and received a prescription for the 20mg capsules which are covered. I know I saw a formula by a doctor on this site for mixing one's own liquid... can you guide me to it, please. Also, has anyone here mixed the powder simply with water? Is it awful tasting - what else can I mix it with? (Actually I find the liquid Prozac very, very sweet). I will not be getting the caps for awhile so no hurry on this.

 

P.S. Liquid Fluoxetine cost me $80., the capsules with our seniors program will cost less than $5.

I think! Too much!

Jan. 2009 150 mg. Venlafaxine

2012

5 June 112.5 mg. Venflx

25 June 75 mg. Venflx

8 July Fluox 5ML (0 Venflx)[/b]

10 July aprox. 20 mg Fluoxetine liquid, trouble measuring between 4 - 5 ml, 0 Venflx.

15 July Fluox 5 ML + Vnflx. 10 - 6 grains

24 July Fluox 5ML + 37.5 mg Venflx.

10 Aug Fluox 4.5 ML

13 Aug.Fluox 18 mg liquid; 18 Aug. Fluox 17 mg; 25 Aug. Fluox 16 mg;

2 Sept Fluox 15 mg; 10 Sept Fluox 14 mg; 17 Sept. Fluox 13.6 mg; 29 Sept. Fluox 13 mg.

7 Oct. Fluox 12 mg; 14 Oct. Fluox 11 mg; 21 Oct; Fluox 10 mg; 23 Oct. 9mg; 26 Oct. 8 mg.

21 Nov. 5 mg; 3 Nov. ZERO

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Shanti, thanks for posting your cross taper. Can I ask how you felt when you were taking Paxil and Prozac at the same time? How does Prozac feel? Do you notice it being more stimulating than Paxil?

 

 

First I made sure I was stable and not having rough symptoms on the Paxil, at the 20 mg dose. When I added the Prozac, and even when I was on 20 mg Paxil with 20 mg. of Prozac, I didn't feel any side effects. I think that since I was stuck at 20 mg of Paxil for quite some time, that is a low dose so having the 20 mg of Prozac didn't cause over stimulation and side effects. I think my system did pretty well with the Prozac, and no side effects, thank God.

Taper from Cymbalta, Paxil, Prozac & Antipsychotics finished June 2012.

Xanax 5% Taper - (8/12 - .5 mg) - (9/12 - .45) - (10/12 - .43) - (11/12 - .41) - (12/12 - .38)

My Paxil Website

My Intro

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amg2012, I've read some people dissolve it in cranberry juice ("Cranzac").

2003-2011: Paroxetine,Citalopram,Effexor; Aug/Sept 2011: Effexor to Mirtazapine; Oct 2011: C/T Mirtazapine back to Effexor; Nov/Dec 2011: Fast Tapered Effexor - w/d hell; Feb 2012: Reinstated Effexor 37.5mg; June 2012: Dropped to 35.6mg; Jan 2016: Propranolol 2.5mg per day for general anxiety; Feb 2016: Finasteride 0.25mg per week to slow hair loss; 18th May - 8th June 2019: Started Vyvanse 7.5mg and increased by 7.5mg weekly to 30mg (lowest “therapeutic” dose for adults).; 21st June 2019 - 12th July: Cross tapered from venlafaxine brand Rodomel to Efexor (1/4 > 1/2 > 3/4 weekly before ditching Rodomel); 13th July 2019: Cut Vyvanse dose to 15mg; 15th July 2019: Akathisia returned after years of being free; 16th July 2019: Went back up to Vyvanse 30mg

Supplements: Omega-3, Vitamin D, Zinc, Phosphatidylserine 

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jr, you may want to take a much lower Prozac dosage because of your hypersensitivity.

 

amg, see Tips for tapering off Prozac (fluoxetine)

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

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I'm not a doctor so I can't recommend anything

Yet somehow I trust your advice more than theirs...

 

But you had adverse effects at 75mg Effexor, equivalent more or less to 10mg Prozac. If I were you, I might try 5mg Prozac.

 

I thought 75mg Effexor = 20mg Prozac? Maybe I'm wrong...

 

I'm going to hold on the effexor, at least until my sleep improves, before considering Prozac.

2003-2011: Paroxetine,Citalopram,Effexor; Aug/Sept 2011: Effexor to Mirtazapine; Oct 2011: C/T Mirtazapine back to Effexor; Nov/Dec 2011: Fast Tapered Effexor - w/d hell; Feb 2012: Reinstated Effexor 37.5mg; June 2012: Dropped to 35.6mg; Jan 2016: Propranolol 2.5mg per day for general anxiety; Feb 2016: Finasteride 0.25mg per week to slow hair loss; 18th May - 8th June 2019: Started Vyvanse 7.5mg and increased by 7.5mg weekly to 30mg (lowest “therapeutic” dose for adults).; 21st June 2019 - 12th July: Cross tapered from venlafaxine brand Rodomel to Efexor (1/4 > 1/2 > 3/4 weekly before ditching Rodomel); 13th July 2019: Cut Vyvanse dose to 15mg; 15th July 2019: Akathisia returned after years of being free; 16th July 2019: Went back up to Vyvanse 30mg

Supplements: Omega-3, Vitamin D, Zinc, Phosphatidylserine 

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I'm not a doctor so I can't recommend anything

Yet somehow I trust your advice more than theirs...

 

 

 

I thought 75mg Effexor = 20mg Prozac? Maybe I'm wrong...

 

 

JR That is what I read too in the Icarus Project so I was looking it up again and found that they have a recent second edition 7/11/2012 as I am not sure which edition I read I will look at the new one for some more help.

I think that my reduction from Effexor 150 to 75 mg was too fast and I did not do the brige. I am feeling very dull and losing time (too old to lose time, not LOL). Wondering if I should take more Prozac - I am now at 20 MG (liquid 5 ML).

Perhaps I will find help in this document.

 

It is difficult to interpret and deal with this when feeling so unwell.... any help most welcome!

 

http://theicarusproject.net/advocacy-rights-politics/coming-off-medications-guide-second-edition

I think! Too much!

Jan. 2009 150 mg. Venlafaxine

2012

5 June 112.5 mg. Venflx

25 June 75 mg. Venflx

8 July Fluox 5ML (0 Venflx)[/b]

10 July aprox. 20 mg Fluoxetine liquid, trouble measuring between 4 - 5 ml, 0 Venflx.

15 July Fluox 5 ML + Vnflx. 10 - 6 grains

24 July Fluox 5ML + 37.5 mg Venflx.

10 Aug Fluox 4.5 ML

13 Aug.Fluox 18 mg liquid; 18 Aug. Fluox 17 mg; 25 Aug. Fluox 16 mg;

2 Sept Fluox 15 mg; 10 Sept Fluox 14 mg; 17 Sept. Fluox 13.6 mg; 29 Sept. Fluox 13 mg.

7 Oct. Fluox 12 mg; 14 Oct. Fluox 11 mg; 21 Oct; Fluox 10 mg; 23 Oct. 9mg; 26 Oct. 8 mg.

21 Nov. 5 mg; 3 Nov. ZERO

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jr, you've shown hyper-reactivity at a higher dose of Effexor. It's up to you if you want to try the higher dosage of Prozac. If I were you, I'd go the more conservative route.

 

The amount of Prozac that might "work" for a bridge is individual. The equivalencies are only estimates.

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

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  • Moderator Emeritus

the thing with Prozac is that it has a much longer half life, so it is likely to take longer for you to feel good - i would avoid updosing for a little while if you can - you might go too high and will only have to come down again...

Started in 2000 - On 150mg most of the time, (but up to 225mg at highest dose for 6 months in the beginning)
Reduced off easily first time - but got depressed (not too much anxiety) 6 months later
Back on effexor for another 9 months.
Reduced off again with no immediate w/d - suddenly got depressed and anxious ++ again 3 or 4 months later.
Back on effexor - this time for 3 years
Reduced off over a month - 6 weeks later terrible anxiety - back on.
Rinse and repeat 4 more times - each time the period before the anxiety comes back got shorter and shorter
Jan - July 2012 75mg down to 37.5mg;, 8/3/12 - 35mg. 8/25/12 - 32mg. 9/11- 28mg, 10/2 - 25mg, 10/29 - 22mg, 11/19 - 19.8mg; 12/11 - 17m,
1/1- 15.5mg; 1/22 -14mg, 2/7 14.9mg, 2/18 - 17.8mg - crashed big time: back to 75mg where i sat for 2 years....

4th  March 2015 - 67.5mg;   31st March - 60mg;  24th April - 53mg; 13th May - 48mg; 26th May - 45mg;  9th June - 41mg; 1 July- 37.5mg; 20 July - 34mg; 11 August - 31mg; 1st Sept - 28mg;  1st Dec - 25.8mg;  28th Dec - 23.2mg; 23rd Jan-21.9mg; Feb 7th- 21mg; March 1st - 20.1mg, March 30th - 18mg

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jr, you've shown hyper-reactivity at a higher dose of Effexor. It's up to you if you want to try the higher dosage of Prozac. If I were you, I'd go the more conservative route.

 

The amount of Prozac that might "work" for a bridge is individual. The equivalencies are only estimates.

 

I understand what you're saying. I thought I'd be ok at 10mg Prozac if it equals 37.5mg Effexor, but I think your way is probably better because I don't really know if I'll be able to tolerate Prozac or not.

 

My only worry is that 5mg won't be enough, then withdrawals will start and they might not go away if I updose. But I guess that's the risk I'll have to take.

 

In your opinion, is it better to just go ahead and try ithe switch sooner rather than later, or wait until I feel more stable on the Effexor before jumping ship?

2003-2011: Paroxetine,Citalopram,Effexor; Aug/Sept 2011: Effexor to Mirtazapine; Oct 2011: C/T Mirtazapine back to Effexor; Nov/Dec 2011: Fast Tapered Effexor - w/d hell; Feb 2012: Reinstated Effexor 37.5mg; June 2012: Dropped to 35.6mg; Jan 2016: Propranolol 2.5mg per day for general anxiety; Feb 2016: Finasteride 0.25mg per week to slow hair loss; 18th May - 8th June 2019: Started Vyvanse 7.5mg and increased by 7.5mg weekly to 30mg (lowest “therapeutic” dose for adults).; 21st June 2019 - 12th July: Cross tapered from venlafaxine brand Rodomel to Efexor (1/4 > 1/2 > 3/4 weekly before ditching Rodomel); 13th July 2019: Cut Vyvanse dose to 15mg; 15th July 2019: Akathisia returned after years of being free; 16th July 2019: Went back up to Vyvanse 30mg

Supplements: Omega-3, Vitamin D, Zinc, Phosphatidylserine 

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I don't know, jr.

 

I thought you might say that ;). Well I'm gong to see how I am taking the vitamin B6 for a week or so then go from there.

2003-2011: Paroxetine,Citalopram,Effexor; Aug/Sept 2011: Effexor to Mirtazapine; Oct 2011: C/T Mirtazapine back to Effexor; Nov/Dec 2011: Fast Tapered Effexor - w/d hell; Feb 2012: Reinstated Effexor 37.5mg; June 2012: Dropped to 35.6mg; Jan 2016: Propranolol 2.5mg per day for general anxiety; Feb 2016: Finasteride 0.25mg per week to slow hair loss; 18th May - 8th June 2019: Started Vyvanse 7.5mg and increased by 7.5mg weekly to 30mg (lowest “therapeutic” dose for adults).; 21st June 2019 - 12th July: Cross tapered from venlafaxine brand Rodomel to Efexor (1/4 > 1/2 > 3/4 weekly before ditching Rodomel); 13th July 2019: Cut Vyvanse dose to 15mg; 15th July 2019: Akathisia returned after years of being free; 16th July 2019: Went back up to Vyvanse 30mg

Supplements: Omega-3, Vitamin D, Zinc, Phosphatidylserine 

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JR, from my own experience and some that I've read, updosing with antidepressants does fix the issue of the symptoms, unlike with Benzos that sometimes can be unforgiving. But I can not say this is the case for everyone.

Taper from Cymbalta, Paxil, Prozac & Antipsychotics finished June 2012.

Xanax 5% Taper - (8/12 - .5 mg) - (9/12 - .45) - (10/12 - .43) - (11/12 - .41) - (12/12 - .38)

My Paxil Website

My Intro

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My experience with taking 37.5 mg. Effexor with the Prozac was not a good idea. Brain fog, extreme fatigue, etc. etc. - I think everyone here knows w.d. symptoms. Today, I took only the equiv. of 20mg. Prozac in liquid and hoping I can find stability here.

Comments, welcome.

I think! Too much!

Jan. 2009 150 mg. Venlafaxine

2012

5 June 112.5 mg. Venflx

25 June 75 mg. Venflx

8 July Fluox 5ML (0 Venflx)[/b]

10 July aprox. 20 mg Fluoxetine liquid, trouble measuring between 4 - 5 ml, 0 Venflx.

15 July Fluox 5 ML + Vnflx. 10 - 6 grains

24 July Fluox 5ML + 37.5 mg Venflx.

10 Aug Fluox 4.5 ML

13 Aug.Fluox 18 mg liquid; 18 Aug. Fluox 17 mg; 25 Aug. Fluox 16 mg;

2 Sept Fluox 15 mg; 10 Sept Fluox 14 mg; 17 Sept. Fluox 13.6 mg; 29 Sept. Fluox 13 mg.

7 Oct. Fluox 12 mg; 14 Oct. Fluox 11 mg; 21 Oct; Fluox 10 mg; 23 Oct. 9mg; 26 Oct. 8 mg.

21 Nov. 5 mg; 3 Nov. ZERO

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Barbarannamated

I asked this in my intro thread but I wanted to ask again.If we are helped to switch to prozac for withdrawls, why don't the doctors forget the other SSRI's and usually just prescribe prozac? I fear doctors/pharmacy reps have a host of reasons, but the main one may well be M-O-N-E-Y.

 

I suspect many doctors are unaware. Despite all of this information here and various places about the dangers of SS/NRIs, I believe they are still perceived as safe. The startup effects of mania seem to be acknowledged, but not long term physiological maladaptation, worsening of "depression", and acute and protracted withdrawal. I dont know if the rate of prescribing for depression is lessening at all, but I know that SNRIs are being used as preferred agent in chronic pain. My pain management doc is writing the guideline (on steering committee) and just told me this a few days ago. The fear of opiate addiction is so great and docs are being guided to SS/NRIs and Neurontin type drugs for pain. My feeling is that drugs used on daily basis are being pushed as safer than prn meds and addiction is being blamed. More $$ in chronic, daily meds.

 

Sorry, that veered off topic. Bottom line = $$$

Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

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  • 6 months later...

Do you think getting on prozak slowly because I am very sensitive to meds would calm my anxiety and panic attacks and allow me to get off klonopin. I cant take the severe anxiety getting bed bound. Ive tried tapering slowlyoff k ca nt do it. I .also know prozak is stimulating and I would have to take more klonopin to get on it beca use no matter wha t I try. In sma ll doses I get more anxiety. They tell me I have to get on reg dose for 4 weeks for it to wotk please help I hsve to put ice pscks on chest and neck for psin I was never stable on it. I tried lexspro 1 mg per week until I reached 5mg that is. As far as I could go that was 2 yrs ago my anxiety settled down but then when I tried to get off k I had major attacks but I was cutting. 1mg a time. My klonopin dose increased from .75 mg to 2 mg just to get to 5 mg my dr said if u csnt reach. 10mg it wont work. Any advise because I cant get off k by itself help

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Hi melo, see my response in the other thread you started in this section. Many people think they are tapering small doses of klonopin and do not realize this may yet be too rapid. Did you begin by tapering 10% a month, then the same off each successive dose. This can be too fast for many people, but does work for many.

 

As stated previously, ADs, including Prozac, do not help with benzo WD. You can get off klonopin and need a taper tailored to your needs.

 

I tried to get off k I had major attacks but I was cutting. 1mg a time. My klonopin dose increased from .75 mg to 2 mg just to get to 5 mg my dr said if u csnt reach. 10mg it wont work. Any advise because I cant get off k by itself help

So you went from .75 mgs of klonopin to 2 mgs. You tried 5 mgs.. of Prozac, and your doc wants you to increase this to 10mgs. You are not on Prozac now, is this correct? Prozac will not help with benzodiazepine WD regardless of the dose because the neuro receptors in your body are not the same for the two classes of drugs (they are not the same between classes either, but that discussion if for another time).

 

So you were taking 2 mgs of k... how much did you cut off that? How long ago did you start cutting, when did you start feeling as bad as you do now. Again, what you describe is very much WD symptoms due to cutting your benzo.

 

Take a deep breath and try to focus.. we can help you sort this out and develop an effective strategy, but we need more info. Posted Image

As always, LISTEN TO YOUR BODY! A proud supporter of the 10% (or slower) rule.

 

Requip - 3/16 ZERO  Total time on 25 years.

 

Lyrica: 8/15 ZERO Total time on 7 or 8 yrs.

BENZO FREE 10/13 (started tapering 7/10)  Total time on 25 years.

 

Read my intro thread here, and check the about me section.  "No matter how cynical you get, it's almost impossible to keep up." Lily Tomlin

 

 

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  • Moderator Emeritus

PS... Melo, sometimes people use ADs to bridge from one AD to another for purposes of tapering, but benzos are another drug class entirely and useless for this purpose. Prozac is a very activating AD capable of making your anxiety worse. Increasing the dose to 10 mgs would probably only make you more symptomatic. It's not a matter of getting the med into your system before it starts to act and Prozac can give you an unwanted boost straight away.

As always, LISTEN TO YOUR BODY! A proud supporter of the 10% (or slower) rule.

 

Requip - 3/16 ZERO  Total time on 25 years.

 

Lyrica: 8/15 ZERO Total time on 7 or 8 yrs.

BENZO FREE 10/13 (started tapering 7/10)  Total time on 25 years.

 

Read my intro thread here, and check the about me section.  "No matter how cynical you get, it's almost impossible to keep up." Lily Tomlin

 

 

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Drugs stocks are the ones that soared and made money in the last three years. People became so depressed over the economic downturn they went on meds.

 

Melo I can't advise you on K, I have not taken it. The Prozac bridge is not that good for most people. Prozac is very stimulating and was designed for people with serious depression.

I tried it for a week, years ago and I made the anxiety unbearable (even dangerous).

 

The Psych Nurse I see helps people 'bridge' with a tricyclic 'Imipramine'. It works for me. It is not stimulating like Prozac. It's been around for many, many years. I think Prozac may be considered an old drug by now :rolleyes: The tricyclics tend to be sedating and calm anxiety.

 

The chemical structure of Imipramine (tricyclics) and very different from the structure of SSRI's. Alto would know more about the differences.

 

Then again, no one really knows for sure how we will react to another drug.

 

Hugs

Intro: http://survivingantidepressants.org/index.php?/topic/1902-nikki-hi-my-rundown-with-ads/

 

Paxil 1997-2004

Crossed over to Lexapro Paxil not available

at Pharmacies GSK halted deliveries

Lexapro 40mgs

Lexapro taper (2years)

Imipramine

Imipramine and Celexa

Now Nefazadone/Imipramine 50mgs. each

45mgs. Serzone  50mgs. Imipramine

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  • Moderator Emeritus

The Psych Nurse I see helps people 'bridge' with a tricyclic 'Imipramine'. It works for me. It is not stimulating like Prozac. It's been around for many, many years. I think Prozac may be considered an old drug by now :rolleyes: The tricyclics tend to be sedating and calm anxiety.

 

The chemical structure of Imipramine (tricyclics) and very different from the structure of SSRI's. Alto would know more about the differences.

 

Then again, no one really knows for sure how we will react to another drug.Hugs

Hi Nikki, I've been reading about your progress as you taper onto Imipramine and am delighted for you. I hope this continues!

 

Melo needs to understand that klonopin is in another class of psychotropic drugs, benzodiazepines. The information in this thread is about crossing from one AD to another. Bridging does not work when we go from an AD to a benzodiazepine.

 

Melo, unfortunately, this is not a benzo site, and we are not geared to help with specific benzodiazepine taper protocols, but we can help you sort out what is going on with them and address your AD questions. A lot of folks have issues with both, so we frequently get questions that are not in isolation. If you still want help with benzo tapering specifics, we'll direct you to other resources, and will be here in any event.

 

Skyler

As always, LISTEN TO YOUR BODY! A proud supporter of the 10% (or slower) rule.

 

Requip - 3/16 ZERO  Total time on 25 years.

 

Lyrica: 8/15 ZERO Total time on 7 or 8 yrs.

BENZO FREE 10/13 (started tapering 7/10)  Total time on 25 years.

 

Read my intro thread here, and check the about me section.  "No matter how cynical you get, it's almost impossible to keep up." Lily Tomlin

 

 

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Melo needs to understand that klonopin is in another class of psychotropic drugs, benzodiazepines. The information in this thread is about crossing from one AD to another. Bridging does not work when we go from an AD to a benzodiazepine.Skyler

 

Melo I can't advise you on K, I have not taken it. The Prozac bridge is not that good for most people. Prozac is very stimulating and was designed for people with serious depression.

I tried it for a week, years ago and I made the anxiety unbearable (even dangerous).

 

The Psych Nurse I see helps people 'bridge' with a tricyclic 'Imipramine'. It works for me. It is not stimulating like Prozac. It's been around for many, many years. I think Prozac may be considered an old drug by now :rolleyes: The tricyclics tend to be sedating and calm anxiety.

 

Yes the topic is bridging from one AD to another which is why I posted with my experience. As I explained to Melo I can't advise on K.

 

Melo when you log onto this site there is a section on benzos. I do not participate in it. You may want to take a look at it for info.

 

Hang in there.

Intro: http://survivingantidepressants.org/index.php?/topic/1902-nikki-hi-my-rundown-with-ads/

 

Paxil 1997-2004

Crossed over to Lexapro Paxil not available

at Pharmacies GSK halted deliveries

Lexapro 40mgs

Lexapro taper (2years)

Imipramine

Imipramine and Celexa

Now Nefazadone/Imipramine 50mgs. each

45mgs. Serzone  50mgs. Imipramine

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  • 4 months later...

Hi there,

 

I'm wondering if anyone has used Dr. Glenmullen's method to taper from Effexor? If so, what was your experience like?

I see my Doctor on Friday, and want to come up with a plan before hand.

 

 I need to get down to 37.5 mg from 150 mg. He says to take a month, I'm thinking I should take longer. Any suggestions?

 

Once I'm at 37.5 mg, and have been on it for at least a week (maybe longer?), I will switch to 10 mg of Prozac every day for two weeks.

 

Then, I will take 1 pill out per week, until I am down to nothing?

 

Thank you in advance for any suggestions,

 

Tiger Lily

 

 

Effexor XR for the last 10 years (started at 75 mg, increased to 150 mg 5 years ago.

Planning to begin tapering very soon.

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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

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