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I have been on Effexor 150 mg for almost 18 months.

Since I am not working for hospice anymore, and I am having an awful time losing weight, I decided that I wanted to get off the antidepressant.

So, on Tuesday, my doctor cut the dosage to 75mg, and next week it will go to 37.5.

The problem is, now I am soooo tired all the time. For example, I slept a full night last night, and still napped all afternoon, and I just don't feel rested.

I DO not want to be depressed anymore, but I don't want to be stuck on this medication forever either.

But today, I can feel some of those old feelings coming back. I don't want to talk to anyone, I don't want to be social. I just want to sit and play games on my computer or sleep.

Has anyone gone through this?
 
Posts: 2177 | Location: USA | Registered: 09-13-03Reply With QuoteEdit or Delete MessageReport This Post
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Shel, is the antidepressant what's making you gain weight and is that the reason you want to stop the meds? I've never been depressed but I've seen depressed people and they seem miserable unless they take meds.
I think you should weigh the pros and cons and choose whatever makes you feel better. It seems like you feel better taking the meds, but just want to stop because you don't want to take them.

You didn't ask for advice, but it seems more fitting to take the meds and feel better. It seems like your doctor would have suggested to you to continue, even tho you should make up your own mind.

You know I'm close friends with a depressed lady and sometimes I feel guilty because I'm not depressed. Sometimes I try to fake like I'm not happy just to relate to her. She is miserable and I can't convince her to seek help and start taking meds. She is not suicidal but all she talks about is how she wish the world would end so everyone can go together.

Don't be upset with me and I know this post is overkill, but what I'm trying to say is that it might be best to continue your meds because depression not only hurts you, it hurts the ones that love you too.

(((((Shel)))))
 
Posts: 6715 | Location: Land of Lincoln, USA | Registered: 07-04-02Reply With QuoteEdit or Delete MessageReport This Post
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Thanks Honi, and no it wasn't over kill.

I went on the meds because when I was working for hospice, I got burnt out, and couldn't handle it all. It wasn't supposed to be for a long time, and hopefully my depression was situational, not chronic. Not all depression is a life long struggle.

Today I am feeling better. Its just been hard to manage the changes in meds, and the different shift work at the hospital.
 
Posts: 2177 | Location: USA | Registered: 09-13-03Reply With QuoteEdit or Delete MessageReport This Post
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I think you are doing the right thing by going off the medication. You will experience some side effects- that is normal.

As You Go Off an Antidepressant…

Work closely with a doctor. Think of your doctor as your partner in healing, suggests Hedaya. Don’t go off medication without medical supervision.

Taper the medication. Experts agree that the best way to avoid withdrawal side effects is to wean off the medication. By reducing the dosage in small increments, the brain can gradually adjust to the change in chemical balance and slowly adapt to living without the drug. For some people, experts say, this process may take up to a year.

Get psychotherapy. While drugs can often cover up problems, therapy can help uncover and address the underlying causes. Cognitive behavioral treatment, for example, can work to change maladaptive behavior, bring out stifled emotions and provide you with the tools for dealing with future issues. In fact, extensive clinical research has shown that for some conditions, psychotherapy is superior to medication in the long run.

Time it right. It is best to go off medication, Hedaya suggests, when any external factors that may have led to depression or a panic attack are resolved or at least under your control. It may be beneficial to go off medication when not undergoing a major life change or enduring stress.

Exercise. Study after study provides strong evidence that exercise plays a major role in lifting mood, boosting energy, improving immune function, reducing stress, anxiety and insomnia, increasing sex drive and elevating self-esteem.

Eat a healthy, balanced diet. Consider consulting a nutritionist who can suggest foods that will positively impact mood, energy level or help treat (or at least not worsen) any other conditions.

Find a “centering practice.” Dr. Richard Mackenzie of Childrens Hospital Los Angeles recommends exercises such as yoga or meditation to get in touch with your inner compass, find equilibrium, reduce stress, stabilize mood swings and relax.

Get your hormone systems tested. “Everybody should make sure they have a very thorough evaluation of their nutritional status, hormones, minerals, vitamins and immune system,” says Hedaya, “to enhance possibilities of reducing dosage or going off medicine.” Treatable hormone imbalances like an underactive thyroid or deficiencies of amino acids and minerals can rob you of energy, sexual vitality and feelings of well-being.

Consider vitamin supplements. Hedaya reports success in patients coming off Efexor, for example, by taking 25-50 mg. of Vitamin B6 daily. He notes, however, that excessive doses on a prolonged basis can be toxic.

Turn to friends and family. “These are people who have been in a patient’s life far longer than a therapist,” says Glenmullen, “and will continue to be there long after therapy is complete.” Glenmullen also suggests making use of community resources such as church or support groups.

SOURCE: ABC News article, Aug. 25, 2002


I found a site that deals with getting off Effexor.

This site is frequently asked questions about Effexor (BE SURE TO READ THIS ONE!!)

It seems like many people have experienced some of the withdraw symptoms you mentioned. I hope these sites can help answer some of your questions. {{{{{ Shelly }}}}}
 
Posts: 5308 | Location: The Motor City | Registered: 06-03-02Reply With QuoteEdit or Delete MessageReport This Post
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