I think I want off of this. I don't think it's been that effective from the beginning. Depressive issues had my pdoc increase the dosage from 150 to 225 somewhere around this time last year and I went hypomanic over the summer and had to come back down. It killed my sex drive. Wellbutrin was added to my cocktail and I kind of started to feel better. And it at least gave me energy so that I don't sleep all day, so I like the Wellbutrin. I asked to come off of it when I was in PHP, but I was told since I'm in an acute episode that it wasn't a good idea. So Wellbutrin was increased and Lamictal was added, which hasn't done much of anything but help me lose weight (which I'm not complaining about since I've gained so much as it is - thanks Paxil!) I've been doing everything right, eating better, sleep cycle is strict (even on weekends), prayer, mindfulness, gratitude, etc. I don't know. I'm not upset about anything. Except that this depression is making me lose focus at work. I emailed my pdoc again this morning since I've been feeling like crap. I don't know what to do.

However, I have heard on this board that Effexor is a b**** to come down from. Is it really that bad? And how long would the taper be?