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#1
Jan 02, 2015, 03:12 AM
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I take venlafaxine 225mg a day and it still doesn't seem to help. Any suggestions?
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#2
Jan 02, 2015, 05:16 AM
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How long have you been on that dose - I found I needed to give it a good 4 weeks to work.
Other options - up the dose - I take 375mg daily add an adjunct, most likely an antipsychotic, we augmented my effexor with risperidone and it made a big difference. change AD's - venlafaxine, may just not be the right one for you. splitimage
__________________
 "I danced in the morning when the world was begun. I danced in the moon and the stars and the sun". From my favourite hymn. "If you see the wonder in a fairy tale, you can take the future even if you fail." Abba 
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#3
Jan 03, 2015, 12:00 AM
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I found that drug had no effect on me at all.. well apart from when I was coming off it - was absolute hell
 but I am currently on prestiq (which is very similar to what you are on now) and it's been one of the better AD's for me, that and fluoxetine has helped the most. hang in there
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"...sometimes the only way to see the light at the end of the tunnel, is to crawl through the mud in darkness." ~ Rachel Reiland - get me out of here ~ |
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#4
Jan 03, 2015, 12:24 AM
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Venlafaxine is actually pretty helpful for me, but I need a supplement to make it more effective. As far as ADs go, I've been having a better time with this one than with Zoloft, which I took for a few years before adapting to it to the point where it did basically nothing.
For adjunct pills with the venlafaxine, I tried Mirtazapine for a while--my psychiatrist referred to this combination as 'rocket fuel' and that's what it did; my mood was extremely increased, my concentration was better, and I was able to easily wake up and start my day. However, after increasing the dosage of it, I started having anxiety problems, specifically shifts close to hypomanic phases (I have bipolar II but take medication mainly for depressive symptoms), and had to stop taking it. I tried seroquel for a while but my insurance only covered 40 pills per year so I was unable to stick with that for long enough to see a real difference. I'm currently taking trazodone and so far it hasn't been very helpful for me, though that could be due to the small dosage. It's definitely worth trying new things out, especially if you've been taking a high dosage for a time without seeing any positive effects. I'm not a psychiatrist but I hope this helps you at least a little bit! Best of luck finding medication that works for you 
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#5
Jan 03, 2015, 02:20 AM
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I have been on Venlafaxine (150 mg/day) for some years - it has helped though it took about a month to kick in fully.
If you do decide to discontinue, then it is important that you do that with *close* supervision from your mental health care team. Unsupervised discontinuation can be a *very* unpleasant experience.
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The world is everything that is the case. (Wittgenstein, Tractatus Logico-Philosophicus) Knowledge is power. (Hobbes, Leviathan ) |
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#6
Jan 03, 2015, 10:03 AM
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It was one of the most effective ones for me. It quit working a long time ago but I got a lot of use out of it. For me the SSNRI's work better and Fetzima is currently working very good. I am one of the lucky ones and it was never hard to get off of it for me. I stopped a number of times. I would also suggest a very very slow taper if you go off and try something else. I think you have to give one two months to give it a fair shot provided you are not having unbearable side effects.
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The "paradox" is only a conflict between reality and your feeling of what reality "ought to be." -- Richard Feynman Major Depressive Disorder Anxiety Disorder with some paranoid delusions thrown in for fun. Recovering Alcoholic and Addict Possibly on low end of bi polar spectrum...trying to decide. Male, 50 Fetzima 80mg Lamictal 100mg Remeron 30mg for sleep Klonopin .5mg twice a day, cutting this back |
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#7
Jan 03, 2015, 11:49 AM
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I don't know, I'm on venlafaxine 225 mg and still have mild depression. Next time I see my pdoc I'm going to ask to try something else
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