Effexor increase dosage?

[keith1961]

I took Effexor XR for 3 years and it worked. I weaned off by switching to regular Effexor and breaking the pills into peices. I was ok for 1 month and the depression came back. I got back on regular effexor and began to feel positive effects but not totally. I switched to XR Effexor and it worked better. But still not full remission. I started th regular effexor 13 weeks ago and have been on the EFFEXOR XR for 2 weeks. But I still don't feel like myself. I feel better but not consistantly good. I feel best in the PM. Mornings are the worst part of my day. I take 1 150mg dose at 9PM. Should I ask the doctor to increase my dosage to 300mg. Does any body have an experience like me? Do you have any input for me? I am getting discouraged waiting. Thanks

[whodunnit]

Hi,

Could I ask first if your coming off was OK?

And why you came off? Was it because you felt you were OK? I do that periodically to see how I go without meds and I get to about 6 weeks before I know I need to go back on. Worth doing though as it gives our bodies and minds a break.

You mention full remission. Do you mean you expect the depression to disappear fully and permanently by taking meds?

If you do I have to say to you that I'm unaware of this occurring. certainly the meds can make it feel good enough that it may be gone but if it's a long term depression, 3 years is long, then it's not likely to just resolve on meds. I'd strongly suggest therapy, talk therapy while your meds are working so you can be rational etc during the talks.

Your description of feeling worse in the morning etc is called "diurnal mood variation" which simply means your mood fluctuates during the day. Most commonly from bad early in the day to OK and even good the later we stay awake.

As such I'd agree the meds need increasing. The diurnal stuff disappears when meds are working well you see. I've used Effexor three times now and it's done the trick each time but I'm a lifer for meds I think. Keep hoping but what choice?

[Hensley258]

I used to take 300Mgs a day of Effexor XR for 4 years (before it pooped out on me)

Anyway there is something that you need to know about Effexor XR (Venlafaxine) that is that at or below the 150Mg dosage mark Effexor is simply just another SSRI and has no SNRI action.

With Effexor the Norephineperine mechanism of action does not take place unless the patient is taking at least 225Mgs a day. In most cases 300Mgs a day. That is the dosage when Effexor XR really starts to produce a strong theraputic effect.

This info was given to me by my Psychiatrist who also happens to be a Psychopharmocologist and a lead member of the Psychopharmological center at Tulane university. I think you can trust that he knows what he is talking about when he says this is true.

My guess is your on way too low a dosgae.