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Mental Health  (Expert Forum)
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Effexor XR
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

Effexor XR

by Shroo, Jun 04, 2000 12:00AM
I had a bad night last night.  Lying in bed, staring at the TV until 4 AM then I finally knocked out.  Tapered myself off Effexor XR 2 weeks ago (on my own) felt horrible.  Went to the doc and I've been back on it for 5 days.  Still feel horrible.  I get shooting electrical shocks from the top of my head, coursing through my body, down to my toes.  I have a massive headache most of the time.  My abdomen swells up and I get a frantic urge to go to the bathroom.  I am frustrated to say the least.  After 5 more days of 37.5 mg I am supposed to increase to 75 mg.  Tell me, please, why am I still experiencing these symptoms?  What should I expect re: symptoms when I increase dosage?  My doc is nice but not very thorough even if I ask questions.  I am 37 and have suffered with anxiety for about 3 years, which seems at its peak approximately 2 weeks before my period.  A friend suggested perimenopause but I am not too familiar with the subject.

Thanks, Shroo :)

by HFHS.MD-AJ, Jun 05, 2000 12:00AM
I am sorry to hear that you are experiencing symptoms of the "Serotonin Discontinuation Syndrome", which can result from abrupt discontinuation of serotonergic medications such as Effexor, Paxil, Zoloft, Celexa, etc. Generally, you should expect to begin to feel better within a few days to a week of resuming treatment with medication. For more information, please go to our archives, and refer to a post titled "Withdrawal symptoms from Celexa" posted by Ann on 4/7/00, with my response dated 4/12/00.
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