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Mental Health  (Expert Forum)
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Minimum effective dose of Effexor
Answered by
Roger Gould, M.D. - Mental Health, Wellness
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.

Minimum effective dose of Effexor

by Hanrui, Apr 13, 2003 12:00AM
I have usually mixed Wellbutrin SR with an SSRI. The problem is that eventually all the SSRIs make me "zonked." My psychopharmacologist switched me to Effexor SR (3 x 37.5) plus 100-200mg Wellbutrin to control fatigue. I am having "zonked" effects now even on 2 x 37.5 SR of Effexor. Has anyone had good effects with 37.5 mg or even less of Effexor? I have fatigue with the depression/anxiety, and Wellbutrin is somewhat effective, but I am "wired" at 300-400 mg without the other medication. Stimulants put me to sleep, even at miniscule doses. Weird biology.

by Roger Gould, M.D., Apr 14, 2003 12:00AM
As you know everyone responds a little differently to these medications.  There is good reason to believe that low doses often do just as well as high doses, so why don't you ask your doctor about a low dose of effexor along with the wellbutrin.
Member Comments (2)

by Hanrui, Apr 14, 2003 12:00AM
Thank you! I'll do just that.
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