Posted by AnneL on May 31, 2001, at 9:17:28
In reply to Re: Provigil to help with Effexor Fatigue - Cam? » AnneL, posted by Cam W. on May 31, 2001, at 8:25:11
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> As for adding the Provigil, I am of the school that the fewer medications one uses, the better. Every time you add another drug to the regimen, you increase the risk of side effects.>Cam, thank you so much!! I agree with all that you said especially about adding more medications
and increasing risks of side effects.I was so frustrated yesterday with my pdoc, he just really wanted to keep me at 150 mg. Perhaps he was angry that my internist raised my Effexor to 150 mg.? This is merely supposition on my part. Either that or he is very inexperienced with Effexor. I gave him anecdoctal information from what I have gleaned from others on this board that point in the direction that higher doses of Effexor can stop the fatigue and lethargy. He didn't buy it and said that 150 mg. is a "therapeutic dose" and that I was getting seratonin as well as norepinephrine benefits and higher doses add dopamine reuptake (?). His entire take on my situation was that Effexor is not responsible for my fatigue and that it is either depression (I'am doing very well) or that the Klonopin is responsible because of its longer half-life. Could the 1 mg. of Klonopin at night be responsible for "narcolespy-like" response at 4PM? The only reason I am taking Klonopin was to control panic-like responses during start-up of Effexor which were exacerbated greatly by the rebound effect of the short-acting benzo, alpralozam. I'am sure I can start to phase Klonopin out, I believe its just become a nightly "ritual" and I probably risk becoming very dependent on it for sleep the longer I use it. Do you think it reasonable to taper of Klonopin and then increase Effexor (of course with a doctor's supervision) or to increase Effexor to see if it helps? Your opinions are highly respected and very much appreciated. Anne
poster:AnneL
thread:64819
URL: http://www.dr-bob.org/babble/20010530/msgs/64869.html