![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 5763 to 5787 of 10407. Go back in thread:
Posted by maxx44 on December 1, 2003, at 22:13:13
In reply to Re: starting effexor... keep posting.. success/dosage? » lg, posted by sasha71 on December 1, 2003, at 7:58:09
'emotional blunting' seems part of any anxiety-reducing med. you have to weigh that vs. why you started the med. i do know lithium or benzo users encounter this. for many, it continues long after the drug is gone. not to scare you---i never saw an anti-d do that, but i never used effexor---the stress of your man in iraq has to be hard---that's where a good 'talk-therapist' may be a big help, and group-therapy with other brave men's wives over there. please feel better.
Posted by maxx44 on December 1, 2003, at 22:47:24
In reply to Re: starting effexor... keep posting.. success/dosage? » sasha71, posted by KimberlyDi on December 1, 2003, at 12:47:24
my dear kimberly, re. iraq hero's wife---her concerns seem appropriate. 'emotional blunting' is a clear sign important areas of the brain have shut down. areas in great part involved in 'core' personality. as effexor is so new, and in view of recent press, i appreciate her concern. 'blunting', as with lithium or benzo patients may be irreversible---does this lady wish to risk going through her life that way? not from the tone of her post. i think she is wise to address this event swiftly. tcas and maois always left me where i started. effexor? i feel it too soon to know. best wishes
Posted by maxx44 on December 1, 2003, at 23:10:10
In reply to Re: Anyone had success on Effexor XR?, posted by dms777smd on December 1, 2003, at 15:34:53
low dose, infrequent use is safe, but several times/week---playing with fire, depending on the dose and your body-chemistry. you seem aware of the risk---i know the results. looking back, the drs. that said 'take the panic, it will stop. don't use benzos'---i wish i had followed their words. i know panic---been hospitalized for it 3 times. when it hits that hard, and you 'know' you're dying, you'll grab anything. perhaps you may save the med for those occassions only? best wishes
Posted by maxx44 on December 1, 2003, at 23:15:32
In reply to Re: Anyone had success on Effexor XR?, posted by matz on December 1, 2003, at 15:53:47
ever have an imipramine hcl or maoi try at your depression?
Posted by Clayton on December 2, 2003, at 6:31:59
In reply to Re: For Music » Clayton, posted by Mercedes on November 10, 2003, at 17:10:18
Posted by KimberlyDi on December 2, 2003, at 13:28:15
In reply to Re: starting effexor... keep posting.. success/dosage?, posted by maxx44 on December 1, 2003, at 22:47:24
my dearest maxx... i know for a fact that stopping Effexor can be dangerous for a person during a stressful time... during withdrawal, i was extremely suicidal and always crying. i had zero control over my emotions...
i presented the flip side. i didn't minimize her concerns. "Even bad things can have a few good benefits." and sometimes... "you don't know what you've got, until it's gone." This war will not last forever. And AD's can be prescribed on a temporary basis for situational depression or stress.
Thank you, for presenting your concerns... but I *aint* your dear.
KDi in TX
> my dear kimberly, re. iraq hero's wife---her concerns seem appropriate. 'emotional blunting' is a clear sign important areas of the brain have shut down. areas in great part involved in 'core' personality. as effexor is so new, and in view of recent press, i appreciate her concern. 'blunting', as with lithium or benzo patients may be irreversible---does this lady wish to risk going through her life that way? not from the tone of her post. i think she is wise to address this event swiftly. tcas and maois always left me where i started. effexor? i feel it too soon to know. best wishes
Posted by maxx44 on December 2, 2003, at 14:02:02
In reply to Re: starting effexor... keep posting.. success/dosage? » maxx44, posted by KimberlyDi on December 2, 2003, at 13:28:15
well, you speak of effexor bopping you. there are many ADs that handle anxiety with little or no 'emotional blunting' and most require only a very brief taper when stopped, with no 'withdrawal'. this woman is very wise to see her dr. on this. best wishes
Posted by maxx44 on December 2, 2003, at 14:17:00
In reply to Re: starting effexor... keep posting.. success/dosage?, posted by Zellie on December 1, 2003, at 9:06:06
hi---what did your dr. think?
Posted by sasha71 on December 2, 2003, at 14:24:46
In reply to Re: starting effexor... keep posting.. success/dosage? » lg, posted by sasha71 on December 1, 2003, at 7:58:09
I saw my dr. this morning and described what I felt was happening/not happening with my feelings unable to respond to situations as appropriate.
He said this isn't usually a side effect of E. but for me to keep track for about a month and to report at the next appt. about it. (I usually go about 3 months between meds. checks)
He also talked to me about my daughter some and recommended that I think about starting her with a peds. therapist for a little while. That is probably a good idea.
Thanks all for your thoughts and input. They are all greatly appreciated.
Posted by camel on December 2, 2003, at 14:28:12
In reply to Re: starting effexor... keep posting.. success/dosage?, posted by sasha71 on December 2, 2003, at 14:24:46
Sasha......glad you discussed it with your Doc. My husband is retired military and I raised my three kids "basically" by myself.....the last thing either of you need is to become "disconnected". Hang in there......
Posted by maxx44 on December 2, 2003, at 14:47:18
In reply to Re: starting effexor... keep posting.. success/dosage?, posted by sasha71 on December 2, 2003, at 14:24:46
well done, wise dr. 'talk-therapy' sounds good for your child. another wise dr. decision. looks like you're in good hands. best wishes
Posted by sasha71 on December 2, 2003, at 17:09:09
In reply to Re: starting effexor... keep posting.. success/dosage?, posted by maxx44 on December 2, 2003, at 14:17:00
He's not really sure what to think about it but is interested and so recommended I keep a journal and figure out a way to rate episodes that I feel I'm not responding properly to. Then we'll talk about it and see what he thinks next month.
Posted by Clayton on December 2, 2003, at 17:14:39
In reply to Re: starting effexor... keep posting.. success/dosage?, posted by maxx44 on December 2, 2003, at 14:02:02
Would you please let me know which ADs you are referring to (that do not cause emotional blunting and require a miniaml withdrawal regimine)?
I'd appreciate it a lot!
Thanks,
Mark
Posted by maxx44 on December 2, 2003, at 17:36:10
In reply to Re: starting effexor... keep posting.. success/dosage? » maxx44, posted by KimberlyDi on December 2, 2003, at 13:28:15
ms. kimberly ok? i've family in san antonio, lived in its medical center area for a year, not a hospital, nice loft. didn't mean to 'mess with texas'. as you note from your effexor 'events', and from existing literature, it's one unpredictable AD. i feel most are. life is. my concern on 'blunting' is supported---that's probably one reason her dr. wants to see her in 30 days, vs. her usual 90.--- not to be alarmist, but you may wish to do a search on the 'colombine' victim sueing a drug co., as the shooter was on a newer AD. effexor also seems to be being banned in some countries--i could be wrong--hard to keep current. seems the lady is in good hands. btw, i miss the hill country. best wishes----
Posted by maxx44 on December 2, 2003, at 18:20:38
In reply to Re: starting effexor... keep posting.. success/dosage? » maxx44, posted by sasha71 on December 2, 2003, at 17:09:09
good dr.---a journal is great. hard to remember all those things going on. when, what, etc. your journal pins 'em down. also good therapy. the reason 'blunting' rang my bells? it's often the brain's natural response to stress. but it is fact that some drugs in some people, harm the deep brain's dopamine production hardware and its receptors. a bigger problem than mother nature. ADs usually don't do such. but effexor IMHO is too new for long-term effects to be known---a wise dr. would want to see you sooner than usual, and i'm sure he will be researching effexor as you journal. best wishes
Posted by KimberlyDi on December 2, 2003, at 18:52:22
In reply to Re: starting effexor... keep posting.. success/dosage?, posted by maxx44 on December 2, 2003, at 17:36:10
A woman felt guilt over her lack of emotional response to her child. I tried to reassure her that being stable and calm can be a good thing in the midst of turmoil. Mother to mother.
You came in from left field, but that's ok. I'm sure you are trying to make a point that is very important to you.
KDi in TX
> ms. kimberly ok? i've family in san antonio, lived in its medical center area for a year, not a hospital, nice loft. didn't mean to 'mess with texas'. as you note from your effexor 'events', and from existing literature, it's one unpredictable AD. i feel most are. life is. my concern on 'blunting' is supported---that's probably one reason her dr. wants to see her in 30 days, vs. her usual 90.--- not to be alarmist, but you may wish to do a search on the 'colombine' victim sueing a drug co., as the shooter was on a newer AD. effexor also seems to be being banned in some countries--i could be wrong--hard to keep current. seems the lady is in good hands. btw, i miss the hill country. best wishes----
Posted by maxx44 on December 2, 2003, at 19:08:42
In reply to Just which ADs are you referring to? » maxx44, posted by Clayton on December 2, 2003, at 17:14:39
hi mark---tricky question as we all have unique neuro-systems. the old 'classic-car' ADs, the tricyclics and maois have been around so long, most problems are known. also age is a factor. 3 times i've had depression stopped by imipramine hcl and once by the maoi nardil. stopping, even suddenly, caused a few night's of nightmares, but little else. if i had tapered down, as now generally advised, it would have been smoother. these older drugs have drawbacks that you should know of, but the net's a good source of that data. i'll get back you w/more. best
Posted by maxx44 on December 2, 2003, at 19:47:40
In reply to Re: starting effexor... keep posting.. success/dosage? » maxx44, posted by KimberlyDi on December 2, 2003, at 18:52:22
what's important to me is the woman suffers no harm. you seemed to take this personally, from your 1st post to me. as it continues, i consider it 'flameing' and think dr. bob should determine the outcome on that. regards
Posted by maxx44 on December 2, 2003, at 21:07:08
In reply to Just which ADs are you referring to? » maxx44, posted by Clayton on December 2, 2003, at 17:14:39
hi mark---the negatives of tcas (tricyclics)---they decrase sleeping salivation which protects teeth, tremor, possible palpitations, dry mouth, sweating---if you read the full disclosure page on any med, or search the net, you will see a lot of scary stuff on just about anything. the maois require a modified diet---that's covered on 'psycho-babble', modern guidelines are more liberal, but still, unless it's the newer maoi-b, deprenyl, you can't gobble aged foods, cheese and other foods---stroke could result. yeah, sounds bad---but they all do if you start reading precautions. contraindications. like many old and new drugs, overdose may be lethal---but please, never consider that for 'self-destructive' use. i met a 25-tear-old that tried that with the old tca elavil. a week before, he was making whoopie with girl-friend. no more whoopie---just heart-damage big time. i would exhaust 'talk-therapy', actually, before any drug. it works. regards
Posted by lacey2001 on December 2, 2003, at 22:07:21
In reply to Re: Just which ADs are you referring to?, posted by maxx44 on December 2, 2003, at 21:07:08
Hi, It has been three weeks yesterday (Monday) that I started taking E-XR and I still do not see a difference in me feeling groggy during the day. I posted my story before but I will briefly say it.....I was first on 37.5 mg for a week...was groggy, the whole bit but I noticed those symptoms didn't go away but were improving. Then I had to go 75 mg the next week and I couldn't sleep. I am happy to say that I do sleep better (too bad my 2 year old is climbing out of her crib or it would be even better).I take the pill in the morning with breakfast and the only major complaint now is groggy. I feel like a zombie.
It has been actually two weeks at 75 mg. The question I have for everyone is how many weeks was it for each of you before the grogginess went away??Tanya
Posted by maxx44 on December 3, 2003, at 1:01:06
In reply to Been Three weeks, posted by lacey2001 on December 2, 2003, at 22:07:21
if it's getting in the way, i would ask my dr. about reducing dose. your dr. may have 'hunched'--(what else may they do?) and moved you up too quick. most of these things do make most people groggy for a few weeks or less. it goes away, or you holler. right? the best drs., i feel, tend to start at lowest dose and carefully titrate you up, and watch you weekly. good luck on this. and ps---it may take weeks for a med to really start rolling. but you don't want a run-away train---for me, too rapid titration easily costs at least 2 mil. not the drs. fault, except for not refusing my request for more. too soon.
Posted by MBL on December 3, 2003, at 8:02:12
In reply to Been Three weeks, posted by lacey2001 on December 2, 2003, at 22:07:21
my doc has always had me take it @ night because of that, and I have not had a problem w/ grogginess. Have you tried that?
> Hi, It has been three weeks yesterday (Monday) that I started taking E-XR and I still do not see a difference in me feeling groggy during the day. I posted my story before but I will briefly say it.....I was first on 37.5 mg for a week...was groggy, the whole bit but I noticed those symptoms didn't go away but were improving. Then I had to go 75 mg the next week and I couldn't sleep. I am happy to say that I do sleep better (too bad my 2 year old is climbing out of her crib or it would be even better).I take the pill in the morning with breakfast and the only major complaint now is groggy. I feel like a zombie.
> It has been actually two weeks at 75 mg. The question I have for everyone is how many weeks was it for each of you before the grogginess went away??
>
> Tanya
Posted by lovemybabies on December 3, 2003, at 8:26:34
In reply to Anyone had success on Effexor XR? , posted by jp on October 24, 1999, at 14:59:14
Hi, everyone. I don't know if I'm doing this right--I was on 150mg and have decided to stop. Not cold turkey--I'm taking 75mg now every other day. The only side effects so far are a little grogginess and the involuntary muscle twitching/jerks right before falling asleep. Oh, and clammy sweating at night. No 'brain zaps' as so many people have described. Yet. It's kind of like I'm rapid-cycling through all the start-up symptoms.
Why am I quitting? Well, after nine months with GREAT success at reducing my depression/anxiety, I couldn't put up with the side effects. Most recently, my hair began dramatically thinning. Sure enough, there are tons of sites/postings relating to this. The constipation, vivid dreams, night-sweats I could take--but mess with my hair? See-ya....
My main concern now is a return of the anxiety that severely debilitated me last January. We'll see...I'll go back on if I need to. Wish me luck and I'll keep you posted on the withdrawal!
Jen
Posted by MBL on December 3, 2003, at 8:30:53
In reply to tapering off, posted by lovemybabies on December 3, 2003, at 8:26:34
To me it sounds like you may be tapering off a little fast...why not 75 mg ea. day...then every other...etc.?
But everyone is different so listen to your body!> Hi, everyone. I don't know if I'm doing this right--I was on 150mg and have decided to stop. Not cold turkey--I'm taking 75mg now every other day. The only side effects so far are a little grogginess and the involuntary muscle twitching/jerks right before falling asleep. Oh, and clammy sweating at night. No 'brain zaps' as so many people have described. Yet. It's kind of like I'm rapid-cycling through all the start-up symptoms.
>
> Why am I quitting? Well, after nine months with GREAT success at reducing my depression/anxiety, I couldn't put up with the side effects. Most recently, my hair began dramatically thinning. Sure enough, there are tons of sites/postings relating to this. The constipation, vivid dreams, night-sweats I could take--but mess with my hair? See-ya....
>
> My main concern now is a return of the anxiety that severely debilitated me last January. We'll see...I'll go back on if I need to. Wish me luck and I'll keep you posted on the withdrawal!
>
> Jen
>
>
Posted by loni on December 3, 2003, at 14:16:47
In reply to Re: tapering off, posted by MBL on December 3, 2003, at 8:30:53
Jen--
Trust your instincts. Do you have a new plan of action for after Effexor? I have read that, during tapering, if you take Prozac too it tends to dampen the withdrawal effects.
I wish I had known that before because w/d was hellish for me. I had all of the symptoms of MS and we went through a lot of anguish before it was traced back to the Effexor w/d.
The good news is...if you continue the taper and don't ramp back up (your body may crave that during the taper...don't give in! It doesn't last...), the whole withdrawl thing is over within 4-5 weeks or so depending on the intensity of your symptoms and the dosage you started on.
But, do have a game plan for after w/d...that is important.
Go forward in thread:
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.