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Question
Posted by: philip | 2011/03/14

effexor

i have been on effexor for a very long time, about 10 years on and off, its no longer working as well as it used to for an anxiety disorder, im on 150 mg and realize that theres room for an increase in dosage but my psych seems to think that increasing wont provide any benefit, and suggested adding small dose of escitalopram. I have heard that remeron works well with effexor, but not sure about it working for panic attacks, another option is to go off effexor altogether and go on something else, cymbalta perhaps, what do u think i should do?

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Our expert says:
Expert ImageCyberShrink

Many ADs, especially the older ones, have what was called a Window effect - below a certain blood level they had no benefit, and above another level they had no increased benefit. Most of the ADs can be useful for anxiety and panic, including some that are less expensive than cymbalta or escitalopram ; but you can discuss the options with your doc - there are many which might5 help you more than the one you have been sued to, but you'll need, with his help, to plan a smooth transition from one to the other.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: cybershrink | 2011/03/15

Many ADs, especially the older ones, have what was called a Window effect - below a certain blood level they had no benefit, and above another level they had no increased benefit. Most of the ADs can be useful for anxiety and panic, including some that are less expensive than cymbalta or escitalopram ; but you can discuss the options with your doc - there are many which might5 help you more than the one you have been sued to, but you'll need, with his help, to plan a smooth transition from one to the other.

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