Our expert says:
I don't bash it. I have several bases for concerns about some antidepressants. One is that I am suspicious about how some drugs get promoted to doctors at some times, and am bothered when I start hearing of some being used far more often than other equally effective drugs, even when they have no overwhelming advantages ( NO antidepressant has overwhelming advantages over any other ). I am worried that some docs, especially GPs prescribe a drug because it is fashionable, or promoted by a pretty sales rep, without having any good medical basis for preferring it over alternatives, even where they should be taking into account price and other risk factors.
Also, some drugs do have some risks not typical of all the alternatives, as does Venlor, and I worry that some docs prescribe some drugs willy-nilly, and without taking such factors into account.
Also, and this is very important, as your own comments prove, there is wide individual variation in how each one of us responds to different antidepressants. NO AD is effective in everyone ; none of those on the market is ineffective in everyone. On average, around 60-70 % of people placed on any AD, will improve, and 20 - 30 % won't. So, while it's wise for a doctor to get to know a handful of these drugs well, and have alternatives if the first one tried doesn't prove effective, it is NOT wise to use one drug as first choice in everyone you see. ANd docs who do that tend to blame the patient if their pet AD isn't turning out to be effective, rather than considering alternaives. I suppose I get bothered when some messages imply that someone has been given the false impression that Efexor is higely special and necessary, rather than one of a buffet of alternatives, worth trying in some instances, not worth trying in some, and not yet the Holy Grail.
I'm not at all surprised that you are doing well on Effexor - some people do so, just as some don't.
And similarly with coming off ADS, on any of them, some people seem to have considerable dificulty coming off smoothly and run into problems, and many don't have such problems at all - no drug is entirely free of such potential problems, and on no drug is it inevitable.
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