Our expert says:
Of course, this is really a question you ought to be discussing with your psychiatrist. Generally, the wisest policy when one has a chronic / recurent Depression, is to stay on the medication that worked best in relieving the symptoms ( in this case, presumably Cipramil --- and fortunately there's a significantly cheaper equivalent gneric versio of the drug now available, called Cilift ). Personally, I would also have suggested that you remain on medicaton, though I would not have thought it best to switch to a new medication at that point.
Efexor can benefit one in the same way as Cipramil/Cilift but also works on a different set of chemicals, and this could possibly account for some of the new symptoms you're describing. Rather than continue on a drug which could be causing some flare-up in such anxiety symptoms and add Xanor to try to control the side-effects, I'd have thought you could be greatly better off going back to Cipramil / Cilift, or one of it's close relatives. But this is something which you would need to discuss with your psychiatrist, to plan a seisible and orderly change.
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