Our expert says:
Hmmm. If the Effexor is working, it ought to be enough to just remain on it. If it isn't working, the only reason to remain on it would be to gradually rather than suddenly withdraw it. Cipramil and its generics like Cilift, is an excellent antidepressant, on its own. There is usually no need at all to combine antidepressants except in rare and special circumstances. The SSRI's, including Cilift / Cipramil can be effective in regard to anxiety, too. I also have seen good results with Buspirone / Buspar, which is a non sedative, non-benzo anti-anxiety drug which works well in combination with SSRI's like Cilift/Cipramil
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