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Wednesday, June 23, 2010 Westcoaster1 asks

Q: Discontinuation Syndrome or Reoccurance of Depression

About ten years ago I was diagnosed with general anxiety disorder and associated depression.  It may have resulted from using Larium as a malaria prophylactic but that's another story.

 

Eventually my doctor put me on Effexor XR.  I did not have the major side effects some have reported from Effexor.  Nevertheless I do want to get off the medication for both physical reasons, e.g., potential high blood pressure, and personal reasons, (I don't like to have to rely on chemicals).  Several times I tried to discontinue the use of Effexor but each time several weeks after discontinuing the medication I'd suffer anxiety and associated depression.  My physician would then put me back on Effexor.  He was actually rather discouraging about most things beyond feeding me meds.

 

Two years ago I switched doctors.  I'd been doing fine for several years and discussed discontinuing the medication with my new Psychiatrist.  He encouraged me to give it a try telling me I knew Effexor worked so I could go back on if necessary. 

 

He decreased my medication and switched me to Prozac for a few weeks then I discontinued all meds.  I was fine for a while and my wife says I seemed a lot healthier.  However after a few weeks I started having anxiety issues.  I should also mention it's been a stressful six months in other way; my father passed away and I'm about to go through a job change and associated move to a new city.  That of course also means I need to find a new psychiatrist.

 

I've been off all meds for approximately six months.  I did go through a period of serious anxiety that my physician suggested was probably a manifestation of discontinuation syndrome.  Nevertheless after six months I still have constant, although usually low-level, anxiety.   My anxiety may be stress related and I do occasionally take a Xanax if it seems truly overwhelming but as I mentioned, I don't want to rely on chemicals so I try to keep away from that as well.  Exercise is very effective for me but as I told my psychiatrist I can exercise every day, but not all day every day.  I'm also trying meditation but frankly I've not had much success with that.  I'll keep it up anyway - it can't hurt.

 

So, realizing no one out there can see what's in my head or treat me, my question is after six months is this still a result of discontinuing Effexor or is it a manifestation of underlying anxiety/depression issues.  If it is the former I'll stick it out, if the later I may be better going back on the meds.

 

Any personal experiences that can be shared will be appreciated.

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Answers (1)
Merely Me, Health Guide
6/24/10 7:00pm

Hi there

 

First of all let me commend you for having survived all this so far.  I know it is not easy.  I suffer from both anxiety and depression too.

 

So...how long did you take Effexor? 

 

Six months is a long time but with Effexor I am wondering if anything is possible.  Did you have this level of anxiety prior to taking Effexor?

 

There probably is no way of knowing for sure if this is still an Effexor discontinuance issue or...if you are simply anxious without meds.  Have you tried to identify the triggers of your anxiety or does it seem more biological than environmentally induced?

 

I am going to give you information we do have about stopping Effexor...get ready...there is a lot of information as well as member experiences to read through.

 

I am hoping members will chime in here with their own experiences.  Try to hang in there.  And if you need support we are here for you!

 

Thank you for your question.

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6/25/10 12:50am

 

Thanks for the info and suggestions.  Here's a little more background.

 

I've been on Effexor for about 10 years.  I've done well on it, none of the usual side effects.  Even when I stopped I never had the brain shivers or other things many people have reported.

 

I've seen two different takes on Effexor discontinuation.  Most of the direct advice I've been offered say that after six months it's out of my system and anything I'm feeling is general anxiety disorder or depression.  However there is a very vocal group that claim Effexor never should have been approved and withdrawal can take years.  

 

When I asked my psychiatrist how many of his other patients had taken six months to recover from Effexor withdrawal he replied that he didn't know because when people felt better they stopped seeing him.  To me that sounds like Dr.  talk for none.

 

Anyway, as I posted earlier I'd REALLY like to get off Effexor for a variety of reasons.  On the other hand I don't want to go through life constantly worrying about things I can't control.  So I have a tough decision to make.  I just want to be sure I've got sufficient information.

 

Thanks for any insight.

 

 

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By Westcoaster1— Last Modified: 12/25/10, First Published: 06/23/10