Posted by sarahcat on August 22, 2001, at 6:57:45
In reply to Re: Delurk... recently released from hospital » sarahcat, posted by Zo on August 22, 2001, at 2:13:45
Thanks Zo,
I was worried that there would be some withdrawal in reducing from 450 to 300mg, but my pdoc said that it shouldn't be an issue. I didn't really think that my lowering mood could be withdrawal, but that would make some sense.
Before I went into the hospital, my pdoc wanted to reduce the Effexor to 225mg because of his high blood pressure fears, but I successfully convinced him to leave it at 300 for a while. I haven't had any increase in BP, and I've tried telling him that I really don't care if it does raise it a little. I'd rather feel better and then worry about the BP if I have to.
Ironically, my primary care doc is completely unconcerned about this. He said that if my BP did go up, he'd just put me on some HCTZ (a water pill).
Effexor is the first AD to work for me (others either had _really_ intolerable side effects or they didn't work at all, even at high doses), even though it has pooped out on me, necessitating the increases in dose. But I don't want to give up on it unless I really have to.
I'm seeing my pdoc next week, and I'll try to be more assertive with my thoughts about the Effexor dose. Thanks again, Zo.
Sarah
> Hi Sarah,
>
> It's too soon to tell, you may very well just be going thru withdrawal from too big a dose reduction too abruptly.. . .which, just by coincidence, is what *I* am doing this week.
>
> If you don't feel better in a week, by all means return to the dose that makes *you* feel best. I'd do some more research on the dangers of HBP before I accepted that edict. Doctors oughtn't to mess with anything that's helping, unless one is in *grave* danger. When they do so, they're just worrying about themselves, not acting on the patient's behalf.
>
> I think JohnL had a post on how to put it to a resistant pdoc. . .something about, Let me give it a week's trial. And then you come back feeling good. . .Got to jolly along the insecure buggers.
>
> Good luck!
>
> Zo
poster:sarahcat
thread:75868
URL: http://www.dr-bob.org/babble/20010822/msgs/75903.html