Posted by Bill LL on December 13, 2005, at 15:19:14
In reply to Re: Effexor XR effectiveness » sm100378, posted by ghostshadow on December 13, 2005, at 11:12:14
For some reason that comment "My doc (whom i think is a quack but may be somewhat right this time)" really made me laugh. I can identify with it since my last internist was so lame. But I switched and am extremely happy with the new one.
It's correct that Effexor affects serotonin at lower doses, then also affects non-ep at higher doses.
But docs don't know which of the 2 effects is more important. Even with SSRI's, docs know that they affect serotonin, but they don't know how this works to alleviate anxiety and/or depression.
But the bottom line is that both types of drugs are very effective with very minimal dangerous side effects.
Effexor is generally demonstrated to be a bit more effective than SSRI's in clinical trials. It's a very popular drug with docs since it usually works so well for both anxiety and depression. But you have to give it a couple of weeks to work to give it a fair trial.
> >An SSRI only works on seratonin in the brain, while an SNRI works on both seratonin and norepinephrine. My doc (whom i think is a quack but may be somewhat right this time) thinks i may have developed a tolerance to the ssri alone...
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> Hi,
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> > I was never on paxil, but actually have a question for you. I recently have been put on Effexor XR 37.5 and have seen a change since day 1.
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> > Is Effexor an SNRI and what is the difference between that and an SSRI?
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> > Thanks
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> > > i stsrted on 225 mg. effexor xr about 2 weeks ago after slightly more than 10 years of paxil. the paxil had long ago quit working, but nobody else cared so why should i? a friend made me promise to talk to my doc about my meds, and he switched me to effecor xr. so far no difference than before the change. Anyone else had a direct switch from an ssri, and what was the outcome? (only other psych drug i take is trazadone for ocd and to help me sleep.)
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poster:Bill LL
thread:588634
URL: http://www.dr-bob.org/babble/20051211/msgs/588699.html