Posted by Molybdenum on June 24, 2008, at 19:05:37
In reply to Re: what to add to effexor »ShadowMom » Molybdenum, posted by Racer on June 24, 2008, at 11:34:20
Racer's quite right of course,
I try to be impartial when it comes to recommendations, but I obviously failed miserably this time...!
Still, I do think that it's more likely someone will get the positive effects I mentioned from mirtazapine than the negative ones Racer unfortunately suffered. Everybody's different of course but the effects I described and the concept of rocket fuel working is a pretty widely accepted treatment.
But I agree it's important to know the possibilities.
And most certainly, 2 weeks on 75mg Effexor is nowhere near long enough to decide if Effexor is effective. I'd be taking 225-300mg for a couple of months before I'd be able to decide.
Trouble with depression & the AD drugs is that we need to feel better ASAP, particularly if there's suicidal feelings involved. And the damn drugs just take too long to kick in fully (assuming they work at all!). So if Shadowmon feels really bad & just can't bear waiting all that time to do it scientifically, I don't see a problem with adding mirtazapine & increasing the venlafaxine as fast as can be tolerated. If he/she feels better sooner, then IMHO that's worth buggering up the experiment a bit.
You can always cut back slowly once you're feeling better. No real danger of overshooting your ideal dose.
So thanks for pulling me up on this Racer, I will try to be a bit more balanced in future! :)
Mr. M.
poster:Molybdenum
thread:836131
URL: http://www.dr-bob.org/babble/20080617/msgs/836281.html