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prozac bridge » Steinbeck

Posted by azalea on October 12, 2008, at 16:12:17

In reply to Effexor withdrawal - a neverending nightmare, posted by Steinbeck on October 12, 2008, at 13:42:36


Check out this link for more info:
http://www.bipolarworld.net/Phelps/ph_2005/ph1354.htm

A selection pasted below:
After at least a week on 37.5, longer if it's been rough getting there (and if the reason we're trying to take it out isn't too horrendous to force the whole thing to go faster), one stops the Effexor entirely and substitutes in its place one dose of Prozac at 20 mg. (Some doctors use two doses of 10 mg, one each day for two days; or two days of 20 mg for people who have had a lot of trouble and might need a longer bridge.) After that, no more antidepressant, and we just wait for the Prozac to gradually go away over the next several weeks. Since the "pile" of Prozac we built up in the bloodstream is much smaller than the levels one gets to after a month or more of 20 mg daily, this whole thing really does not take the 5 weeks to get to very low blood levels. You probably get there in a week or two, but some will still be lingering for weeks, just a tiny amount.


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poster:azalea thread:857069
URL: http://www.dr-bob.org/babble/20081006/msgs/857093.html