Posted by janejane on February 6, 2009, at 16:06:04
In reply to Effexor XR and Anorgasmia....inability to orgasm, posted by Soonerbaby on February 6, 2009, at 14:38:28
Effexor XR numbed me up too. I was also constantly hungry.
You might want to ask about Cymbalta (duloxetine) which is another SNRI. I tolerate it a lot better myself. It would probably give you a little more of a norepinephrine boost too, which might be more beneficial for increasing energy. (As I understand it, Cymbalta effects SE and NE pretty evenly, whereas with Effexor, NE doesn't kick in until higher doses.)
When I started Cymbalta, I was instructed to stop Prozac 20 mg one day, and start with a low dose of Cymbalta (20 mg) the next. There were absolutely no problems, not even a little nausea. I would think that you would be able to do a similar switch, or at least cross-taper between Effexor and Cymbalta, to avoid having to deal with withdrawal. I'm not a doc so I'm not sure, though. I totally understand your concern Effexor withdrawal becoming more of an issue the longer you stay on it. That's one of the reasons I didn't wait to see whether my side effects on it would subside.
poster:janejane
thread:878505
URL: http://www.dr-bob.org/babble/20090203/msgs/878518.html