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Re: How should I titrate between Viibryd and Anafranil

Posted by Brainbeard on October 28, 2011, at 18:25:56

In reply to Re: How should I titrate between Viibryd and Anafranil » Chairman_MAO, posted by Phidippus on October 24, 2011, at 21:24:30

Cross-tapering is probably the least bumpy ride of the two options mentioned above. Stopping clomipramine cold turkey can be nasty because of the so called 'cholinergic rebound' that you can get when quitting any anticholinergic drug. There's a range of side-effects, but basically you could feel like sh*t. This could provide enough motivation to taper the stuff down instead of tossing all of it away.

I'm not sure how Viibryd compares to clomipramine with regard to potency of serotonin reuptake inhibition. You'll probably need a high dose of Viibryd to even up with what you got on clomipramine. I understand that 40mg is the maximum dose.

Eric, how did/does dry mouth affect you as a side-effect of clomipramine? I find it one of the most annoying side-effects..


Current meds: clomipramine 225mg, fluvoxamine (Luvox) 50mg, methylphenidate 30-90mg, flupentixol 1mg. PRN: oxazepam 5-20mg or other benzo's.


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URL: http://www.dr-bob.org/babble/20111027/msgs/1001072.html