Posted by bleauberry on May 12, 2018, at 9:21:29
In reply to going off luvox-help, posted by joe f on May 11, 2018, at 15:34:30
The difficulty of transition varies a lot from person to person. Some people can wean off of meds fast but others need to go slow and cautious. Me, I had to go really slow. If I were in your shoes, I would have done maybe 175mg for a week and then maybe 150mg for a week and then reevaluate at that point. Maybe wouldn't even make it that far. Maybe it had to be 190mg first.
I think what matters is that you do not have a preset schedule but that you wing it and customize it on the fly, depending on it is going. For example if you discover you are weaning smoothly without any problems then you can probably get more aggressive. Or vice verse.
My hardest withdrawal required me to reduce doses in tiny steps, slowly, and several times during the journey I had to either go back up to the previous higher dose for a bit, or stabilize at a current dose before going any lower. Just flow with it. Don't push it.
As for a replacement, it depends on how good Luvox worked. I mean, if it was great, then ok maybe another might be too. But if it never was great, then another probably won't be either. These meds are more similar than different.
I always recommend Prozac because I think it is the best of the bunch. The others are me-too copycats that are not as good as the original. Clinical studies give the false impression that all of them are basically equally effective but I have not seen that and I do not believe that. I say that because Prozac boosts levels of all the neurotransmitters in the brain, not just serotonin, and it has good synergy with other meds, such as stimulants, tricyclics or antipsychotics, better synergy than the other meds. And it has a long half-life (7 days) that makes dosing easy and weaning easy. It can be easily dissolved in juice so as to drink custom-sized doses. Prozac is just a very unique, original and user-friendly antidepressant compared to its me-too copies.
imo
> going off of 200mg of luvox stopped working and don't want to go any higher....dr says to drop it to 150 first for 2 weeks....is that too fast? or should I go to 175 first? ALSO what other ssri would be the smoothest transition from luvox...was thinking viibryd/Lexapro? thoughts?
poster:bleauberry
thread:1098664
URL: http://www.dr-bob.org/babble/20180331/msgs/1098682.html