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efexor reduction headache...all the symptoms...


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well, its eased off for now....was worse at work.....maybe I feel more under pressure there...ha, course I do.....had an occupational health thingy a week or so ago...and had a great letter from that dr to my manager, which does take some of the pressure off...but I still feel under pressure to *keep going*....

but I'm pretty sure its efexor reduction related as well, as it seems to happen mid afternoon...both yesterday and today....

call my pdoc? mm this is the NHS and the UK and a Saturday....and I'm on the extended release that don't do 37.5mg pills....

its not unmanageable...though pretty awful when its there...the pressure around my forehead....

yesterday in therapy crying helped....worked with it emotionally in terms of body memories and that helped....if only I could have a good cry every time it hurts.....(everything hurt so much for so long...inside....you know like when a small child tells you she has a headache, but really she wants some love and nurturing comfort because she's feeling hurt emotionally, left out....

feels like my brain is having to work extra hard to access the serotonin and norephrineine...lol.....squeezing it to get as much as it can from the reduced chemical boost.....or something like that...and it relates emotionally somehow (It makes sense to me,anyway....if it doesn't to anyone else...)in that I'm reaching out somewhere inside of me, across time this little girl katie is searching for all the love and goodness she so desperately needs, the acceptance and understanding....

feeling a bit sad....but in a therapeutic way.....

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thanks, just read your post greeny...you must've been typing while I was writing my essay up there ;)

am due to take the mirtazapine any moment....so will leave off the ibuprofen for now....might get some water in case I need to take something in the night.....

and my jaw is so ***** tense and creaky...have had a problem there ever since I had my wisdom teeth extracted-they were impacted- but this is yuck....

wellll this is day 3 so with luck it should ease off tomorrow....

but then we have the amazing potential of when I go off it completely in *counts* 25 days time (may carry on for a bit longer tho as my psychotherapist is away for a week the end of Feb and I want her around when I go into the total withdrawal zone......incase I crumple....)

thanks again greeny, appreciated :)

Katie

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did your doctor offer a prozac "bridge" for getting off effexor?

can you slow down how quickly you're tapering off it?

i've found anecdotal evidence that benadryl (diphenhydramine) can help with effexor withdrawl, but i can't find any studies to back this up. 

when i went off effexor, i took benadryl, and it helped... but hell maybe it was a placebo. i think effexory may have mild antihystime properties and this is why this MAY work.

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hmmm

no prozac bridge being as I'm already on remeron(since last October, Efexor since Nov 2004) and continuing throughout (30mg) while I discontinue Efexor and beyond...

how would the benadryl react with the mirtazapine/remeron? and aren't cold medicines not allowed to be taken with efexor, I heard somewhere?

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hmmm

no prozac bridge being as I'm already on remeron(since last October, Efexor since Nov 2004) and continuing throughout (30mg) while I discontinue Efexor and beyond...

how would the benadryl react with the mirtazapine/remeron? and aren't cold medicines not allowed to be taken with efexor, I heard somewhere?

hmmm.  i'll go look for info... but i think i'll call in some people who understand this more than me.

i'm sorry about the withdrawls.  i've been there.  sweating like a pig, thought i was going to die... it can really suck.

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wellll this is day 3 so with luck it should ease off tomorrow....

but then we have the amazing potential of when I go off it completely in *counts* 25 days time (may carry on for a bit longer tho as my psychotherapist is away for a week the end of Feb and I want her around when I go into the total withdrawal zone......incase I crumple....)

<{POST_SNAPBACK}>

For me, the first two or three of the reduced dose were very intense emotionally. So if your pdoc will go along with it, try to extend your last dose level before quitting completely until your therapist is back in town. Cuz it sucked.

And, there IS a 37.5 in the extended release version. It's week one of a two week starter pack. That's what my pdoc gave me to have a step between 75 & 0.

Oh, I tried the benedryl thing, too, and it did nothing for me, alas.

Hang in. We're all pulling for you.

Greeny

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Hi,

I both looked it up both Effexor and Remeron at http://www.rxlist.com/ -- I couldn't find anything for either about drug interactions with antihistamines.

From what I've read here, it seems you folks in the UK have a particularly difficult time finding docs who will work with you. If possible, here's what I'd suggest trying:

1) I'm sure you know more than I on this; I've never tried remeron. I don't see anything contraindicating its use with prozac, though. If you haven't already, you can learn more about prozac bridging here: http://www.bipolarworld.net/Phelps/ph_2005/ph1354.htm. But again, I don't personally know about remeron and prozac.

2) Do pill splitting. At least here in the US, there is a 37.5 in the Effexor XR. And you can split any of the capsules. I didn't know about prozac bridging when I dc'd Effexor. I just split away, and then split again, and again, till I was taking next to nothing. And then nothing. At least for me, doing it like this in the smallest increments avoided any negative effects.

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would there be anything wrong with opening a 75 mg capsule, splitting the little balls into to evenish piles and taking that as a 37.5 mg dose?

Nope. It's just fine to do that. You just have to be sure to swallow the little beads and not chew them, else you'll mess up the delayed release coatings.

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I keep around some empty capsules for just this purpose. For example, I'm currently taking 7.5 mg/day of Cymbalta. Yup, you read right -- only 7.5 per day. My doc wants me to take a 30 mg. capsule every 4th day, but I find if I do that I get some SEs. So I split one in to 4 capsules. Pain in the ass, but doable. Then when I take one of these, I open the capsule and just toss the little granules towards the back of my throat and swallow. Save the capsule for the next time I have to split them.

I do have to talk with my doc again about this. I just can't imagine that 7.5 mg. is really doing anything. Pill or capsule splitting is great when needed, but when it's not it is just a pain.

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would there be anything wrong with opening a 75 mg capsule, splitting the little balls into to evenish piles and taking that as a 37.5 mg dose?

Nope. It's just fine to do that. You just have to be sure to swallow the little beads and not chew them, else you'll mess up the delayed release coatings.

applesauce works great for this.  mix it in, and swallow without chewing.

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Bingo! You're so smart, Penny.

*blushes*

nah... just too much been there, done that experience. 

(also, that's how moms give thier kids adderall xr before school.  not all kids were super stars and knew how to swallow vitamins at age 6 b/c omg flinstones chewables weren't "real" vitamins to a granola munching hippy dad ;) )

as a side note, flinstones vitamins are tastey...

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thanks for all your helpful advice and support....it means a lot... :)

the headache's not been bothering me today.....on the other hand, the jaw clenching, hand shaking, feeling constantly zoned out.....has.....I'm sleeping normally again...(apart from the damn night sweats again....well, I guess this will prepare me for the menopause in 20 years time, right....?!!!)

uggg I want to sleep... :[ preferably after my jaw has regained its natural position..... ;)

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:P   :ninja:   :)

my head hurts  :angry:

it is a thumping great headache.....

seems to be from the halving my efexor dose......

I'm so tense....my head is tense my jaw is tense and it  :ninja: hurts. aches.....

I don't want to start taking a load of ibuprofen.....any tips?

<{POST_SNAPBACK}>

Been there done that! ;)   I second Witchywoman, see if you can get some of the 37's to help you out.  Asprin/Ibuprophen didn't help me worth a crap when I tried to go down (due to adding Lamictal).  Good Luck on this, I ended up giving up and going back up to 225.....

Oh yeah and I forgot, you can split 'em, I split my 150's everyday.

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Nestling -

How is it gonig for you?  I am just embarking on the same change.  I have taken Effexor for over two years now, as high as 225mg, but have been taking 150 for a few months.  My pdoc started me on Adderall, which has kicked my dysthymia, which has been treatment-resistant (refractory) for many years.  Now he says he thinks the Effexor was just a roadblock, and that I don't really need it now that the Adderall is working.

One day later, and on my first 75mg dose, I've spent the day in the Abyss, my brain is shocking, my knees are doing an Irish jig all by themselves, I'm freezing in a warm house, and my anxiety is spiking.

Now, I've been through Effexor withdrawal cold turkey twice, and this feels just the same, but I've had occasions where I've forgotten and had to go a day without my meds before, and this didn't happen.  So I don't get why a drop to a half-dose would cause it.

How are you doing now?

Cerberus

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My effexor withdrawl whining...

I have been slowly been tapering my already lowered effexor dose down from 75mg. I have been taking out 10 of the little ball things in the capsule each week on week 3 so I am taking about 30 out each day. And I have a constant dull headache. and I can't sleep. but most yucky is the constant semi-nausea. Not a flat out I'm gonna barf but a feeling like I consistantly have a burp that just isn't coming out. and whenever I get in a car/plane I get motion sick, and that new too. I've been taking ginger like a mofo and have those little sea bands wrist things but they don't help. I am just so almost barfy.

bah

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Oooo...bummer. Dumb Q, but do you think you just might be sick with something, HaloGirl66? I mean a bug, or something other than crappy Effexor withdrawal?

Sorry to hear how crummy you're feeling. Wish I has something to contribute. Since you're a mod, I'm sure you already know about Prozac bridging, so -- duh -- no need to tell you about that.

Hope you feel better soon.

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rev, I don't think its a bug cause its the 3rd straight week I've felt like this, no fever or anything like that, (not preggers either) and the only thing it correlates with is me coming off the Fex. Looks like a life of toast and chicken broth is in my near future. my tummy is so so right now, its my head that is the prob atm. Bright side, maybe I'll lose 10 pounds.

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God, I am so sorry to hear that, HaloGirl66. Nausea is simply the pits.

I saw that you'd been at the Nausea thread (or whatever it's called; saw you there last night). Hopefully, some of these remedies may help? I'll keep my fingers crossed for you.

Take care,

revlow

PS - Have any of your docs (pdoc or otherwise) had any advice?

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hi Cerberus, thanks for asking ;)

Its going pretty ok...I've been much more stable this past week...seems I've stabilised on the 75mg...12 days to go...I want to get off this stuff now...feel my real feelings.....and not have this awful med (which has also helped me cope, but its also exaxcerbated some of the nasty stuff)agitating me and all that shit....(outbursts in public are no fun at all.....I see the med as making these more intense....)

I just want to feel real.....I feel more real on the 75mg than on the 150, and I am hoping that no more efexor will help this more (I am sure I've been more prone to dissociate on it...maybe....but then I do have a tendency to depersonalise etc.)

It feels easier to feel sad...and happy....and excitement...of course therapy helps this too..

I've taken care to schedule my upcoming appraisal at work for next week, while I'm still on the 75 and before I cut it out completely, just in case I get withdrawal stuff that would get in the way of coping well with it...

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well, i am actually going off of it without the permission of my new pdoc. my old doc had prescribed it, then when I was without a pdoc for a while I dropped down from 300 to 75 eventually. when I got my new pdoc he just kept me on the 75 and gave me adderall XR, which is working okay, but just 75 mg of effexor is doing nothing but costing me my copay every month, so I figured why be on it. my pdoc didn;t want to deal with the withdrawl it seemed so I just decided fuck it I'll do it without him and just not fill the scripts anymore. probably not sage advice i'd give to anyone else on the forums tho.

anyways, the nausea had been banished for a few day but came back today midday, so after getting sick in the grocery parking lot i took some ginger gum and it banished it for today.

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Oooh, ick, I was feeling sorry for myself till I read some of y'all's posts.  At least I don't have the nausea. I'm weaning off the stuff myself, and I do have the headache (and have gotten it every time I reduced dosage).  For me, Axert does wonders.  It doesn't work as fast as it does for a regular migraine, but it works.  I just took one, and I'll probably be headache-less in a couple of hours.

Now if only there were something that would help with that feeling that I put my skin on inside-out...

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Oooo... I've had that one!  Except mine felt like I needed to itch my skin...  on the inside!  Now I just need to find out how to dispose of 11 Effexor 150 mg. since I switched to Zoloft.  Can you just flush them down the toilet, or do they harm fish?

Oooh, ick, I was feeling sorry for myself till I read some of y'all's posts.
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I would say take them to your local pharmacy to be disposed of safely.

I hadn't thought of the poor fish.. ;) poor things.....

That feeling of having your skin on inside out......I've had most of my life...didn't think it was efexor connected, at least I don't think it is for me.

I'm still going ok on the 75mg, my feelings feel more real. And no other nasty stuff.....9 days to go....

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