Suggest Treatment For Panic Anxiety And Depression While Effexor-XR Resistent

Posted on Mon, 12 Oct 2015

Question: i was on effexor xr for 12 yrs i have now been off it for 2 months because it didnt have the same effecrs as it once did. the med im taking now doesnt seem to be working in the same way. i still have panic anxiety and feelings of depression. i am going through some great stressors but shouldnt it be helping me manage. anyway my question is being off effexor xr could ot work again in the same way if I wanted to go back on it ?

Answered by Dr. Alexander H. Sheppe (10 minutes later)

Brief Answer:
Going back on Effexor XR

Detailed Answer:
Thanks for the question.

Yes. When going back on a medication that was previously successful, there is no reason to believe it won't be successful again. It sounds like 2 months ago it wasn't as successful as previously...at that point I would've tried increasing your dose rather than switching medications.

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Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Alexander H. Sheppe (2 hours later)

i was on the highest dose

Answered by Dr. Alexander H. Sheppe (2 minutes later)

Brief Answer:
Augment

Detailed Answer:
In that case, I would return to the highest dose, and use augmentation with a drug such as lithium, bupropion, T3, or an atypical antipsychotic like olanzapine or risperidone.

For a more comprehensive evaluation, contact me at the link below:
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Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Alexander H. Sheppe (19 minutes later)

how often does a previous anti depressant work again ? ive tried it with other pills before i switched

Answered by Dr. Alexander H. Sheppe (1 minute later)

Brief Answer:
Follow up

Detailed Answer:
It should work again if you switch back to it.

For a more comprehensive evaluation, contact me at the link below:
tinyurl.com/DrSheppeAnswers

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Above answer was peer-reviewed by : Dr. Sonia Raina