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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should I Switch Over To Celexa And Taper Off Effexor?

I am currently on 75mg of Effexor XR and have been for the past 7 weeks. I am still anxious and have a sick stomach and can't sleep. I'm also taking 0.5 of Ativan in the morning and at night. I am thinking about switching to Celexa. How should I switch over? Should I taper off of Effexor slowly?
Wed, 22 Jan 2014
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Psychiatrist 's  Response
hi
thanks for using healthcare magic

if u want to switch over to celexa, then first start both drug together ie effexor at dose of 37.5 mg a day and celexa 10 mg a day. Then after one week, stop effexor and increase dose of celexa and maintain on same dose for two weeks. If still u do not get sufficient improvement, then gradually increase the dose 10mg every two weeks maximum upto 40 mg/day. U can also consult a psychiatrist.

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How Should I Switch Over To Celexa And Taper Off Effexor?

hi thanks for using healthcare magic if u want to switch over to celexa, then first start both drug together ie effexor at dose of 37.5 mg a day and celexa 10 mg a day. Then after one week, stop effexor and increase dose of celexa and maintain on same dose for two weeks. If still u do not get sufficient improvement, then gradually increase the dose 10mg every two weeks maximum upto 40 mg/day. U can also consult a psychiatrist. Thanks