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The Prozac switch or "bridging" with Prozac


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#73 electron

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Posted 16 July 2012 - 04:11 AM

jr, if you're wanting to come off ADs altogether, it is probably easier with Prozac. It's what I'm currently doing and I haven't found it too bad.

Currently withdrawing from fluoxetine after a switch from sertraline.
04/12-12/12 5.0-0.9 ml
30/01/13 - 0.88 ml     29/08/13 - 0.72 ml     21/11/13 - 0.66 ml     16/04/14 - 0.63 ml
22/02/13 - 0.86 ml     12/08/13 - 0.74 ml     04/12/13 - 0.64 ml
14/05/13 - 0.84 ml     25/09/13 - 0.72 ml     19/12/13 - 0.62 ml

11/06/13 - 0.80 ml     13/10/13 - 0.70 ml     31/12/13 - 0.63 ml

06/07/13 - 0.76 ml     07/11/13 - 0.68 ml     06/01/14 - 0.64 ml


#74 jr1985

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Posted 16 July 2012 - 05:08 AM

jr, if you're wanting to come off ADs altogether, it is probably easier with Prozac. It's what I'm currently doing and I haven't found it too bad.

Well that's what I think too but I'm afraid it might make things worse. I'm going to hold on Effexor for now until my paresthesia/akathisia and jaw tremors go away (assuming they will eventually).
2003-2005: Paroxetine
2006-2009: Citalopram
2009-2011: Effexor
Aug/Sept 11: Fast tapered Effexor to Mirtazapine
Oct: C/T Mirtazapine after bad reaction and back on Effexor
Nov/Dec: Fast Tapered Effexor - w/d hell
5/2/12: Reinstated Effexor 37.5mg
20/2/12: Updosed to 75mg
9/3/12: Dropped to 37.5mg
30/4/12: Dropped 10% to 33.8mg
1/5/12: Updosed to 37.5mg
4/5/12 Dropped 5% to 35.6mg
19/6/12: Dropped 2.5%
23/6/12: Updosed to 35.6mg
29/6/12: Updosed to 37.5mg
30/6/12: Dropped to 35.6mg

#75 amg2012

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Posted 16 July 2012 - 05:10 AM

Electron I am following this topic as I am in the process of coming off Effexor with Flox. (my abbrev.). Thanks for the encouragement. It is my goal to get off A.D. meds and hopefully learn to live so I don't require meds. I see you have been decreasing by 2 ML per week.
I think! Too much!

Jan. 2009 150 mg. Venlafaxine
2012
5 June 112.5 mg. Venflx
25 June 75 mg. Venflx
8 July Fluox 5ML (0 Venflx)[/b]
10 July aprox. 20 mg Fluoxetine liquid, trouble measuring between 4 - 5 ml, 0 Venflx.
15 July Fluox 5 ML + Vnflx. 10 - 6 grains
24 July Fluox 5ML + 37.5 mg Venflx.
10 Aug Fluox 4.5 ML
13 Aug.Fluox 18 mg liquid; 18 Aug. Fluox 17 mg; 25 Aug. Fluox 16 mg;
2 Sept Fluox 15 mg; 10 Sept Fluox 14 mg; 17 Sept. Fluox 13.6 mg; 29 Sept. Fluox 13 mg.
7 Oct. Fluox 12 mg; 14 Oct. Fluox 11 mg; 21 Oct; Fluox 10 mg; 23 Oct. 9mg; 26 Oct. 8 mg.
21 Nov. 5 mg; 3 Nov. ZERO

#76 Skyler

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Posted 16 July 2012 - 07:42 AM

Electron

I am following this topic as I am in the process of coming off Effexor with Flox. (my abbrev.). Thanks for the encouragement.
It is my goal to get off A.D. meds and hopefully learn to live so I don't require meds. I see you have been decreasing by 2 ML per week.

Hi amg.. that would be .4mls. He has usually been cutting the dose by .2 mls. He was able to cut .4 mls this time round because he held for a longer. You are better to keep to a consistent cut for each drop until you get more experience. Try to stabilize where you are for now. Cut sizes vary depending on how our nervous system responds. :)
Lyrica: 9/11 72 mgs; 8/31 75 mgs; 8/17 78 mgs; 8/3 84 mgs; 7/20 90 mgs; 7/6 96 mgs; 6/22 102 mgs; 6/8 108 mgs; 5/25 114 mgs; 5/11 120 mgs; 4/28 126 mgs; 4/18 132 mgs; 4/9 138 mgs; 3/30 144 mgs; 3/20 150 mgs; 3/7 159 mgs; 2/27 168 mgs; 2/18 177 mgs; 2/8 186 mgs; 1/25/14 192 mgs .(restart taper 1/25/14 207 mgs. (held for 18 mos at 207)) Highest dose 300 mgs.

Requip - holding: .15 mgs start hold 1/12/14 (start taper .25 mgs 4/12)
............................................................

I'm using a step wise wise taper approach. WD symptoms are tinnitus, which has been long standing, and muscle spasms in my legs and feet which are related to the most recent Lyrica taper.

History: After 25 years (including a 3 yr 4 mo. taper), I'm BENZO FREE! Tapered from 7/2010 thru 10/13. Off benzos for the first time in 25 years. Started 4.5 mgs K. cross tapered to 20 mgs. diazepam 10-12/10. On requip .25 mgs. and on and off Lyrica 150 to 300 mgs. for several years prior to tapering, start tapers 3/12.

#77 amg2012

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Posted 16 July 2012 - 12:34 PM

Schuyler Thanks for bringing the .2 mls cut to my attention. Yes, I will wait til I stabilize before I consider cutting anything further at this time. Feel pretty crappy at the moment and feel like summer is passing me by and summers are way to short for that. Still have not gone off the property - 8 days now. When I wake in the morning - and I am sleeping well since I went to Flox. from Venfx. (thank goodness for this)... anyway my body feels terrible in the morning particularly.....feels like I have a horrible flu. Headaches have dissipated since I made the switch over too. So, should I look and the improvement in sleep and less headache as a positve due to the siwtch or is this just due to progression period?
I think! Too much!

Jan. 2009 150 mg. Venlafaxine
2012
5 June 112.5 mg. Venflx
25 June 75 mg. Venflx
8 July Fluox 5ML (0 Venflx)[/b]
10 July aprox. 20 mg Fluoxetine liquid, trouble measuring between 4 - 5 ml, 0 Venflx.
15 July Fluox 5 ML + Vnflx. 10 - 6 grains
24 July Fluox 5ML + 37.5 mg Venflx.
10 Aug Fluox 4.5 ML
13 Aug.Fluox 18 mg liquid; 18 Aug. Fluox 17 mg; 25 Aug. Fluox 16 mg;
2 Sept Fluox 15 mg; 10 Sept Fluox 14 mg; 17 Sept. Fluox 13.6 mg; 29 Sept. Fluox 13 mg.
7 Oct. Fluox 12 mg; 14 Oct. Fluox 11 mg; 21 Oct; Fluox 10 mg; 23 Oct. 9mg; 26 Oct. 8 mg.
21 Nov. 5 mg; 3 Nov. ZERO

#78 Altostrata

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Posted 16 July 2012 - 07:29 PM

The Prozac is taking effect. That's good.
This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

#79 Gladstone

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Posted 17 July 2012 - 06:04 AM

I asked this in my intro thread but I wanted to ask again.If we are helped to switch to prozac for withdrawls, why don't the doctors forget the other SSRI's and usually just prescribe prozac? I fear doctors/pharmacy reps have a host of reasons, but the main one may well be M-O-N-E-Y.
Zoloft 50--100mgs Oct 98 through Oct 06.
4 week taper with every WD symptom then crash.
Dec. 06 went on 20mgs lexapro
July 2012 15mg
August 10 mgs
Sept 5 mgs
Began using scale to taper
Oct. .18 mgs
Nov. .16 mgs
Dec. .15 mgs
Jan. .14 mgs
Feb. .13mgs

#80 Altostrata

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Posted 17 July 2012 - 10:46 AM

Good question, and the right answer.
This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

#81 jr1985

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Posted 19 July 2012 - 08:36 AM

Are there many on this forum who tried to switch to Prozac and failed? What happened?
2003-2005: Paroxetine
2006-2009: Citalopram
2009-2011: Effexor
Aug/Sept 11: Fast tapered Effexor to Mirtazapine
Oct: C/T Mirtazapine after bad reaction and back on Effexor
Nov/Dec: Fast Tapered Effexor - w/d hell
5/2/12: Reinstated Effexor 37.5mg
20/2/12: Updosed to 75mg
9/3/12: Dropped to 37.5mg
30/4/12: Dropped 10% to 33.8mg
1/5/12: Updosed to 37.5mg
4/5/12 Dropped 5% to 35.6mg
19/6/12: Dropped 2.5%
23/6/12: Updosed to 35.6mg
29/6/12: Updosed to 37.5mg
30/6/12: Dropped to 35.6mg

#82 Altostrata

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Posted 19 July 2012 - 02:53 PM

You might search for Prozac in the Intros forum and post what you find here.
This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

#83 jr1985

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Posted 20 July 2012 - 08:23 AM

I had a quick look. Seems one person failed because she didn't overlap the old with the new. Another failed because they tapered off their old AD too quickly, had w/d symptoms, then tried to stop them with Prozac. I guess it comes back to the advice alto gave in the OP - overlap them for a week or so and do it before w/d from the old AD starts. The majority of people who came up in the search made the transition successfully.
2003-2005: Paroxetine
2006-2009: Citalopram
2009-2011: Effexor
Aug/Sept 11: Fast tapered Effexor to Mirtazapine
Oct: C/T Mirtazapine after bad reaction and back on Effexor
Nov/Dec: Fast Tapered Effexor - w/d hell
5/2/12: Reinstated Effexor 37.5mg
20/2/12: Updosed to 75mg
9/3/12: Dropped to 37.5mg
30/4/12: Dropped 10% to 33.8mg
1/5/12: Updosed to 37.5mg
4/5/12 Dropped 5% to 35.6mg
19/6/12: Dropped 2.5%
23/6/12: Updosed to 35.6mg
29/6/12: Updosed to 37.5mg
30/6/12: Dropped to 35.6mg

#84 Shanti

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Posted 20 July 2012 - 03:17 PM

Thank Electron! I'm glad it's working for you too. I'm still doing fine. In fact, getting better every day. Even in the last month I've had a cortisol injection and tubaligation with anathesia, and all went well.

Someone had written to me asking exactly how I did the switch. I'll just paste what I wrote to her in case anyone wants to see clarification of my signature in how I switched. However, check with your doctor.

11/22/11 - 20 mg Paxil + 5 to 20 mg Prozac titrate.
12/03/11 - 20 mg Prozac

I can tell you that I did it in just a few weeks. I stayed at 20 mg Paxil and started at 5 mg. of Prozac, increasing it 5 mg a week until I was at 20 mg Prozac and 20 mg Paxil. Then I simply dropped the Paxil. Then I stabilized on the Prozac for a couple of months at 20 mg to give my CNS time to adjust. Then you can see my taper from there on my signature.

Taper from Cymbalta, Paxil, Prozac & Antipsychotics finished June 2012.
Xanax 5% Taper - (8/12 - .5 mg) - (9/12 - .45) - (10/12 - .43) - (11/12 - .41) - (12/12 - .38)
My Paxil Website
My Intro

#85 jr1985

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Posted 21 July 2012 - 04:37 AM

Shanti, thanks for posting your cross taper. Can I ask how you felt when you were taking Paxil and Prozac at the same time? How does Prozac feel? Do you notice it being more stimulating than Paxil?
2003-2005: Paroxetine
2006-2009: Citalopram
2009-2011: Effexor
Aug/Sept 11: Fast tapered Effexor to Mirtazapine
Oct: C/T Mirtazapine after bad reaction and back on Effexor
Nov/Dec: Fast Tapered Effexor - w/d hell
5/2/12: Reinstated Effexor 37.5mg
20/2/12: Updosed to 75mg
9/3/12: Dropped to 37.5mg
30/4/12: Dropped 10% to 33.8mg
1/5/12: Updosed to 37.5mg
4/5/12 Dropped 5% to 35.6mg
19/6/12: Dropped 2.5%
23/6/12: Updosed to 35.6mg
29/6/12: Updosed to 37.5mg
30/6/12: Dropped to 35.6mg

#86 amg2012

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Posted 21 July 2012 - 07:59 AM

In Ontario, Canada seniors (65 +) pay only a $100./year deductible for most prescriptions then after that just pay the processing fee which is just a few dollars. Unfortunately the liquid Prozac is not covered.... so I have informed my doctor of the situation and received a prescription for the 20mg capsules which are covered. I know I saw a formula by a doctor on this site for mixing one's own liquid... can you guide me to it, please. Also, has anyone here mixed the powder simply with water? Is it awful tasting - what else can I mix it with? (Actually I find the liquid Prozac very, very sweet). I will not be getting the caps for awhile so no hurry on this. P.S. Liquid Fluoxetine cost me $80., the capsules with our seniors program will cost less than $5.
I think! Too much!

Jan. 2009 150 mg. Venlafaxine
2012
5 June 112.5 mg. Venflx
25 June 75 mg. Venflx
8 July Fluox 5ML (0 Venflx)[/b]
10 July aprox. 20 mg Fluoxetine liquid, trouble measuring between 4 - 5 ml, 0 Venflx.
15 July Fluox 5 ML + Vnflx. 10 - 6 grains
24 July Fluox 5ML + 37.5 mg Venflx.
10 Aug Fluox 4.5 ML
13 Aug.Fluox 18 mg liquid; 18 Aug. Fluox 17 mg; 25 Aug. Fluox 16 mg;
2 Sept Fluox 15 mg; 10 Sept Fluox 14 mg; 17 Sept. Fluox 13.6 mg; 29 Sept. Fluox 13 mg.
7 Oct. Fluox 12 mg; 14 Oct. Fluox 11 mg; 21 Oct; Fluox 10 mg; 23 Oct. 9mg; 26 Oct. 8 mg.
21 Nov. 5 mg; 3 Nov. ZERO

#87 Shanti

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Posted 21 July 2012 - 08:16 AM

Shanti, thanks for posting your cross taper. Can I ask how you felt when you were taking Paxil and Prozac at the same time? How does Prozac feel? Do you notice it being more stimulating than Paxil?



First I made sure I was stable and not having rough symptoms on the Paxil, at the 20 mg dose. When I added the Prozac, and even when I was on 20 mg Paxil with 20 mg. of Prozac, I didn't feel any side effects. I think that since I was stuck at 20 mg of Paxil for quite some time, that is a low dose so having the 20 mg of Prozac didn't cause over stimulation and side effects. I think my system did pretty well with the Prozac, and no side effects, thank God.
Taper from Cymbalta, Paxil, Prozac & Antipsychotics finished June 2012.
Xanax 5% Taper - (8/12 - .5 mg) - (9/12 - .45) - (10/12 - .43) - (11/12 - .41) - (12/12 - .38)
My Paxil Website
My Intro

#88 jr1985

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Posted 21 July 2012 - 08:44 AM


Shanti, thanks for posting your cross taper. Can I ask how you felt when you were taking Paxil and Prozac at the same time? How does Prozac feel? Do you notice it being more stimulating than Paxil?



First I made sure I was stable and not having rough symptoms on the Paxil, at the 20 mg dose. When I added the Prozac, and even when I was on 20 mg Paxil with 20 mg. of Prozac, I didn't feel any side effects. I think that since I was stuck at 20 mg of Paxil for quite some time, that is a low dose so having the 20 mg of Prozac didn't cause over stimulation and side effects. I think my system did pretty well with the Prozac, and no side effects, thank God.

Thanks, shanti. I'm glad it worked out well for you.
2003-2005: Paroxetine
2006-2009: Citalopram
2009-2011: Effexor
Aug/Sept 11: Fast tapered Effexor to Mirtazapine
Oct: C/T Mirtazapine after bad reaction and back on Effexor
Nov/Dec: Fast Tapered Effexor - w/d hell
5/2/12: Reinstated Effexor 37.5mg
20/2/12: Updosed to 75mg
9/3/12: Dropped to 37.5mg
30/4/12: Dropped 10% to 33.8mg
1/5/12: Updosed to 37.5mg
4/5/12 Dropped 5% to 35.6mg
19/6/12: Dropped 2.5%
23/6/12: Updosed to 35.6mg
29/6/12: Updosed to 37.5mg
30/6/12: Dropped to 35.6mg

#89 jr1985

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Posted 21 July 2012 - 08:45 AM

amg2012, I've read some people dissolve it in cranberry juice ("Cranzac").
2003-2005: Paroxetine
2006-2009: Citalopram
2009-2011: Effexor
Aug/Sept 11: Fast tapered Effexor to Mirtazapine
Oct: C/T Mirtazapine after bad reaction and back on Effexor
Nov/Dec: Fast Tapered Effexor - w/d hell
5/2/12: Reinstated Effexor 37.5mg
20/2/12: Updosed to 75mg
9/3/12: Dropped to 37.5mg
30/4/12: Dropped 10% to 33.8mg
1/5/12: Updosed to 37.5mg
4/5/12 Dropped 5% to 35.6mg
19/6/12: Dropped 2.5%
23/6/12: Updosed to 35.6mg
29/6/12: Updosed to 37.5mg
30/6/12: Dropped to 35.6mg

#90 Altostrata

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Posted 21 July 2012 - 12:28 PM

jr, you may want to take a much lower Prozac dosage because of your hypersensitivity.

amg, see Tips for tapering off Prozac (fluoxetine)
This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

#91 jr1985

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Posted 21 July 2012 - 12:46 PM

jr, you may want to take a much lower Prozac dosage because of your hypersensitivity.

amg, see Tips for tapering off Prozac (fluoxetine)

What dose would you recommend?
2003-2005: Paroxetine
2006-2009: Citalopram
2009-2011: Effexor
Aug/Sept 11: Fast tapered Effexor to Mirtazapine
Oct: C/T Mirtazapine after bad reaction and back on Effexor
Nov/Dec: Fast Tapered Effexor - w/d hell
5/2/12: Reinstated Effexor 37.5mg
20/2/12: Updosed to 75mg
9/3/12: Dropped to 37.5mg
30/4/12: Dropped 10% to 33.8mg
1/5/12: Updosed to 37.5mg
4/5/12 Dropped 5% to 35.6mg
19/6/12: Dropped 2.5%
23/6/12: Updosed to 35.6mg
29/6/12: Updosed to 37.5mg
30/6/12: Dropped to 35.6mg

#92 Altostrata

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Posted 21 July 2012 - 12:52 PM

I'm not a doctor so I can't recommend anything. But you had adverse effects at 75mg Effexor, equivalent more or less to 10mg Prozac. If I were you, I might try 5mg Prozac.
This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

#93 jr1985

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Posted 21 July 2012 - 02:05 PM

I'm not a doctor so I can't recommend anything

Yet somehow I trust your advice more than theirs...

But you had adverse effects at 75mg Effexor, equivalent more or less to 10mg Prozac. If I were you, I might try 5mg Prozac.

I thought 75mg Effexor = 20mg Prozac? Maybe I'm wrong...

I'm going to hold on the effexor, at least until my sleep improves, before considering Prozac.
2003-2005: Paroxetine
2006-2009: Citalopram
2009-2011: Effexor
Aug/Sept 11: Fast tapered Effexor to Mirtazapine
Oct: C/T Mirtazapine after bad reaction and back on Effexor
Nov/Dec: Fast Tapered Effexor - w/d hell
5/2/12: Reinstated Effexor 37.5mg
20/2/12: Updosed to 75mg
9/3/12: Dropped to 37.5mg
30/4/12: Dropped 10% to 33.8mg
1/5/12: Updosed to 37.5mg
4/5/12 Dropped 5% to 35.6mg
19/6/12: Dropped 2.5%
23/6/12: Updosed to 35.6mg
29/6/12: Updosed to 37.5mg
30/6/12: Dropped to 35.6mg

#94 amg2012

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Posted 23 July 2012 - 09:25 AM


I'm not a doctor so I can't recommend anything

Yet somehow I trust your advice more than theirs...


I thought 75mg Effexor = 20mg Prozac? Maybe I'm wrong...


JR That is what I read too in the Icarus Project so I was looking it up again and found that they have a recent second edition 7/11/2012 as I am not sure which edition I read I will look at the new one for some more help.
I think that my reduction from Effexor 150 to 75 mg was too fast and I did not do the brige. I am feeling very dull and losing time (too old to lose time, not LOL). Wondering if I should take more Prozac - I am now at 20 MG (liquid 5 ML).
Perhaps I will find help in this document.

It is difficult to interpret and deal with this when feeling so unwell.... any help most welcome!

http://theicarusproj...-second-edition
I think! Too much!

Jan. 2009 150 mg. Venlafaxine
2012
5 June 112.5 mg. Venflx
25 June 75 mg. Venflx
8 July Fluox 5ML (0 Venflx)[/b]
10 July aprox. 20 mg Fluoxetine liquid, trouble measuring between 4 - 5 ml, 0 Venflx.
15 July Fluox 5 ML + Vnflx. 10 - 6 grains
24 July Fluox 5ML + 37.5 mg Venflx.
10 Aug Fluox 4.5 ML
13 Aug.Fluox 18 mg liquid; 18 Aug. Fluox 17 mg; 25 Aug. Fluox 16 mg;
2 Sept Fluox 15 mg; 10 Sept Fluox 14 mg; 17 Sept. Fluox 13.6 mg; 29 Sept. Fluox 13 mg.
7 Oct. Fluox 12 mg; 14 Oct. Fluox 11 mg; 21 Oct; Fluox 10 mg; 23 Oct. 9mg; 26 Oct. 8 mg.
21 Nov. 5 mg; 3 Nov. ZERO

#95 Altostrata

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Posted 23 July 2012 - 10:45 AM

jr, you've shown hyper-reactivity at a higher dose of Effexor. It's up to you if you want to try the higher dosage of Prozac. If I were you, I'd go the more conservative route. The amount of Prozac that might "work" for a bridge is individual. The equivalencies are only estimates.
This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

#96 peggy

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Posted 23 July 2012 - 12:25 PM

the thing with Prozac is that it has a much longer half life, so it is likely to take longer for you to feel good - i would avoid updosing for a little while if you can - you might go too high and will only have to come down again...
Started Effexor in 1998 or 1999 - can't remember which!
On 150mg most of the time.
Reduced off easily first time - but got depressed (not too much anxiety) 6 months later
Back on effexor for another 9 months.
Reduced off again with no immediate w/d - got depressed again 3 or 4 months later.
Back on effexor - this time for 3 years
Reduced off over a month - 6 weeks later terrible anxiety - back on.
Rinse and repeat 4 more times.
Jan - July 2012 75mg down to 37.5mg;, 8/3/12 - 35mg. 8/25/12 - 32mg. 9/11- 28mg, 10/2 - 25mg, 10/29 - 22mg, 11/19 - 19.8mg; 12/11 - 17m,
1/1- 15.5mg; 1/22 -14mg, 2/7 14.9mg, 2/18 - 17.8mg

#97 jr1985

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Posted 23 July 2012 - 01:27 PM

jr, you've shown hyper-reactivity at a higher dose of Effexor. It's up to you if you want to try the higher dosage of Prozac. If I were you, I'd go the more conservative route.

The amount of Prozac that might "work" for a bridge is individual. The equivalencies are only estimates.

I understand what you're saying. I thought I'd be ok at 10mg Prozac if it equals 37.5mg Effexor, but I think your way is probably better because I don't really know if I'll be able to tolerate Prozac or not.

My only worry is that 5mg won't be enough, then withdrawals will start and they might not go away if I updose. But I guess that's the risk I'll have to take.

In your opinion, is it better to just go ahead and try ithe switch sooner rather than later, or wait until I feel more stable on the Effexor before jumping ship?
2003-2005: Paroxetine
2006-2009: Citalopram
2009-2011: Effexor
Aug/Sept 11: Fast tapered Effexor to Mirtazapine
Oct: C/T Mirtazapine after bad reaction and back on Effexor
Nov/Dec: Fast Tapered Effexor - w/d hell
5/2/12: Reinstated Effexor 37.5mg
20/2/12: Updosed to 75mg
9/3/12: Dropped to 37.5mg
30/4/12: Dropped 10% to 33.8mg
1/5/12: Updosed to 37.5mg
4/5/12 Dropped 5% to 35.6mg
19/6/12: Dropped 2.5%
23/6/12: Updosed to 35.6mg
29/6/12: Updosed to 37.5mg
30/6/12: Dropped to 35.6mg

#98 Altostrata

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Posted 23 July 2012 - 01:35 PM

I don't know, jr.
This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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#99 jr1985

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Posted 23 July 2012 - 01:41 PM

I don't know, jr.

I thought you might say that ;). Well I'm gong to see how I am taking the vitamin B6 for a week or so then go from there.
2003-2005: Paroxetine
2006-2009: Citalopram
2009-2011: Effexor
Aug/Sept 11: Fast tapered Effexor to Mirtazapine
Oct: C/T Mirtazapine after bad reaction and back on Effexor
Nov/Dec: Fast Tapered Effexor - w/d hell
5/2/12: Reinstated Effexor 37.5mg
20/2/12: Updosed to 75mg
9/3/12: Dropped to 37.5mg
30/4/12: Dropped 10% to 33.8mg
1/5/12: Updosed to 37.5mg
4/5/12 Dropped 5% to 35.6mg
19/6/12: Dropped 2.5%
23/6/12: Updosed to 35.6mg
29/6/12: Updosed to 37.5mg
30/6/12: Dropped to 35.6mg

#100 Shanti

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Posted 25 July 2012 - 12:15 PM

JR, from my own experience and some that I've read, updosing with antidepressants does fix the issue of the symptoms, unlike with Benzos that sometimes can be unforgiving. But I can not say this is the case for everyone.
Taper from Cymbalta, Paxil, Prozac & Antipsychotics finished June 2012.
Xanax 5% Taper - (8/12 - .5 mg) - (9/12 - .45) - (10/12 - .43) - (11/12 - .41) - (12/12 - .38)
My Paxil Website
My Intro

#101 amg2012

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Posted 28 July 2012 - 08:29 AM

My experience with taking 37.5 mg. Effexor with the Prozac was not a good idea. Brain fog, extreme fatigue, etc. etc. - I think everyone here knows w.d. symptoms. Today, I took only the equiv. of 20mg. Prozac in liquid and hoping I can find stability here. Comments, welcome.
I think! Too much!

Jan. 2009 150 mg. Venlafaxine
2012
5 June 112.5 mg. Venflx
25 June 75 mg. Venflx
8 July Fluox 5ML (0 Venflx)[/b]
10 July aprox. 20 mg Fluoxetine liquid, trouble measuring between 4 - 5 ml, 0 Venflx.
15 July Fluox 5 ML + Vnflx. 10 - 6 grains
24 July Fluox 5ML + 37.5 mg Venflx.
10 Aug Fluox 4.5 ML
13 Aug.Fluox 18 mg liquid; 18 Aug. Fluox 17 mg; 25 Aug. Fluox 16 mg;
2 Sept Fluox 15 mg; 10 Sept Fluox 14 mg; 17 Sept. Fluox 13.6 mg; 29 Sept. Fluox 13 mg.
7 Oct. Fluox 12 mg; 14 Oct. Fluox 11 mg; 21 Oct; Fluox 10 mg; 23 Oct. 9mg; 26 Oct. 8 mg.
21 Nov. 5 mg; 3 Nov. ZERO

#102 Barbarannamated

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Posted 28 July 2012 - 09:07 AM

I asked this in my intro thread but I wanted to ask again.If we are helped to switch to prozac for withdrawls, why don't the doctors forget the other SSRI's and usually just prescribe prozac? I fear doctors/pharmacy reps have a host of reasons, but the main one may well be M-O-N-E-Y.


I suspect many doctors are unaware. Despite all of this information here and various places about the dangers of SS/NRIs, I believe they are still perceived as safe. The startup effects of mania seem to be acknowledged, but not long term physiological maladaptation, worsening of "depression", and acute and protracted withdrawal. I dont know if the rate of prescribing for depression is lessening at all, but I know that SNRIs are being used as preferred agent in chronic pain. My pain management doc is writing the guideline (on steering committee) and just told me this a few days ago. The fear of opiate addiction is so great and docs are being guided to SS/NRIs and Neurontin type drugs for pain. My feeling is that drugs used on daily basis are being pushed as safer than prn meds and addiction is being blamed. More $$ in chronic, daily meds.

Sorry, that veered off topic. Bottom line = $$$
Pristiq tapered over 8 months ending Spring 2011 after 18 years of polydrugging that began w/Zoloft for fatigue/general malaise (not mood). CURRENT: 1mg Klonopin qhs (SSRI bruxism), 75mg trazodone qhs, various hormonesLitigation for 11 years for Work-related injury, settled 2004. Involuntary medical retirement in 2001 (age 39). 2012 - brain MRI showing diffuse, chronic cerebrovascular damage/demyelination possibly vasculitis/cerebritis. Dx w/autoimmune polyendocrine failure.<p>2013 - Dx w/CNS Sjogren's Lupus (FANA antibodies first appeared in 1997 but missed by doc).

#103 Altostrata

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Posted 02 September 2012 - 11:11 AM

Y'all -- I moved the discussion of that other site to Off-Topic, which is not visible to the general public. I feel more comfortable putting the controversy there. The Prozac switch is important and complicated, I didn't want this topic to get too far off course.
This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

#104 amg2012

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Posted 07 September 2012 - 06:52 AM

Since so many of us have made the Prozac switch, I bought some shares of Eli Lilly. I see some upside with the stock and it pays a dividend of over 4% at current price. Hopefully I will make some money for my suffering. :lol: If it doesn't make me money I will soon get rid of it along with the Prozac... just a matter of weeks - many weeks!
I think! Too much!

Jan. 2009 150 mg. Venlafaxine
2012
5 June 112.5 mg. Venflx
25 June 75 mg. Venflx
8 July Fluox 5ML (0 Venflx)[/b]
10 July aprox. 20 mg Fluoxetine liquid, trouble measuring between 4 - 5 ml, 0 Venflx.
15 July Fluox 5 ML + Vnflx. 10 - 6 grains
24 July Fluox 5ML + 37.5 mg Venflx.
10 Aug Fluox 4.5 ML
13 Aug.Fluox 18 mg liquid; 18 Aug. Fluox 17 mg; 25 Aug. Fluox 16 mg;
2 Sept Fluox 15 mg; 10 Sept Fluox 14 mg; 17 Sept. Fluox 13.6 mg; 29 Sept. Fluox 13 mg.
7 Oct. Fluox 12 mg; 14 Oct. Fluox 11 mg; 21 Oct; Fluox 10 mg; 23 Oct. 9mg; 26 Oct. 8 mg.
21 Nov. 5 mg; 3 Nov. ZERO

#105 melo

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Posted 06 February 2013 - 07:17 AM

Do you think getting on prozak slowly because I am very sensitive to meds would calm my anxiety and panic attacks and allow me to get off klonopin. I cant take the severe anxiety getting bed bound. Ive tried tapering slowlyoff k ca nt do it. I .also know prozak is stimulating and I would have to take more klonopin to get on it beca use no matter wha t I try. In sma ll doses I get more anxiety. They tell me I have to get on reg dose for 4 weeks for it to wotk please help I hsve to put ice pscks on chest and neck for psin I was never stable on it. I tried lexspro 1 mg per week until I reached 5mg that is. As far as I could go that was 2 yrs ago my anxiety settled down but then when I tried to get off k I had major attacks but I was cutting. 1mg a time. My klonopin dose increased from .75 mg to 2 mg just to get to 5 mg my dr said if u csnt reach. 10mg it wont work. Any advise because I cant get off k by itself help

#106 Skyler

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Posted 06 February 2013 - 07:26 AM

Hi melo, see my response in the other thread you started in this section. Many people think they are tapering small doses of klonopin and do not realize this may yet be too rapid. Did you begin by tapering 10% a month, then the same off each successive dose. This can be too fast for many people, but does work for many.

As stated previously, ADs, including Prozac, do not help with benzo WD. You can get off klonopin and need a taper tailored to your needs.

I tried to get off k I had major attacks but I was cutting. 1mg a time. My klonopin dose increased from .75 mg to 2 mg just to get to 5 mg my dr said if u csnt reach. 10mg it wont work. Any advise because I cant get off k by itself help


So you went from .75 mgs of klonopin to 2 mgs. You tried 5 mgs.. of Prozac, and your doc wants you to increase this to 10mgs. You are not on Prozac now, is this correct? Prozac will not help with benzodiazepine WD regardless of the dose because the neuro receptors in your body are not the same for the two classes of drugs (they are not the same between classes either, but that discussion if for another time).

So you were taking 2 mgs of k... how much did you cut off that? How long ago did you start cutting, when did you start feeling as bad as you do now. Again, what you describe is very much WD symptoms due to cutting your benzo.

Take a deep breath and try to focus.. we can help you sort this out and develop an effective strategy, but we need more info. Posted Image
Lyrica: 9/11 72 mgs; 8/31 75 mgs; 8/17 78 mgs; 8/3 84 mgs; 7/20 90 mgs; 7/6 96 mgs; 6/22 102 mgs; 6/8 108 mgs; 5/25 114 mgs; 5/11 120 mgs; 4/28 126 mgs; 4/18 132 mgs; 4/9 138 mgs; 3/30 144 mgs; 3/20 150 mgs; 3/7 159 mgs; 2/27 168 mgs; 2/18 177 mgs; 2/8 186 mgs; 1/25/14 192 mgs .(restart taper 1/25/14 207 mgs. (held for 18 mos at 207)) Highest dose 300 mgs.

Requip - holding: .15 mgs start hold 1/12/14 (start taper .25 mgs 4/12)
............................................................

I'm using a step wise wise taper approach. WD symptoms are tinnitus, which has been long standing, and muscle spasms in my legs and feet which are related to the most recent Lyrica taper.

History: After 25 years (including a 3 yr 4 mo. taper), I'm BENZO FREE! Tapered from 7/2010 thru 10/13. Off benzos for the first time in 25 years. Started 4.5 mgs K. cross tapered to 20 mgs. diazepam 10-12/10. On requip .25 mgs. and on and off Lyrica 150 to 300 mgs. for several years prior to tapering, start tapers 3/12.

#107 Skyler

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Posted 06 February 2013 - 09:12 AM

PS... Melo, sometimes people use ADs to bridge from one AD to another for purposes of tapering, but benzos are another drug class entirely and useless for this purpose. Prozac is a very activating AD capable of making your anxiety worse. Increasing the dose to 10 mgs would probably only make you more symptomatic. It's not a matter of getting the med into your system before it starts to act and Prozac can give you an unwanted boost straight away.
Lyrica: 9/11 72 mgs; 8/31 75 mgs; 8/17 78 mgs; 8/3 84 mgs; 7/20 90 mgs; 7/6 96 mgs; 6/22 102 mgs; 6/8 108 mgs; 5/25 114 mgs; 5/11 120 mgs; 4/28 126 mgs; 4/18 132 mgs; 4/9 138 mgs; 3/30 144 mgs; 3/20 150 mgs; 3/7 159 mgs; 2/27 168 mgs; 2/18 177 mgs; 2/8 186 mgs; 1/25/14 192 mgs .(restart taper 1/25/14 207 mgs. (held for 18 mos at 207)) Highest dose 300 mgs.

Requip - holding: .15 mgs start hold 1/12/14 (start taper .25 mgs 4/12)
............................................................

I'm using a step wise wise taper approach. WD symptoms are tinnitus, which has been long standing, and muscle spasms in my legs and feet which are related to the most recent Lyrica taper.

History: After 25 years (including a 3 yr 4 mo. taper), I'm BENZO FREE! Tapered from 7/2010 thru 10/13. Off benzos for the first time in 25 years. Started 4.5 mgs K. cross tapered to 20 mgs. diazepam 10-12/10. On requip .25 mgs. and on and off Lyrica 150 to 300 mgs. for several years prior to tapering, start tapers 3/12.

#108 Nikki

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Posted 06 February 2013 - 09:23 AM

Drugs stocks are the ones that soared and made money in the last three years. People became so depressed over the economic downturn they went on meds. Melo I can't advise you on K, I have not taken it. The Prozac bridge is not that good for most people. Prozac is very stimulating and was designed for people with serious depression. I tried it for a week, years ago and I made the anxiety unbearable (even dangerous). The Psych Nurse I see helps people 'bridge' with a tricyclic 'Imipramine'. It works for me. It is not stimulating like Prozac. It's been around for many, many years. I think Prozac may be considered an old drug by now :rolleyes: The tricyclics tend to be sedating and calm anxiety. The chemical structure of Imipramine (tricyclics) and very different from the structure of SSRI's. Alto would know more about the differences. Then again, no one really knows for sure how we will react to another drug. Hugs

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