How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask DR MED MD Your Own Question

DR MED MD
DR MED MD, Board Certified MD
Category: Health
Satisfied Customers: 2406
Experience:  MD
8742629
Type Your Health Question Here...
DR MED MD is online now
A new question is answered every 9 seconds

I have taken 300 mg of Effexor for one year. Eight ...

Customer Question

I have taken 300 mg of Effexor for one year. Eight weeks ago I started reducing the drug by 75 mg each week. I experienced horrendous headaches, severe joint pain, extreme agitation, among other quite unpleasant side-effects. Upon complete withdrawal after the week of 75 mg, the effects were magnified. I endured this with the help of 3 Xanax per day, 1 Soma at night and after six days went back on 75 mg for three days, I then took the capsules apart, counted out the nodules, and took 3/4 of the 75 mg for three days, 1/2 of the 75 mg for two days, 1/4 the of 75 mg for two days and then quit. I still had severe anxiety for the entire two weeks I was off of it, but I was even breaking the Xanax in half toward the end. I then went to a new doctor (mine moved to Oregon about two months ago). I had seen him once and mentioned my plan for withdrawal with which he concurred. But because of the continued anxiety I returned to him. He told me to take Sam-e (an all natural anti-anxiety medication), a B-complex vitamin as well as putting me back on 37.5 mg of Effexor which I've only taken for four days thus far. However, during these last four days, my agitation has been worse than ever. Also, the other symptoms have returned (joint pain, headaches, and strong suicidal thoughts). I do have a history of suicide (2) but I believe I've got that under control. In your expert opinions should I or should I not continue the Effexor after I was off it for two weeks?
Submitted: 6 years ago.
Category: Health
Expert:  DR MED MD replied 6 years ago.
Hello,

Welcome to just answer.

You have done a well job bu reducing the dose slowly and it was the right way to do this.

Withdrawal symptoms usually reduce with in few weeks normally 4-6 weeks slowly but sometime they can stay even for longer.

It is better not to go back anti anxiety medication and try on natural remedies.

You have to just relax and calm down these symptoms will disappear slowly.

Thanks
Customer: replied 6 years ago.
You didn't answer my question. I asked if I should continue taking the 37.5 mg of Effexor after being off of it completely for two weeks.
Expert:  DR MED MD replied 6 years ago.
If you are having severe withdrawal symptoms which are not tolerable like agitation, anorexia, anxiety, confusion, fatigue, headaches, hypomania, insomnia, nausea, nervousness, nightmares, sensory disturbances,sweating, tremor, vertigo, and vomiting.

It will be better you take you doctor advise before you take medication.

Thanks
Customer: replied 6 years ago.
Your reply was of no help whatsoever (take your doctor advise before you take medication.) You cannot be serious! What doctor advise should I have taken before what medication I took? The medication I'm taking can only be prescribed by doctors. P.S. It's "doctor's advice", not "doctor advise).


I DO NOT ACCEPT THIS ADVICE AND REFUSE TO PAY EVEN .15 FOR IT!
Expert:  DR MED MD replied 6 years ago.
Please do not accept the answer if you are not satisfied. I will opt out so that other expert will answer your question.

I hope it is fine with you.

Since you have stopped medication and having withdrawal symptoms and want to start again i have to tell you take you doctor advise because i have to examined you in person and he is the person who knows you condition well and can examine you also.

Thanks a lot
Customer: replied 6 years ago.
Apparently no one's been listening thus far. I've been taking the SAM-e the doctor recommended as well as the B-complex vitamin. Maybe some more history would help. I've attempted suicide twice (in '89 & '91) due to intolerable pain. This is ABSOLUTELY NOT a threat and I try not to think that way any more, but nothing recommended is helping! This anger and these violent feelings and something I've NEVER experienced in my life! So unless you've a better suggestion than to "take it easy" your advice use useless.
Expert:  DR MED MD replied 6 years ago.
What drugs are you taking now?

Thanks
Customer: replied 6 years ago.
Reply to Dr. AM MD's Post: I'm taking 50-1,000 mgs of Janumet for Type 2 Diabetes (2x/day), 25 mgs of HCT for BP, 90 mgs of Armour for thyroid 1x/day (my thyroid is 184 pts. low), Bayer Heart Advantage (81 mgs) 1x/day cause I'm 60, three gelcaps of flaxseed oil/day w/Omega 3, 2 caplets of SAM-e/day, 1 capsule of Kelp (for the iodine to help my thyroid)/day, and one caplet of Centrum Silver/day. Other than that, I take 2-3 Percosets/day for back pain (after two surgeries, a year on morphine in the pump up to the max which failed, and now a morphine pump filled with cone snail venom every
two months), 1x/day Soma, and Xanax PRN 3x/day.
Expert:  DR MED MD replied 6 years ago.
Thanks for your information.

Since you are having these symptoms and i think you need to again take medication like Effexor.

You can start with very low dose.

Thanks
Customer: replied 6 years ago.
I knew as soon as I mentioned past suicides and a "past" morphine remedy, you'd effectively opt out. It's obvious to me that none of you have any experience with the withdrawal nor even the side-effects of Effexor. If you want to "learn, all you have to do is "hit the web". Type in (on the search line) "Effexor withdrawal" and you'll get all the detailed info you could want from "real" patients, not Effexor sales or "usage guide" information. For your information, even the doctors, including mine (who was promoted and moved out of state recently, which is why I'm questioning my new doctor's advice) were not provided with accurate nor adequate side-effect information for this class of drugs (SSRI), so certainly not with the withdrawal implications or details. Keep the $15 if you like, but I won't accept any of your answers. And I wouldn't recommend your service to anyone with half a brain.        Sincerely,

Grace Diem

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
DR MED MD
DR MED MD
Health Professional
2406 Satisfied Customers
MD