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 Doctor Rao Your Own Question

Doctor Rao
Doctor Rao, Doctor
Category: Mental Health
Satisfied Customers: 641
Experience:  MBBS,MD,DPM,MRCPsych
67112189
Type Your Mental Health Question Here...
Doctor Rao is online now
A new question is answered every 9 seconds

Hello, I am 60 yrs old and currently on Venlafaxine - Er 150

Customer Question

Hello, I am 60 yrs old and currently on Venlafaxine - Er 150 mg 2 in the morning and 300 mg XL Wellbutrin. I don't feel any better than I did before I started this combo. It has been two months now. How can I stop the Effexor? I haven't been on it that long and he started me at 150 once a day them increased to 300 once a day. So I would say the total time almost three months.
What about stopping the Effexor and going to 40 mg of Prozac with the Wellbutin. I have it left over before my doctor changed my antidepression.
Submitted: 2 years ago.
Category: Mental Health
Expert:  Doctor Rao replied 2 years ago.

Doctor Rao : H are you online
Doctor Rao : You can reduce 75 mg Effexor XL every week or ten days. If you dont have 75 mg strength I have in few patients reduced 150 mg every two to three weeks. After you stop Venlafaxne, then if You want to of backn to Fluoxetine, start taking it by 20 mg but with n a week you can increase up to 40 mg as you have already been on it before. Ultimately it would be yours and the prescribing Doctors choice But I find adding low dose of Quetiapine ( between the doses of 50 mg to 200 mg) to Antidperessant is more helpful than adding the second antidepressant,especially when you have a history of not responding fully to two antidepressants. But, this needs to be under specialist agreement and supervision.so, you can taper off as advised from Venlafaxine and then decide to go t one of th eoptions described. I have to inform you thatIn these situations Quetiapine acts as an adjuvant and might hav to be used off label licence. I hope you would feel better soon. I wish you all the best. Please do not hesitate to ask me fr more information required at this stage. If you find the answer helpful,please provide positive feedback.Thank you.
Customer:

Thank you Dr. Rao for your answer,but would I ask my Doctor or Phychiatrist. My phychiatrist is not

Customer:

Thank you Dr. Rao, Who should I ask about the Quetiapine? My Regular doctor or my

Doctor Rao, Doctor
Category: Mental Health
Satisfied Customers: 641
Experience: MBBS,MD,DPM,MRCPsych
Doctor Rao and other Mental Health Specialists are ready to help you
Expert:  Doctor Rao replied 2 years ago.
Hi,
You can ask you Doctor or psychiatrist. Ideally your Psychiatrist, but, I am aware that some PCP also prescribe low doses if necessary.
I wish you all the best.
Thank you

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:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Doctor Rao
Doctor Rao
Mental Health Professional
641 Satisfied Customers
MBBS,MD,DPM,MRCPsych