Abruptly stopping Pristiq (Desvenlafaxine) can result in discontinuation / withdrawal symptoms like dizziness, tingling sensation, nausea, insomnia, irritability, palpitation, headache etc to name a few.
Did he experienced these symptoms after stopping it cold turkey or it was only suicidal thoughts and worsening of his symptoms/
OK, I just wanted to confirm whether they were really withdrawal symptoms or worsening of his previous symptoms because of abruptly stopping Prestiq
sorry, can you please explain it again.
you mean to say that he was not responding to Prestiq?
Most patients usually do not report difficulty while trying to taper down Prestiq and are able to taper it down easily.
I am suggesting you a possible option about which you can discuss with his doctor.
In our patients who are experiencing problem in tapering Desvenlafaxine (Prestiq) we shift them on a long acting SSRI antidepressant Fluoxetine (Prozac).
It is comparatively easier to taper down Fluoxoetine because of its long half life.
So in his case, his doctor can try this strategy of shifting him on Prozac.
in addition, his doctor can also prescribe him a low dose of Clonazepam.
No Wellbutrin will not be of much help in this in my view
Do you think that he is still depressed?
OK, in that case, just discuss with his doctor about the option of shifting him on Prozac first and then taper it down slowly.
He is already taking Clonazepam which can control some of the withdrawal symptoms in the mean while.
during this process.
Well, suicidal thoughts are usually seen in severe depressive patients but you are saying that he is not depressed?
in that case, I don't think that he will experience suicidal thoughts.
see that is what I am saying, if he get depressed after stopping Prestiq in that case he is still depressed.
Now you are saying that he is not responding properly to Prestiq, in that case another option is to increase the dose of Presiq to 100 mg and see if it helps.
Most patients respond well to 100 mg of Prestiq
as seen clinically.
otherwise if he want to discontinue Prestiq, his doctor can shift him on Prozac which itself is a very good antidepressant
and can effectively control his depressive symptoms. Once he start feeling better, his doctor can then taper down Prozac easily.
so these are the two possible options in his case in my view.
Zoloft is also a SSRI antidepressant like Prozac but the main advantage of Prozac is its long half life.
This can help in controlling some of the withdrawal symptoms due to stopping Prestiq.
You are most welcome.
do you have any other question to ask?
don't worry, in my view, either increasing the dose of Prestiq or shifting him on Prozac both option should work in his case.
and he will start feeling back to normal within 2-3 weeks.
I really enjoyed working with you – please feel free to request me again when you come back to ask another question
Please feel free to discuss further if you have other questions and press the reply back button. If you are satisfied with my answer, please rate one of the positive ratings (3,4,5) as this is the only way how we are compensated for our time and expertise.Please take a moment to rate the answer. Kind regardsVikas