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Since when are you taking effexor ?
Well since you have been taking effexor since past 9 days straight so it just yet must not have reached steady state plasma level in your body therefore it gives you the opportunity to stop the drug now and get started on cipralex but start on 10 mg dose first and take it for 1 week then raising the dose to 20 mg per day and continue taking it.
The reason i suggest not to start on the previously used 20mg dose of cipralex because your body will take some time around 1 week or so for it to wash out the effexor since that is present in your system, so after 1 week of 10 mg you can go up to 20 mg dose of cipralex as by that it will be safe to take that dose as much of your effexor in the body must have washed out by that time.
I hope this helps.
Wish you all the best.
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