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Re: Effexor:Comments welcome:Increase dosage to 300mg?

Posted by Sleepy Lizard on June 20, 2002, at 22:46:07

In reply to Effexor:Comments welcome:Increase dosage to 300mg?, posted by sadieson on June 20, 2002, at 18:51:22

I found this comment at http://www.dr-bob.org/tips/venlafaxine.html. Hope this helps you to make the decision.

How is treatment with venlafaxine initiated?
I usually start adults on 25 mg of venlafaxine every 12 hours. Every five days, I usually add 25 mg to each dose until the patient either responds or reaches reaches 150/day. If there is no response within 2 weeks of reaching 150 mg/day the dose is again increased in steps of 25 mg/dose until a total daily dose of 300 mg/day is achieved. If this dose is not effective, and the patient is tolerating the venlafaxine without problems, I then increase the dose to between 500 and 600 mg/day.

When venlafaxine is given to elderly patients the starting dose is the same as for other adults. As older people may be more sensitive to increases in dose those increases should be made slowly.


What is the usual final dose of venlafaxine?
While doses up to 375 mg per day are approved by the FDA, some severely depressed patients have been treated with higher doses. Most depressed people respond to doses under 300 mg per day.


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poster:Sleepy Lizard thread:110356
URL: http://www.dr-bob.org/babble/20020617/msgs/110374.html