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Re: After effexor, what now?

Posted by SLS on April 25, 2005, at 18:15:53

In reply to After effexor, what now?, posted by adagiolover1 on April 25, 2005, at 10:17:55

If you are still receptive to using a "synthetic" medicinal compound, perhaps Cymbalta would treat you better than Effexor did. There are some similarities between the two, but it seems that Cymblalta is more likely to reduce anxiety earlier in treatment and can produce a robust antidepressant response. I don't know if it would be any less likely to produce tremors or not. Like Effexor, Cymbalta is a potent serotonin reuptake inhibitor. You can, however, opt to try a tricyclic antidepressant like nortriptyline instead. It is much more selective for norepinephrine with very little serotonin reuptake inhibition.

Your palpitations are probably a symptom of the return of depression. It is, for the most part, harmless. You might find that it gets worse before it gets better if you reintroduce an antidepressant. It is caused by a dysregulation of the autonomic nervous system - an imbalance of sorts between the sympathetic and parasympathetic components. Do you have dry mouth too?


- Scott

 

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