I was wondering if anyone can explain a cross taper of antidepressant for me? I know that as you withdraw one you are replacing what's being taken out with the new med. what I don't know is if you are in the middle of the taper and on two different drugs, are you getting a therapeutic effect? Are they doing anything apart from topping up the serotonin the other med was propping up? If each meds work on different receptors does this account for you feeling horrible? How long after a cross taper does the new med go from side effects to benefits? Is it still the standard 4-6weeks before you feel better or quicker since it's not a new start up. Sorry for all the questions but trying to get my head around what's happening during this process.
Debs; I am going to make this as simple as I can, I wish of course depending on the medication but with the Serotonin medications that most doctors depending on the patient would do the cross taper of one serotonin medication to another it is so much easier on the patient. You do reach a blood level I believe faster and with less overall side effects and at no time during this process are you in danger of the dreaded Serotonin syndrome that for most people are very rare. But let's say as the Effexor level drops and the Lexapro goes up the slower the drop of the Effexor even if you are on the full dose of the new medication and they are still taking you off of the Effexor is fine by the time the one they are taking you off of in most medication it is below the Therapeutic dose where it is doing you any good except keeping you from having withdrawal. But in no way would I just let a doctor change me from one to the other in most cases without some type of crossover. And this taking people completely off of the old med and starting the new medication I think are the doctors that are in the old belief that did not believe there were any problems getting off of a SSRI OR SSNRI. Anyway without getting in to the technical details so many medication are even found out to be a benefit for people when the two are combined for a short time by cross tapering and done right you hit your blood level much faster but depending on how it is done you could be feeling better from doing it this way even before the total old drug is out of you system. But to really know how the new drug is going to help it's going to be about 4 to 6 weeks but without going through all the real hard side effects that some get off of changing medications this is for only when we are switching from one serotonin medication to a different serotonin one. Hope I am making sense it's early and my Eyes are messed up in the morning if I forgot or confused you just ask. and I'm sorry these are the harder ones to answer Chuck1957 And by simple, I am not saying for you!!! We all know we have our silent people that read a post and may never post but I like to keep things in the term we can all understand without losing people on the real structure of which part is doing this and that. Most people encluding myself would get lost after the first few lines LOL.
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