I have been on 600 mg. for the past 14 yrs... anyone on such a dose or possibly even higher?
Effexor XR - Anyone on 600 mg?
Question posted by Danialla on 24 Aug 2014
Last updated on 3 October 2018
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5 Answers
I just asked my doc to raise it, he was apprehensive, but he did the right thing, I was on 450 mgs , but now on 600 mgs and I feel much better.
I'm surprised a doctor would do that since there have been next to no studies regarding the long term effects of such a very high dose. The most severely depressed in-patients generally do not receive more than 375mg/day.
I'm glad it works for you.
My doc is the best, he knows how smart I am as far as meds go. I took up an interest in the meds I was on and all the docs I had over the years with a severe bipolar one disorder.
It took me years I'm talking 45 yrs to find the right doctor, well, I finally did, and I really, really trust him. Thank you for your comment, however.
Wonderful! The reason I'm shocked is that I'm a 3rd student of psychopharmocology and also Bipolar myself.
I'm off antidepressants because they can provoke manic/hypomanic episodes.
Yes... I have been on 600mg daily for approximately 12 years. I tried 2 others before Effexor and very quickly increased to 600mg. My current specialist wanted at least 6 months of stability before even considering a decrease. It took years but finally I have started decreasing and so far so good.
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Thank you so much for your comment. Are you on any other meds? Effexor made a huge difference in my depression but slowly I needed more/different meds. I have always had a full-time job and so far so good, have been able to maintain it despite my major depression... I hate my depression it makes everything so hard.
Oh well, take care of yourself.
I too have been on 600mg of Effexor. I haven't been on it for 14 years, but I have been on it for 5 years now. I was very ill and was in the Psych. Hospital and monitored by Psych. Clinic for 2 years but once my Psychiatrist slowly increased and increased my dosage I began to feel a lot better. Yes. I am on the highest dosage you can take, just like you. However I am functional and working again and can see things for what they are. My PTSD does pop up and I have lapsed twice in the 5 years I have been on the medication but overall I feel as normal as I possibly can with all the crap I have endured.
If your Psych. recommended the highest dose, it is for a reason. Also when I asked about long term I was advised that if it is working to keep taking it and only worry at the time if it stops working. It is only then that I will need to link back in with Psych. and have my medication re-assessed.
Good luck with everything!
Thanks Lisa for your input. I do have been hospitalized and was gradually raised to that dose. I take wellbutrin, abilify and seroquel and I also do ECT but am able to go to work after a treatment. So far so good. Major depression is the pits!
Take care
Hi, Dani, I've been on 300mg for years and my physisian won't take me any higher. I suppose if your doctor's aware of the dose you're on, it's working for you, and no lside effects, well and good. It's just like kaismama said, that's a whomping dose!
There isn't much evidence on the books for long-term harmful effects, but if you ever have to withdraw be sure to get a plan from your doctor ~ it could get nasty if you drop the dose too quickly.
Best wishes! WCV
That's An incredible dose. The max is 375 a day. If that doesn't work an other is added or the med is changed altogether.
Hello, well that does sound like a large dose. I was only ever on 150mg daily. I presume your doctor thinks you need to be on that dosage. Hope you are doing OK.
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