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Thread: 15mg Lexapro - but how long until positive or any effects?

  1. #41
    Join Date
    Jan 2017
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    Re: 15mg Lexapro - but how long until positive or any effects?

    Quote Originally Posted by Quinn1 View Post
    The GP prescribed Lyrica for nerve pain 3yrs ago,my psych put me on Valdoxan 6mths ago and I have been ok on them,

    I take a few more meds for HIV,so far so good as in no interactions.
    If Valdoxan (agomelatine) is working well for you then that is a good argument for staying on it, especially as it seems to have no interactions with HIV meds which I'm guessing is why it was chosen.

    However, its cost is likely to remain high as it was approved by the TGA about 10 years ago yet still hasn't been added to the PBS. This suggests it probably won't be anytime soon, mostly, I suspect, because it it hasn't been shown to be superior to other, cheaper ADs.
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    The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before following anything stated.

  2. #42
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    Apr 2018
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    183

    Re: 15mg Lexapro - but how long until positive or any effects?

    Quote Originally Posted by LisaS View Post
    I saw a new GP yesterday who said he didnít think meds would work for me at all which was not the best thing to hear! Heís doing full blood work up and then go from there. He thinks I need to work more on my psychology, which I have been actively doing for years.
    After waking at 4am today with a major panic, I think Iíve made me own decision to come off. Iíve given it a damn good go.
    Iíll prob go down to 10mg for a while and take it slow from there.











    He mentioned Valdoxan but Iím keen to try Pristiq..

    What a shame the new GP said that he didn't think meds would work for you! That's the last thing you want to hear right now when you are already having doubts.

    Since you've already put in this much time on the escitalopram, I think I would be tempted to try increasing to 20 mg to see if that helps, before switching to something else.

  3. #43
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    Re: 15mg Lexapro - but how long until positive or any effects?

    Ok so a bit of an update - I managed to get an appointment with a psychiatrist I saw last year as she had a cancellation - had an hour long chat with her $$$$! and she said it's a no brainer to come off the lexapro as I've been on it so long with sub optimal efficacy. She said there is lots of options for me, which is nice to hear after what the GP said, so she's going outside the box and going with Clonidine... predominantly a med for ADHD but can be used off label for anxiety.
    She said as I'm mid 40s there could be some hormonal influence to my increase in anxiety episodes of late and this should help with executive functioning, emotional regulation and sleep.

    Fingers crossed.
    So my next Question is - how do I come off the escitalopram - shall I alternate 15/10mg for a while or just go straight to 10mg? I have an exam on Tuesday so I'll probably do it after this.

  4. #44
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    Re: 15mg Lexapro - but how long until positive or any effects?

    Quote Originally Posted by LisaS View Post
    So my next Question is - how do I come off the escitalopram - shall I alternate 15/10mg for a while or just go straight to 10mg? I have an exam on Tuesday so I'll probably do it after this.
    I don't think it will make much difference either way as escitalopram has a fairly long half-life compared to most other SSRIs so pick whichever approach you're most comfortable with. Psychology is at least as important as chemistry when weaning off meds.

    It takes 7-8 days for escitalopram plasma levels to stabilize after a dose reduction (or increase). Cutting back the dose at shorter intervals may increase the severity of any withdrawal symptoms, but delaying the decrease usually won't significantly reduce their severity.
    __________________
    The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before following anything stated.

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