Venlafaxine, also known by its trade name as Effexor, is an antidepressant. It is used for the treatment of major depressive disorder and anxiety disorders, and specifically for generalized anxiety disorder and social anxiety disorder. Physicians are becoming more likely to prescribe Effexor to treat other symptoms and conditions as well. Since Effexor works by regulating serotonin and norepinephrine levels in the brain, it can effectively help treat pain caused by severe migraines and diabetic neuropathy. This tablets is available on prescription only.
$ 23.35 (Package 37.5mg x 30 pills)
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While symptoms of depressed mood and lack of interest in activities may need up to 4-6 weeks to improve; disturbances in sleep, appetite or energy may show some improvement within the first 1-2 weeks. Improvement in these physical symptoms can be an important early signal that the medication is working.
Effexor comes in immediate-release tablets of 25 mg, 37.5 mg, 50 mg, 75 mg, and 100 mg, and in extended-release capsules of 37.5 mg, 75 mg, 150 mg, and 225 mg. If taken as an immediate-release pill, the dose is usually split up and taken two or three times during the day, with food. If you're taking the extended-release capsules, take your dose at breakfast or dinner, ideally at the same time every day. You need to swallow the capsule whole: do no crush, chew or place it in a liquid.
Amitriptyline is a prescription drug that's used to treat depression. It's sometimes known by its former brand name, Elavil, but its manufacturer, AstraZeneca, stopped making it. Amitriptyline is only available as a generic drug in the United States. Besides depression, amitriptyline can be used "off-label" to treat post-herpetic neuralgia, attention deficit hyperactivity disorder, and certain eating disorders. It may also be used to prevent symptoms of migraines. It is in the tricyclic antidepressant class and its exact mechanism of action is unclear. Amitriptyline is taken by mouth.
$ 30.00 (Package 10mg x 30 pills)
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In depression it may take between 1 to 4 weeks before amitriptyline starts to work and you begin to feel better. Usually recommend continuing antidepressants for at least six months after recovery. With nerve pain amitriptyline may start to help in a few days for some people, while others don't see much difference for 1-2 weeks.
Usual adult dose for depression: 75 mg orally per day in divided doses; this may be increased to a total of 150 mg per day if needed.
Alternate dose: 40 to 100 mg orally as a single dose at bedtime; this may be increased by 25 or 50 mg as needed at bedtime to a total of 150 mg per day.
Maximum dose: 150 mg orally per day.
My physician started me out on 37.5 mg/day for 1 week then increased the dosage to 75 mg/day for another week and, finally, to 150 mg/day. After taking 150 mg/day for about a week, I felt it was too much... my heart was always racing, I couldn't sleep, and I generally just felt "nervous". My physician dropped my dosage back to 75 mg/day and that seemed to work best for me. I absolutely feel that the Effexor helped lift my depression. However, I eventually chose to stop taking it because of the sexual side effects. After being on Effexor for about a year, I both wanted and needed to have a healthy sexual relationship with my husband again. I dropped the dosage back to 37.5 mg/day for a week, then one every other day for about another week before stopping altogether. I don't recall having any "withdrawal" symptoms. Within a few days of the last dose, all sexual functions were back.
Effexor helped me immensely with pulling out of a very long/recurrent depression. I think I started at 75mg, and had mild side effects that pretty much went away. Some people cant tolerate it at all, but if you can, it can be very effective. I maxed out at 450mg for something like 6 months and while it was great for my depression, it never helped with my anxiety problems. After my first several-days-long hypomanic episode though I'm rediagnosed bipolar ii and coming off effexor. And thats where most of the effexor horror stories start - a lot of us get withdrawal symptoms. I had no problems tapering back down to 150 but get "the zaps" and nausea etc below that. But there are ways to manage and reduce it. Overall, even though the med has some downsides, its definitely been a positive experience for me.
I wasn't prescribed 10mg of amitriptyline for migraines and to help me sleep. This drug is great for helping you sleep. I was drowsy within 10 mins of taking it at night before bed. However, as a migraine prophylactic it did not help. I had migraines occurring frequently and often worse than they were prior to starting this medication. I also gained 18 lbs in 4 months. My breasts became very swollen and tender and I ended up extremely depressed. My dosage was the lowest you can get. I cannot even imagine taking more than I did and the side effects it would have had. I don't recommend this to anyone.
I have had insomia for months. Dr started me on Elavil 10mg for sleep, within a half hour I'm a sleep. I have not slept this good in a long time. I am not a zombie either in the mornings. I feel very good when I awake. Best thing.
If I take amitriptyline in the morning, I am so tired that functioning and performing even small tasks is very difficult. But if I take it too late at night, I have really bad nightmares. So find a time that works best for you.