system
How should I switch over to Celexa and taper off Effexor?
human
I am currently on 75mg of Effexor XR and have been for the past 7 weeks.  I am still anxious and have a sick stomach and can't sleep.  I'm also taking 0.5 of Ativan in the morning and at night.  I am thinking about switching to Celexa.  How should I switch over?  Should I taper off of Effexor slowly?
gpt
hithanks for using healthcare magicif u want to switch over to celexa, then first start both drug together ie effexor at dose of 37.5 mg a day and celexa 10 mg a day. Then after one week, stop effexor and increase dose of celexa and maintain on same dose for two weeks. If still u do not get sufficient improvement, then gradually increase the dose 10mg every two weeks maximum upto 40 mg/day. U can also consult a psychiatrist.Thanks