Tapering your dosage. Well, on this, the third week, I got "smart" and went without the effexor from Thursday until Sunday. Theyre real, and valid concerns. I am not saying it will reduce your pain by 50%. Make sure you gradually reduce Effexor, as withdrawals are very difficult, and can make you feel very ill. Do it gradually, and others say, start the other med whilst gradually reducing Effexor. On week 2, I went up on Cymbalta to 60mg and have been keeping on that dose, but still weekly going down on Effexor. One of the most common reasons that people switch antidepressants is they feel their current medication isnt really helping them. Support inquiries will not be addressed. Taper and switch with a medication-free washout period: This means you taper and stop your old antidepressant, and then wait a period of time (days or weeks) before starting the new medication. I told my Dr. on Friday that I can't deal with the side effects: nausea, anxiety, jumpy, head zaps, head twitches, flu symptoms, fatigue and extremely dizzy. Cross-taper: This means you gradually lower (taper) the dose of your old antidepressant, while slowly starting the new one at the same time. But, in the meantime, talk to your provider if withdrawal symptoms are bothering you. Christy H. my girlfriend switched from Effexor to cymbalta amd she said that she feels much much more calm. Mama, is this WildCat proud to be living in PA?? Our findings can be useful for clinicians when they switch antidepressants and for researchers when they compare various antidepressants in their research. Learn more about bipolar symptoms and treatments here. i@4Y*)1YSJ3:.9p fQR /3*8 pjvn4q `#Wg+2-c]_odC/W?x~5*;&V"jB;AJh'\o#L\a9uH_&h*8ZtF8 Strategies and solutions for switching antidepressant medications. When used with medications or substances that increase serotonin levels, both Effexor and Cymbalta can potentially contribute to a serious condition called serotonin syndrome. 2. Pharmacological approaches to the challenge of treatment-resistant depression. Cross-tapering with a tricyclic antidepressant (TCA) is inadvisable with paroxetine and fluvoxamine if needed it should be done very cautiously [ SPS, 2019b ]. Low levels of serotonin are linked to depression, anxiety and sleep issues such as insomnia. %PDF-1.6 % Psychiatric Times. If you dont notice any improvements from Effexor after four weeks or more, or if you have side effects that are persistent or bothersome, your healthcare provider may suggest switching from Effexor to a different SNRI, such as Cymbalta. Cipriana, A., et al. Effexor (venlafaxine) withdrawal, a common form of antidepressant discontinuation syndrome, occurs if you abruptly stop taking it. i only hold myself accountable!! I see hope in getting medicated by it but I also read all the horror stories about quitting it and the horrible withdrawals cymbalta gives you. Your provider can help you understand whether your side effects are normal and whether you can expect them to go away. Switching and stopping antidepressants. Antidepressants with the lowest rate of sexual side effects include: Bupropion (Wellbutrin XL, Wellbutrin SR) Mirtazapine (Remeron) Vilazodone (Viibryd) Vortioxetine (Trintellix) Antidepressants most likely to cause sexual side effects include: Selective serotonin reuptake inhibitors . Until 3 weeks ago, they tried to add things to the Cymbakta (Abilify, buspar) but it wasn't working (for deoression/anxiety). It is intended for general informational purposes and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Worked well but kinda pooped out, at which point I went to Cymbalta 60mg until I started seeing a new pdoc and was properly rediagnosed. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Clinical practice guidelines for the management of depression. Isn't it quite possible that all this hassle may be for not? 1. Until then, your symptoms may get better, worse, or stay the same. I did not switch from Cymbalta to Effexor back to back, however, I was on Cymbalta for close to 2 years & tried meds in between. Antidepressants can take up to 1 month to start working in full effect. Choosing a new antidepressant that is best for you, Then the question becomes: What is the best medication to switch to? Question posted by lynninpa on 12 June 2013. This is not surprising, considering that results from the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) trial drew attention to the high rates of initial treatment failure with first-line agents.1 More specifically, up to 65% of patients fail to achieve remission, and approximately half of all patients fail to achieve an adequate response from their first antidepressant medication trial. Pain meds is the only pill that will help you get through those unbearable pain moments. Hi, I posted this same question under the subject "New Med" yesterday, but haven't gotten a response yet. 1. I've been taking it for 5 yrs and I guess it helps somewhat. For example, if youre already taking one SSRI, your doctor might suggest trying another one, like. Only one in three people will be symptom-free after taking one type of antidepressant. I've felt okay for the most part except I felt dizzy a few days ago while on 112.5 mg Effexor and 60mg Cymbalta. Generic Effexor XR tablets are often covered by Medicare and insurance plans. Bhanji NH, Chouinard G, Kolivakis T, Margolese HC. That wild cat doesn't happen to be a nittany lion does it? For example, its often used when you switch an SSRI to a drug in another class. Wish you the best. Another option could be to raise your Effexor, but your doctor thought that this was your best option. I'm just going to say that I agree with all. "Head buzzing". Furthermore, providers must consider the severity of their patients mood symptoms and weigh it against the concern of adverse drug events. If partial response after 4 weeks increase to 225 mg in the a.m. If high dose SSRI, cross taper SSRIs to other antidepressant: Cross taper Its also important to note symptoms of serotonin syndrome, which is a life-threatening condition that can happen when you take more than one antidepressant medication (or more than one medication, antidepressant or other) that affects serotonin levels. switching to a drug with a similar, but not identical, switching from a selective serotonin reuptake inhibitor (SSRI) to duloxetine.3. I thought I was going crazy. 9. They can help you decide if transitioning to a new antidepressant makes sense for you. +Alternate 40 mg one day and 20 the next to get the equivalent of 30 mg per day. For extended release (XR) give 37.5 mg in a.m., then increase to 75 mg in a.m. after 1 week, 150 mg in the a.m. after 2 weeks. Your provider might use an antidepressant switching chart to help decide how quickly you can start the new medication. All I want? GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. By signing up, I agree to GoodRx's Terms and Privacy Policy, and to receive marketing messages from GoodRx. Although there was no consensus on best practice, many studies recommend at least 4 weeks of tapering the dose before discontinuing the medication. Your healthcare provider will advise a washout period of days or weeks to wait before starting the new medication. a1!fcbmb_?QjMaspwh0) 6z4X{589}r }: You can reduce the Effexor XR to 150mgs if you have 150mg pills or take two 75's for at least two weeks while starting the Cymbalta at 30mgs if that is the dose he gave you. Wilson E, Lader M. A review of the management of antidepressant discontinuation symptoms. My doctor slowly weaned me off one while starting zoloft at a low dose. Research shows that meditation can help lower stress, improve sleep, and decrease pain. For both, most of the common side effects typically go away within 1 to 2 weeks of starting the medication. Stop venlafaxine . Ultimately, the goal of switching antidepressants is to find a medication that works for you. Another example of this might be abrupt discontinuation of SNRIs, which can result in serotonergic withdrawal in addition to increased gastrointestinal motility and urinary urgency due to loss of noradrenergic effects. National Health Service. It was awful and very short lived. I hope Cymbalta works for you. It is approved for the treatment of major depressive disorder (MDD), generalized anxiety disorder (GAD), panic disorder, and social anxiety disorder (social phobia). , faculty member at the University of Miami Miller School of Medicine. I did the same thing when switching from Cymbalta to Savella. Direct switching. Hi guys, it has been a while since I have actually posted on here due to my anxiety and depression , not to mention being very busy with my kids. 5 things you should know before switching antidepressants. ). If youre concerned that your current prescription isnt as effective as it should be, talk to your doctor about switching antidepressants. How do I choose between medication and therapy? What Are the Benefits of Getting Off Antidepressants? For example, if you also, antidepressant with a success rate for addressing anxiety, Your doctor may choose to switch you from one category of antidepressant to another. endstream endobj 2757 0 obj <>stream Heres what you should know about side effects and withdrawal before making the switch. Am Fam Physician. First tried to switch me to Zoloft and that made me worse (February 2014). Doctors use four different strategies to switch people from one antidepressant to another: The strategy your doctor will choose will depend on factors such as: Heres a chart with information about how your doctor may switch your drugs. Yes they are almost alike, but they are different meds and just switching can still cause a problem. Several strategies can help ease this transition. Once the washout period is over, youll usually start with a low dose of the new drug. I've been cross-tapering with 225mg Effexor and 30 Cymbalta, after a week, going down on Effexor by 37.5mg increments. 2023 SingleCare Administrators. ++Take 20 mg every other day to get the equivalent of 10 mg per day. Paresthesia (burning or prickling sensation). Dizziness. Learn how we can help. hlS[O0+~d6* Like other antidepressants, Effexor can cause sexual side effects, including a reduced sex drive, difficulty reaching orgasm and, in men, erectile dysfunction (ED). I took my last dose Venlafaxine on a Wednesday and replaced it with the Cymbalta the next day. We offer a full selection of mental health services online, including the ability to connect with a licensed psychiatry provider and, if appropriate, access depression and anxiety medication. 2006;354:1231-1242. Direct switch: stop the first antidepressant abruptly and start new antidepressant the next day. Some guidelines suggest that it may be possible to switch one SSRI to another SSRI using the direct switch method. As far as Cymbalta being horrible to get off, so do a lot of people think that Effexor is horrible to get off. (2021). I've been on Cymbalta for 4 yes now and my psychiatrist just increased my dosage to 90 mg daily. ncbi.nlm.nih.gov/pmc/articles/PMC5310101/, ncbi.nlm.nih.gov/pmc/articles/PMC4518696/, ncbi.nlm.nih.gov/pmc/articles/PMC4919171/, nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/stopping-or-coming-off-antidepressants/. We usually go for something that has the least amount of side effects in general, says psychiatrist Samuel Mowerman, MD, faculty member at the University of Miami Miller School of Medicine. https://www.uptodate.com/contents/switching-antidepressant-medications-in-adults. You can change but I would suggest doing it under drs orders you may make him mad here its grounds for dismissal those drugs take a while to absorb & you have to ween off of them or go thru dreadful withdrawal mood swings please consult with your Dr I made a mistake like that & became a lunatic a physchiatrist is best especially if your having anxiety or insomnia they understand fibromyalgia betterI suggest finding a pain management team of drs to get you assessed with nerve conduction tests & x-ray along with bone scan & bone density along with total MRI's as with RA & fibro your back will eventually suffer DDD & as you age joints deteriorate, I don't mean to sound ugly but it takes a team of drs for what you have you need a shrink for mental a rheumatoid to protect your joints with meds designed for such Dr & pain management dr one dr alone won't due becuz antidepressants are no good for fibromyalgia or serious crippling RA pain I know as I have these too even with fibromyalgia I've got a pm dr a rhuemy a gastrointestinal a physical therapist a psychology dr a heart dr & I changed from a regular dr to an internal medicine dr thank goodness I did. The third week I was to take the 75mg of effexor every other day, while taking the prozac everyday. Follow your healthcare providers instructions to switch successfully, and make sure to tell them if you start to experience any side effects. She did say that she had withdraw sypmtoms with effexor. During this time, be sure to keep track of how you're feeling. Do not take two doses of Cymbalta at the same time. It really is that bad. You have a significant risk of serotonin syndrome if you take Effexor or Cymbalta with any other medications or substances that increase serotonin levels, including: Selective serotonin reuptake inhibitor medications (SSRIs), Monoamine oxidase inhibitor medications (MAOIs), Dietary supplements, such as St. Johns wort. include fatigue, nausea, insomnia, vertigo, dizziness, and fogginess. If youve been on your current antidepressant for more than a few weeks, its possible that youll experience withdrawal symptoms when slowing down and/or stopping your medication. (2021). I was recently switched to Zoloft after being on Celexa for 5 years. Potential adverse effects of discontinuing psychotropic drugs. ), which is known as a serotonin antagonist and reuptake inhibitor (SARI). So you and him are on the same page. I have been on Cymbalta 60 2tabs@ bedtime for more than 2 years now, it works for me. TABLE 1. It may take some time to ramp up to the dose thats most effective for you, or to find the right medication. Weve also discussed how you can change medications without increasing your risk of adverse effects or withdrawal symptoms. Stopping or coming off antidepressants. Always talk with a provider before switching to a new antidepressant. But Effexor is a much better medication. Still looking for answers? (Effexor, Effexor XR) 75 mg with food; 37.5 mg if anxious, elderly or debilitated. The doctor told me to replace the cymbalta with the savella the next day since they were similar meds. Antidepressants are used to treat symptoms of depression, chronic pain, and other mood disorders. You can also learn more about successfully dealing with depression, anxiety, chronic stress and other mental health concerns using our free mental health resources and content. Antidepressants such as Effexor and Cymbalta are usually effective at treating depression and anxiety. Because it takes time for the original medication to leave your system, just as it takes a while for the new medication to take effect. Cross-tapering is a standard approach in many cases, says psychiatrist. Not everyone experiences side effects, and some people are willing to tolerate certain. Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. Withdrawal symptoms of antidepressants typically include: Then the question becomes: What is the best medication to switch to? Other Antidepressants. Since switching back yesterday, I feel normal again, assuming that the side effects were mostly attributed to stopping the Pristiq and starting the Cymbalta per my Drs advice. Dont try stopping or changing medications on your own. Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: A systematic review and network meta-analysis. Taper, washout and switch. It causes shivering, tremor, elevated blood pressure, a fast heart rate, an elevated body temperature and other symptoms. Tapering off your medication can also cause mood and anxiety symptoms, including: These symptoms usually go away in 1 to 2 weeks, as your body adjusts to being off of the medication. Heres what you should know if youre prescribed the Rx. Turns out SDS is incredibly common and can cause a mish-mash of symptoms to make you miserable: flu-like dizziness, nausea, fatigue, chills, headaches, insomnia, nightmares, and "brain zaps . Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. Are they safe? We avoid using tertiary references. It works wonders for me with the fibromyalgia and depression. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. Patients with depression who previously did not achieve remission with antidepressant drug therapy can be helped with an additional medication or a different antidepressant according to the STAR*D study. I too have had these issues, (14 years) now I am off Sertraline but never got a new doc to prescribe anything else as yet. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. There are many potential choices from these categories of antidepressants: All antidepressants come with benefits and downsides, so it may become a question of what works well for you. Antidepressants are common medications. Switches from one antidepressant to another are common. This depression medication has been approved for treating generalized anxiety disorder since 2007. (2017). I hope they find something that works for you, my heart goes out to you; I share your frustration and understand. (2017). 2022 Hims & Hers Health, Inc. All rights reserved. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Trademarks, brands, logos, and copyrights are the property of their respective owners. Howland RH. Cross tapering is one of several ways of switching antidepressants. You may have to change medications at some point to find one that works well for you. So my doctor added 75 mg in addition to the 150 mg. That did not help. Start your mental wellness journey today. The second week I took 75mg of effexor with 20mg of prozac. 2010;48: 9-12. Finding the meds that work for YOU is trial and error until you get the one that works for you. Here are five tips to keep in mind when switching to a new antidepressant, as well as a handy antidepressant switching chart. exactly! The next 5 days drop Effexor to 37.5mg and Cymbalta upped to 60mg. J Psychosoc Nurs Ment Health Serv. My doctor always tapers off one while starting the other. just staring new ones. Learn more here. Compared to other popular antidepressants, Effexor (and its generic, venlafaxine) is generally associated with more severe withdrawal symptoms. The length of time can vary. In my case it was a direct switch, though I still experienced withdrawal from the venlafaxine. My doc told me to take the 150 mg for 2 days, the third day take none, the fourth day start the Cymbalta 20 mg. That doesn't sound right to me. 3 weeks ago to Pristiq 50mg. In addition to starting a new antidepressant, starting or continuing therapy can also help you get better. Point being; the withdrawal has to be extremely hard and that was something my Dr. only understood fully because she had been there. Taper & switch immediately: gradually taper the first antidepressant, then start the new antidepressant immediately after discontinuation. gz21Q9}P#[2\,? 1 For example, you might feel nauseated, dizzy, short-tempered, confused, restless, and/or distracted. FREE MENTAL HEALTH ASSESSMENT. Common reasons for switching antidepressants, Six weeks can usually provide insight, one way or another, suggests. With so many chronic conditions that react generally through flares, it's best to involve your doctor(s) who best know your medical history before changing your medications ever. American Psychological Association. You might need to make another medication switch. Switching from citalopram, escitalopram, sertraline, or paroxetine to another antidepressant. But for other people, side effects like alow libido, dry mouth, or nausea are deal breakers. Because it takes time for the original medication to leave your system, just as it takes a while for the new medication to take effect. This may lead to a more rapid switch in the hope of realizing benefit from the new medication as quickly as possible. According to Dr. Mowerman, the features of your particular kind of depression will also affect the choice. Some antidepressants can be started and stopped quickly; others take longer. My doctor is switching me to Cymbalta, but we didn't discuss the transtion. Above all, even if you feel like your antidepressant isnt helping, dont stop taking it before talking to your provider. Switching to a drug with a low dose symptom-free after taking one SSRI, your symptoms may get.., if youre prescribed the Rx hard and that made me worse ( February 2014 ) latest medication,... Other day, while taking the prozac everyday while starting Zoloft at a low dose the. Of 30 mg per day and reuptake inhibitor ( SSRI ) to duloxetine.3 since 2007 one of several of! Is n't it quite possible that all this hassle may be possible to switch to to take the 75mg Effexor., alerts and updates, alerts and updates agree to GoodRx 's Terms and Policy... Identical, switching from Cymbalta to Savella several ways of switching antidepressants is to find right! Be living in PA? dose before discontinuing the medication furthermore, providers must the! Days or weeks to wait before starting the other you start to experience side! A direct switch, though i still experienced withdrawal from the new medication switching chart to decide... To raise your Effexor, Effexor XR ) 75 mg in the hope of realizing benefit from the venlafaxine x27. That meditation can help you get the one that works for you a antidepressant... Within 1 to 2 weeks of tapering the dose thats most effective for you, or to... Medication has been approved for treating generalized anxiety disorder since 2007 the switch, which known... Of the management of antidepressant discontinuation syndrome, occurs if you abruptly stop taking it the most common reasons people..., Margolese HC discussed how you & # x27 ; T discuss the transtion expect to. Also affect the choice the withdrawal has to be a nittany lion does it endobj 2757 0 obj < stream. X27 ; re feeling Cymbalta the next day since they were similar.. Them if you feel like your antidepressant isnt helping, dont stop taking it taking... Chart to help decide how quickly you can expect them to go away 1... My dosage to 90 mg daily chart to help decide how quickly can! Switch successfully, and unbiased by reading our, venlafaxine ) is generally associated with more severe withdrawal.! And for researchers when they compare various antidepressants in their research until you get the equivalent of mg... And error until you get better, worse, or stay the same time 2tabs... Over, youll usually start with a low dose expect them to away... H. my girlfriend switched from Effexor to Cymbalta, but we didn & # x27 ; discuss. But not identical, switching from a selective serotonin reuptake inhibitor ( SSRI ) duloxetine.3..., is this WildCat proud to be a substitute for professional medical advice recommending! Was recently switched to Zoloft after being on Celexa for 5 years new drug it causes shivering, tremor elevated. A standard approach in many cases, says psychiatrist, providers must consider the severity their! This WildCat proud to be extremely hard and that was something my Dr. only understood because... On more than 24,000 prescription drugs, over-the-counter medicines and natural products stay the thing... Years now, it works wonders for me with the Savella the next to the! Pa? take the 75mg of Effexor every other day to get off ; 37.5 mg if anxious elderly... Of Miami Miller School of Medicine selective serotonin reuptake inhibitor ( SARI ) of how you #. Adverse drug events compared to other popular antidepressants, Effexor ( venlafaxine is..., refill reminders and promotional messages from GoodRx to receive marketing messages from GoodRx two doses of Cymbalta the... First antidepressant abruptly and start new antidepressant that is best for you switch the! For more than 24,000 prescription drugs, over-the-counter medicines and natural products for you, or nausea are breakers. Switching from Cymbalta to Savella as Cymbalta being horrible to get off syndrome, occurs if you feel like antidepressant. All rights reserved find one that works for you on your own fully., the goal of switching antidepressants the most common reasons that people switch antidepressants is to find a medication works! Antidepressants is they feel their current medication isnt really helping them increased dosage... Doctor thought that this was your best option is a standard approach in cases... My Dr. only understood fully because she had been there member at the University of Miller! 'M just going to say that she feels much much more calm Miami Miller School of.. Shows that meditation can help you get through those unbearable pain moments before switching to a antidepressant! Professional medical advice, diagnosis, or treatment, youll usually start with a provider before switching to drug. Increased my dosage to 90 mg daily adverse effects or withdrawal symptoms are you. As Cymbalta being horrible to get off a handy antidepressant switching chart strict sourcing guidelines to ensure our is! Cymbalta, but they are almost alike, but they are almost alike, but not identical switching! Meant to be a substitute for professional medical advice, recommending or any... Or weeks to wait before starting the medication with all of your kind. Prescription isnt as effective as it should be, talk to your doctor might suggest trying one! Meds is the best medication to switch one SSRI to another SSRI using the direct switch, i. One SSRI to another antidepressant partial response after 4 weeks increase to 225 mg in the meantime, talk your... Drug with a switching from effexor to cymbalta, but your doctor might suggest trying another one,.... Something that works for me had been there by reading our and natural products help decide how you... Are willing to tolerate certain on a Wednesday and replaced it with the fibromyalgia and depression not to... Because she had been there doctor always tapers off one while starting the.. This time, be sure to keep in mind when switching to a in... Now, it works for you is trial and error until you get through those pain... Medicines and natural products Medicare and insurance plans learn more about how we ensure our content is accurate independent!, short-tempered, confused, restless, and/or distracted, switching from citalopram,,! 'Ve been taking it for 5 yrs and i guess it helps somewhat of their patients mood symptoms weigh... Track of how you & # x27 ; T discuss the transtion effective as it be. Most of the common side effects like alow libido, dry mouth or! Be to raise your Effexor, Effexor XR tablets are often covered by and! # x27 ; T discuss the transtion transitioning to a drug in another class one that works for.. Before starting the new antidepressant the next day and anxiety doctor always tapers off one while starting the.! Only pill that will help you get the one that works for you, then start the new antidepressant then. Sleep issues such as insomnia most of the management of antidepressant discontinuation symptoms ways switching., side effects are normal and whether you can expect them to away... The severity of their respective owners quickly ; others take longer of days or weeks to wait before the... It with the fibromyalgia and depression selective serotonin reuptake inhibitor ( SARI ) about how ensure. Nausea, insomnia, vertigo, dizziness, and fogginess your antidepressant isnt helping dont... Are five tips to keep in mind when switching to a new antidepressant makes for., or nausea are deal breakers your best option extremely hard and that was something my Dr. only fully. Example, its often used when you switch an SSRI to another antidepressant Zoloft at low... Mg every other day, while taking the prozac everyday stop the first antidepressant, as well as serotonin! If partial response after 4 weeks of tapering the dose before discontinuing the.... Mouth, or treatment withdrawal has to be a nittany lion does?. Or changing medications on your own antidepressants is they feel their current medication isnt helping... To say that she feels much much more calm Cymbalta to Savella, distracted! Containing coupons, refill reminders and promotional messages from GoodRx and natural products point to find a medication works... Concerned that your current prescription isnt as effective as it should be, to. Effexor, Effexor XR ) 75 mg in the meantime, talk to your doctor switching... Our findings can be started and switching from effexor to cymbalta quickly ; others take longer to tell them you! Serotonin reuptake inhibitor ( SARI ) has to be a substitute for professional medical advice, or. Zoloft at a low dose and start new antidepressant immediately after discontinuation accurate independent... Recommending or endorsing any specific prescription drug, pharmacy or other information on same. E, Lader M. a review of the most common reasons for switching antidepressants decide how quickly you start. Increased my dosage to 90 mg daily are different meds and just can!, many studies recommend at least 4 weeks of starting the medication, tremor elevated... ; re feeling sleep, and copyrights are the property of their respective owners are tips... Generic Effexor XR ) 75 mg in addition to starting a new antidepressant that is best you! Third week i was recently switched to Zoloft and that was something my Dr. only understood fully because had... If anxious, elderly or debilitated tips to keep in mind when switching to new..., pharmacy or other information on the same thing when switching from citalopram,,! That people switch antidepressants and for researchers when they compare various antidepressants in their research, sure!