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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Headaches, Dry Mouth, Vision Issues, Abdominal Pain. Suffering From PTSD And Depression. Help?

Hi, I am a disabled Veteren suffering from PTSD, deppresion, anixiety, pain. Amoung other druge for these conditions one was Effexor, I was put on a dose that totaled 450mg s daily. I stayed on this dose for approx. 8years. In 2009 the V.A. changed the med. to a regular dose, before 2009 I was taking three time relese capsules, 150 mg s each. After 2009 I was instruted to take 6 (six) 75mg tablets. I immediatly started suffering a very loud ringing and pounding in my head followed by severe headaches . After complaing th my Dr. he instructed me to continue with this dose and as soon as my body adjust s tyhe stmtoms should subside. They never did, now I have been assigned a new Primary Care Dr. and they informed me that I had been taking TWICE the maximum dose per day. They immediatly told me to cu tmy dose in half, which I did. It s been 5 (five) days now on the lower dose and my body is going crazy. I tremble, my whole body is sore, to a point it hurts when my skin is touched. Severe headaches, absolutly no energy, dry mouth, vision problems, pains, severe in the stomache and on both sides. I have contacted the V.A. to inform them of these conditions and have not heard back yet. AM I IN DANGER ????? PLEASE help me. Thank You I see where there is a part where I have to supply payment, so I guess you won t be able to help me my funds have been mgreatly reduced because I had to purchase out of pocket for some supplements to help. Thanks anyway.
Wed, 7 Aug 2013
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General & Family Physician 's  Response
Hi, you was using 3 of 150 mg each capsules a day. now you are taking 6 of 75 mg of plain capsules .
Time release capsules are released slowly, during the prolonged period, but the other type released immediately, and stop working in a short time, till you take the other dose you will be with out drug. If you make the dose to half you will be with out drug for longer time and the drug available after taking the drug also less.
That is why you have all this confusion. Actually 150 mg controlled release 3 capsules is probably the correct dose for you. Thank you.
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Have Headaches, Dry Mouth, Vision Issues, Abdominal Pain. Suffering From PTSD And Depression. Help?

Hi, you was using 3 of 150 mg each capsules a day. now you are taking 6 of 75 mg of plain capsules . Time release capsules are released slowly, during the prolonged period, but the other type released immediately, and stop working in a short time, till you take the other dose you will be with out drug. If you make the dose to half you will be with out drug for longer time and the drug available after taking the drug also less. That is why you have all this confusion. Actually 150 mg controlled release 3 capsules is probably the correct dose for you. Thank you.