Is Shifting From Sertraline To Effexor Advisable?
A cross titration approach can be used
Detailed Answer:
Hello,
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Since sertraline is causing intolerable side effects and you have history of good response with effexor I feel you can go for effexor. I must admit that effexor is associated with increase in blood pressure so there must be regular monitoring for blood pressure.
Now regarding the schedule you can do cross titration which means decreasing dose of sertraline and increasing dose of effexor.
If you have been my patient I should have approached in this way
First week
Zoloft 150 mg and effexor 75 mg
Second week
Zoloft 100 mg and effexor 150 mg
Third week
Zoloft 50 mg and effexor 225 mg
Fourth week
Effexor 225 mg
Hope I am able to answer your concerns.
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