I am a 69 year old male who had a full rotater cuff repair surgery in Jan. this year. At the time I was on tramadol 300 mg once a day for chronic foot pain and effexer 75 mg once a day. I was given hydrocodeine for the pain. I had trouble getting any sleep and lost 25 lbs. I was then diagnosed with serotonin overload on feb. 14 and removed from all the above meds and placed on cyproheptadine 4 mg. twice a day along with Lorazepam 1 mg twice a day. Within a week I improved greatly but then became depressed and weepy. I was put back on effexer 37.5 Mg once a day this past Tuesday and haven t been able to sleep more than a couple hours a night since. My regular doctor is out of town until the 28th. Should I try stopping the effexer and going back on the cyproheptadine?