Right. This is a REALLY boring post, apologies!
I was diagnosed with Fibro in early December. Because I have been on 75mg Venlafaxine for donkeys years I was just given 20mg Duloxetine. 2 weeks ago I had the V reduced to 37.5mg. Yesterday I stopped the V completely and started on 40mg D. My head feels like its in a vice already & I'm awaiting the Trainspotting strength withdrawal symptoms any time 😩. Heyho.
My question is, if I was on 75mg Venlafaxine, shouldn't I be on a similar dose of Duloxetine? What do most people take? Am I being thick? Or has the fog in my brain solidified?
not sure on comparative doses for these but meds in the same family will be different. For example a pregabalin dose is
approximately one-sixth that of the gabapentin dose for the same therapeutic effect.
Is there a website with that kind of info or is that from the docs?
if you search on my comment on gabapentin you should find it but this sort of approach is less well studied and a learned approach that is then documented with small trials.
there are some sites on the swapping of various antidepressants with intra "family" and inter "family". Yours is intra as they are both snris. Some suggest stopping, doing a washout and then starting the new one and others say direct swap but your gp is taking the gradual swap. one comment did say that some will start the new med on a slightly lower dose and then increase while reducing the original.
While I sourced this info from good sources there is not something I found that would have been an easy link to hand over with info all in one place. but I think its just best to trust the gp as what your doing is what others have done.