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Posted by Linda on February 06, 2000 at 18:46:11:In Reply to: Provigil and Effexor posted by Rebecca on February 06, 2000 at 16:01:22:
If you're not depressed, and your neurologist agrees with your discontinuing the Effexor, then it seems reasonable to go ahead and stop it (though with most antidepressants you need to taper off them rather than stopping them abruptly--consult your doc about this). I don't know about the increased side effects of Provigil with Effexor, but it doesn't make sense to take a drug you don't need. If you're seeing the psychiatrist because of the anger issue, but he isn't hearing you about which symptoms you do and don't have, you might consider switching psychiatrists. Also, if your anger seems to stem from the family you grew up in, maybe you should think about seeing a psychologist either instead of or in addition to a psychiatrist. I'm a psychologist (who also happens to havea sleep disorder, IH) and in these days of managed care, typically psychiatrists don't do therapy, just prescribe meds--psychologists are usually more helpful for getting to the root of your problem and learning new ways to respond. A licensed psychologist is also qualified to diagnose whether you suffer from depression or not (and it sounds like you have good reason to want a second opinion). Depending on what area of the country you live in, I might even be able to give you some names of competent psychologists. Feel free to email me if you like.
Linda
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