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DiscussionTips on minimizing withdrawal symptoms from Effexor (aka Venlafaxine)
Depression & Anxiety | Last Active: 4 seconds ago | Replies (6412)Comment receiving replies
Replies to "I can't thank you enough, I was on pristiq for a year, which was absolutely fabulous,....."
The public is led to believe that formulary drugs and genetics are equal. The power of legalspeak and slight of hand is just as powerful in pharma as anywhere else. The other ingredients in genetics are not the same and may or may not act in a neutral fashion for a great number of people.
Drugs are under the jurisdiction of the FDA and this reality makes it clear you have to see which side of the mouth the industry and government is speaking out of. The newest therapy, stem cell (god forbid advocated for mental health) is not regulated by FDA and proponents can say WHATEVER they like. It is truly the Wild West of therapies and lack of proof and control.
My point, when it comes to your health, especially mental health, one must dig deeply and challenge assumptions for proof, not anecdotal proof.
Actually - they are very similar drugs and were developed by the same company. If I am reading correctly, Pristiq's primary active compound (desvenlafaxine) - is what effexor becomes after your liver has metabolized it. So Pristiq may be quicker and easier to metabolize...and perhaps have fewer side effects as you get on it. However, that doesn't mean that your experience with the drugs will be similar. Pristiq is still under patent -- so no generics....hence why your insurance doesn't want to pay for it. You can always file an appeal with the insurer - to win an appeal your doctor would have to show that you tried effexor (step therapy) and it wasn't tolerable but that you tolerated Pristiq and it was effective. It's not a guarantee that it will be covered - but it's your best chance. Cymbalta is quite similar to Effexor - but doesn't have the need to titrate up - could be another drug to suggest to your MD.