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Home » The Drug Holiday

The Drug Holiday

June 1, 2003
From The Carlat Psychiatry Report
Issue Links: Editorial Information | PDF of Issue
Alicia Powell, M.D., is a psychiatrist in private practice in Jamaica Plain, Mass. Like many psychiatrists, she deals with sexual side effects of antidepressants on a daily basis.

“Most of the time the way I approach sexual side effects is to recommend a modified ‘Prozac holiday’. I fine-tune and tailor the procedure for each patient, depending on their schedule and which drug they are taking. For long half-life drugs like Prozac, I feel comfortable having patients stop it completely for two days and then resume it. For shorter half-life agents, like Celexa, Paxil CR or Effexor XR, I’ll more frequently have patients cut the dose in half for a day or two. But even with Effexor XR, which can cause severe discontinuation symptoms, I’ve had patients discontinue it completely for a day, or for a day and a half, and tolerate it fine and report a much improved sexual life.”
General Psychiatry
www.thecarlatreport.com
Issue Date: June 1, 2003
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Table Of Contents
The MAOI-Cheese Interaction
The Drug Holiday
Dr. Ronald Pies shares his wisdom
When Side Effects Help: Getting Creative
Side Effects Management: A Primer
Sexual Side Effects: Solutions
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