Hi.I am on antidepressant nexito 10 from almost 6 years now. I feel side effects like fatigue and my weight has also increased. I want to get rid of this medicine but as soon as I lower the doze like I take 5 mg .I feel terrible withdrawal effects. .Plz help me like how can I get rid of this medicine without feeling any withdrawal symptoms.

Dr. Saul PereiraPsychologist48yrs exp

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First of all do not attempt to self-regulate the medication. Only a psychiatrist, who is not only qualified but also knows the various drug effects on different people to correctly taper the dosage. My concern is that you have not been into counseling along with the medication. Without that kind of support, it is near impossible to come off of the medication. Therapy will help with the knowledge, skills and the development of some coping mechanisms to enable recovery. For weight loss, there are some very good supplementary products that will help, but you need to exercise too. Depression is the only condition that you need to fight against all the tendencies that are peculiar to this disorder. Never give in to the fatigue, wake up early and exercise, especially the aerobic type, stay upright all through the day, meet people, do active things, socialize, and follow a healthy diet full of fiber. 

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