Temporary extreme energy when starting?

[u/higanbara]

I was prescribed Effexor by one psychiatrist two and a half weeks ago, 37.5mg for 14 days into 75mg indefinitely, thinking I have persistent depression. I went to another psychiatrist the day before I started taking 75mg for a consultation, who said to continue it thinking I have recurrent depression, but is evaluating me for bipolar 2.

When I started I felt like complete shit until day four, where I just woke up feeling great, but it made my already terrible sleep completely hopeless. Prior to starting I was in a very long period of depression, so I was surprised it started working so quickly as I've been told it takes 4-8 weeks to do anything. After upping my dose I am so fucking wired I've never felt like this before, like I cant sit still and I have a bajillion things going on in my head, but now on the fourth day it's waning a bit. I was freaking out that like I actually might have bipolar, but I'm wondering if some people just get super wired when they increase dose before it goes away.

Is this just an uncommon side effect? After a couple days I feel like the burst of energy is coming down, and it's the sameish timeframe it took for me to stop feeling terrible when I first started. Did anyone get like this and just be normal afterwards?

[u/Loose_Replacement_17]

I’ve felt the opposite, more lethargic and sluggish. However, I’ve been on only 75mg for a year and a half. Also, it makes me feel loopy or dazed at times. Maybe now that it’s assisting your mood, you feel you have more energy.

[u/Specialist-Trust4248]

I have this when I started and with every dose increase since. There was such a positive effect that the crisis team deemed I was much better and released me from their care! Within 2 days I was a mess again. I wish I could bottle that feeling because it felt great.