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I skipped the 2nd dose

Other classes of medication the doctor may try if you experienced side effects or inadequate control of your depression include: Serotonin Norepinephrine Reuptake Inhibitors (SNRIs) such as Effexor (venlafaxine) Tricyclic Antidepressants (TCAs) such as Elavil (amitriptyline) Aminoketone Antidepressants such as Wellbutrin (bupropion) Several studies show that people who see a therapist while discontinuing their antidepressant are less likely to have a depression relapse

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I also gave up coffee, as caffeine/coffee is tied to excess menstrual bleeding and shorter cycles and this seemed to help, but sometimes I would get my period early right after drinking coffee, and sometimes my period would still come super early, even when I didnt have any coffee