Effexor is available in 25 and 50 mg tablets, and in 37.5 and 75 mg capsules. As you have discovered, taking the drug every other day does not work. If you are trying to decrease the dosage in order to successfully discontinue the medication, then what is recommended (according to my online research) is lowering the dosage no more than 5-10% at a time, and remaining at that dose until you feel "normal." Once you've been stable for a month or two or however long it takes at that dose, then the next step is to decrease another 5-10%, etc, etc, etc. Because the pharmaceutical companies do not make Effexor available to us here in the US in decreasing doses, one has to manage this oneself or seek the aid of a compounding pharmacy to do it for you. To do it yourself, you shave a bit off a tablet or remove beads from a capsule. It is not an easy process, and shame on pharmaceutical companies for creating a dependency on a drug with no easy way to discontinue it. Withdrawal is hell. It is tragic to see how many of us are suffering from side effects and withdrawal effects of Effexor.