Tips on minimizing withdrawal symptoms from Effexor (aka Venlafaxine)

Posted by richyrich @richyrich, Nov 2, 2016

I have been taking Effexor/Venlafaxine for years and tried to get off it a few times but each time I try to give up the chemical withdrawal symptoms are a horror story and I give up giving up. Anyone got any tips or tried and tested strategies? Thank you

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@njoys
The place in Holland is Cinderella therapeutics. cinderella therapeutics. Thank you for mentioning that option as well as the compounding pharmacy.
Unfortunately, doctors often refuse to write a prescription to a compounding pharmacy for whatever stupid reason, Also, insurance companies don't usually pay for compounded drugs. I go to a sterile compounding pharmacy to get an injection medication and my insurance doesn't pay a dime towards that which is very expensive.
Best of luck to you,
Jake

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Profile picture for sunshinerin @sunshinerin

I’m so grateful to have found this message board. I’ve been reading about others’ experiences and recommendations over the last few weeks. I’ve been fortunate to have an easy time titrating to 37.5mg, and my regular dose was just 75mg ER for about 2.5 years.

I’m now scheduled to take the 37.5 every other day for two weeks, potentially longer if needed. Saturday (two days ago) was my first skip day and I had some dizziness, felt disconnected, trouble focusing, tingling in my face, and pretty severe pain in my muscles and joints. The worst was my hips and legs.

Ibuprofen, naproxen, and Benedryl have been helpful.

Sunday, I took 37.5 but my symptoms were worse than Saturday. Tosay was a skip day, and I feel dizzy, nauseous and achy. And very disconnected. It’s challenging to hold a conversation. And I ended up taking a half day off work due to the symptoms.

I have a new symptom today and I cannot find anything online and it’s freaking me out some. I’m having vision issues where my floor in my house looks like it is swirling. My floor has a light marbling pattern and it is swirling around. Has anyone else experienced this? I got really fearful and started worrying that I was losing touch with reality/ having a psychotic break. I’m laying down now and trying to focus on my breathing but still feeling very panicky.

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I understood alternate days are a very bad idea
Have you considered using liquid for and reducing smaller doses
It is not slow release so necessary to take twice daily

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Profile picture for sunshinerin @sunshinerin

I’m so grateful to have found this message board. I’ve been reading about others’ experiences and recommendations over the last few weeks. I’ve been fortunate to have an easy time titrating to 37.5mg, and my regular dose was just 75mg ER for about 2.5 years.

I’m now scheduled to take the 37.5 every other day for two weeks, potentially longer if needed. Saturday (two days ago) was my first skip day and I had some dizziness, felt disconnected, trouble focusing, tingling in my face, and pretty severe pain in my muscles and joints. The worst was my hips and legs.

Ibuprofen, naproxen, and Benedryl have been helpful.

Sunday, I took 37.5 but my symptoms were worse than Saturday. Tosay was a skip day, and I feel dizzy, nauseous and achy. And very disconnected. It’s challenging to hold a conversation. And I ended up taking a half day off work due to the symptoms.

I have a new symptom today and I cannot find anything online and it’s freaking me out some. I’m having vision issues where my floor in my house looks like it is swirling. My floor has a light marbling pattern and it is swirling around. Has anyone else experienced this? I got really fearful and started worrying that I was losing touch with reality/ having a psychotic break. I’m laying down now and trying to focus on my breathing but still feeling very panicky.

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I found that if I didn’t have skip days but instead took a smaller dose every day.
Example; taking 1/2of the 37 mg dose every day instead of 37 every other day is MUCH better.
I hope this helps. Hugs.

Ps. I just opened the capsule a poured out half. Easy peasy.

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Profile picture for pammiedon @pammiedon

I found that if I didn’t have skip days but instead took a smaller dose every day.
Example; taking 1/2of the 37 mg dose every day instead of 37 every other day is MUCH better.
I hope this helps. Hugs.

Ps. I just opened the capsule a poured out half. Easy peasy.

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Thank you for your encouragement. Unfortunately, I have a 37.5 extended release tablet-- not the capsule. I have a message in to my doctor though and am curious if she could order the capsule for me. How long did you take 1/2 of the 37mg? I am seriously considering just going off of it altogether, but also know this is probably not a good idea. Everything I read says, "don't rush it." Thanks again for your encouragement and input.

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Profile picture for sunshinerin @sunshinerin

Thank you for your encouragement. Unfortunately, I have a 37.5 extended release tablet-- not the capsule. I have a message in to my doctor though and am curious if she could order the capsule for me. How long did you take 1/2 of the 37mg? I am seriously considering just going off of it altogether, but also know this is probably not a good idea. Everything I read says, "don't rush it." Thanks again for your encouragement and input.

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You could go off of it but…you could possibly have a very sick day.
I am actually down to pouring out a few dippy dots from the capsule onto the tip of my finger. Getting off of this is hell.

I have tried several times to be “done” but I end up with the feeling of my eyes not being connected to my brain, so delayed visual tracking and thus, a sick stomach.
It is gross. I am particularly sensitive to titration from antidepressants.
The best of luck to you.
It won’t hurt to try just going off of it, you may be just fine as most people are. You can always take one later than normal if you feel too crummy.
P.s. you can break your pill in half. I do that all the time as well. If you need you can use a pill cutter or use a kitchen knife to snap it.

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@sunshinerin
Just to let you know a potential danger of stopping all at once.
When lady had a stroke when she stopped cold turkey, although she was on a larger dose and seizures are another possible withdrawal effect.
Best of luck with your taper,
Jake

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I'm doing decently coming off venlafaxine after many years. Here's my biggest problem: I fall asleep okay but wake up literally dripping in vinegary sweat. If I wake up slightly while turning over I can feel it dripping. It's gross and the absolute worst part. I can deal with the minor nausea and brain zaps. Does anyone have any solutions for the sleep sweating? Please? Cause at this point I'm thinking of wrapping my bed in plastic LOL

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Profile picture for njoys @njoys

According to my extensive reading on the topic, alternating days is not recommended. Dr. Mark Horowitz explains why in his new book, The Maudsley Deprescribing Guidelines. I don't have my copy handy, or I would copy the text which warns against skipping doses, but this might help for now: https://learn.outro.com/c/preparing-to-taper/tapering-when-and-how-to-stop

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This is the liquid form
Of Venlafaxine which allows you to lower does by small amounts

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I am currently tapering off a combination of Bupropion 150 MG and Venlafaxine 75 MG, which I have been taking for about five years. Before that, I tried several other medications, including Lexapro and Zoloft. I haven’t gone cold turkey, but I am navigating this process without a doctor’s supervision. Getting off Bupropion wasn’t too difficult, but discontinuing Venlafaxine, as many have warned, is proving to be much more challenging. I’ve reduced my doses, and now in my third week, I’m experiencing disruptions like brain zaps, lethargy, and anger.

The reason I’m undertaking this journey is personal. I believe some people genuinely need medications, but I also think they can sometimes serve as a crutch, with doctors readily prescribing them. We’ve become a society that alleviates our problems with drugs rather than confronting them directly.

That’s why I’m making this change; I want to regain control of my life. We all face difficulties—some more than others—and I’ve endured the loss of ten close individuals over the past fifteen years, alongside various financial and relationship challenges. I refuse to depend on medication for the rest of my life.

I look forward to emerging from this experience healthier and more in control. I’ve learned a lot from the posts I’ve read and truly appreciate the struggles each person is going through or has overcome. Every journey is unique, and there is no one-size-fits-all solution. Ultimately, it comes down to what is best for you.

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