I can't seem to find a Dr that knows how to taper me off. I was taking 300mg and my Dr dropped me to 275, and then 175. I have a chemical imbalance and have been on an emotional rollercoaster. I've been on 175 for 3 months now and have terrible brain zaps, crying a lot, nausea, migraines, body pain, nightmares, severe depression and anxiety. I'm not sure what to do next. My prescription came in wrong once and I was a week without meds and ended up in emergency room in such severe withdrawals that I had massive migraine, talking strangely in a very confused state, brain zaps, crying uncontrollably, severe nausea to point of feeling I would pass out. They had no idea what to do for me and said they didn't think Effexor withdrawal could cause such symptoms...lol. No matter that even Google says its worse than heroin withdrawal! I'm not in a good place at all and need to finish tapering off so I can be put on other meds for chemical imbalance and depression.