Well, it's been a cr*ppy week, or so. My akathisia got the better of me this past weekend. For a few days before, I tapered way back on the supplements especially the l-tryptophan as I was using more Valium (see my 8/19/18 post) and thought maybe I had too much serotonin building up and that was ratcheting up the anxiety. Then last Friday's two-hour staff meeting and hour+ meeting after lunch was too much; despite taking 1/2 a Valium and several doses of l-tryptophan, GABA and B6 throughout the afternoon, by the time I got home, I was having a lot of akathisia. I was able to calm down late evening and rest Saturday. Sunday I began an acute episode of akathisia. Around 4 pm, I felt I had better go to Care Now as I was not getting relief from the maximum Valium dosage. Fortunately, the doctor I saw is familiar with Effexor withdrawal. She wrote a prescription for a l-methylfolate supplement as well as a three-day stay at home taking a whole Valium twice a day and resting. Her thinking was that I needed to use a significant amount of Valium to stabilize and then back off. I am also back to taking all my supplements four times a day. All of this seems a pretty serious consequence for taking 25mg of Effexor for hot flashes despite slow tapering and being off the drug for MORE THAN FOUR MONTHS!