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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@mjsmimi
I agree with @renwald. In my opinion and from my experience, surrounding yourself with supportive, caring and positive people is essential for tapering off this drug. Heck, it’s essential for a happy, fulfilling life!

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@careth2

Hi there! I am new to Connect, but hopefully can offer some insight. I DID go off 150 Effexor XR (name brand) COLD TURKEY on January 2016. I survived it, but will never in my life EVER go off ANY antidepressant cold turkey. I had taken Effexor for at least 8 years, Zoloft prior to that and and Imipramine (sp?) as the first antidepressant (in all 25+ years on antidepressants.) It all started with running out of meds over a long weekend and deciding it was time to try to get off antidepressants to see how I would do. Since I had recently retired from teaching, thought this would be an ideal time to give it a go. In addition, Effexor just wasn't helping all that much anymore (I thought.) The first 3 days I felt like I was going to die! When I realized that I wasn't dying, decided to keep going to get it all over with. In addition to the symptoms you have heard about, I had deep bone/joint pain that felt like I was being pinched with clamps. Also had skin sensations and peeling, and noticed a strange smell on my skin. Each day got a little better and by the 3rd week started to function a bit more normally. I was very emotional, however, which caused my family great concern. Well, to make a long story short, the depression crept back in full and I am still trying to get my life back. I did everything I could to stay stable, including herbal supplements and took a vacation where I hiked 6 miles daily for 9 days on hilly, rocky terrain. I finally had to accept that I'm a person who will need antidepressants for the rest of my life. With the help of a PCP and counselor, I am on my 3rd antidepressant & may need to resort to going back on Effexor, because nothing seems to be working. All in all, in my opinion, the chronic depression is worse than the withdrawal symptoms that do eventually end. If you are a person with situational depression, you may be successful weaning off Effexor gradually. If I were to do it again, that's what I would do (while replacing Effexor with something else.) Here are the things that helped me with the physical withdrawal symptoms:
1. Get plenty of sleep/rest.
2. Eat a very well-balanced diet (this is not the time to worry about your weight.) Lots of soup & easy to digest foods the 1st few days.
3. Drink plenty of water, including coconut water.
4. Have a glass of wine in the evening (if advisable.)
5. Get outside and walk or other excersize (the warm sunshine will feel good!)
6. Hot yoga 3-4 times per week. Stay in class even if you feel nauseous & can only do a few postures.
7. Soak in a hot tub (with bath salts if available.)
8. Use a good moisturizer on face & body several times per day.
9. Get several professional massages.
10. Take Tylenol for muscle pain, if OK on your stomach.
11. A heating pad is also helpful at bedtime or during naps.
12. If you are single & live alone, make sure a few trusted friends/family members know what you are doing.
13. In general, be kind & gentle to yourself.
14. NEVER give up! Keep going, even when you don't feel like it (which will be often.) YOU ARE WORTH IT!!!

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I can't thank you enough, I was on pristiq for a year, which was absolutely fabulous,.. Until my work insurance wouldn't cover it, and my Physician told me they will probably cover Effexor xl, he said it basically the same thing (um no),.. Although it has "venaflaxin" in its name.... Not the same drug at all,.. I've Been on the Effexor xl for about two months now, and I do not feel good at all, very tired, I don't sleep, my "drive" for life is gone,.. I feel (for me) this is a terrible drug,.. Now I just want to get off of it as soon as possible,.. Maybe even "cold turkey", as I'm only on 75mg,..amd for only two months,.. I was wondering what you think?, (yes I did read what you had written, which is/was very helpful),.. But I'm still unsure, lol... If that makes sense,... I also wanted to state to you,. I'm assuming your situation may be better than mine,.. But you really should inquire a out the "PRISTIQ",. I can say in all honesty, that, it is very well received, by myself, and an acociate of mine, nothing but good things about it,. And what I've read as well,.. Take care, hope all is well 🙂

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@parus

The more comments I read the more thankful I am to no longer be on this medication.

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Me too!!! I did it fast and furious... so happy .😇

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@coolbreeze301

Day 14 here and still feel terrible. Brain zaps come and go,more tolerable than before, upset stomach is getting old. Does this ever end??

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Yes !! It will take about another week, but it will end ... 6 weeks off now and feeling great .... good luck 👍🏻

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@cherylannm

Yes !! It will take about another week, but it will end ... 6 weeks off now and feeling great .... good luck 👍🏻

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Thank you very much for your reply, your awesome 😁, glad you're doing well! 🤗

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@hopeful33250

Hello @linxy

Welcome to Mayo Connect! I'm so happy that you found this online patient support group. I especially appreciate your sharing your story about your withdrawal from this med. Mayo Connect is a place where we all learn from each other and your experience of withdrawal from Venlafaxine/Effexor is a good one to share! I'm so glad to hear that you found a doctor who could work with you so effectively and could provide other meds to help you through the withdrawal process. Please share with us, if you are comfortable doing so, what you mean by "brain zaps"?

Teresa

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I’ve read the stories of Effexor withdrawal in this thread with interest. I’m on day 5 now after discontinuing Effexor after 8 years of 75 mg. I went to 37.5 for about a month and now to zero. All I’ve noticed so far is a bit of tingling from time to time and a few strange dreams. However, I’d say it’s been less troublesome than a common cold. It looks to me like Effexor affects people very differently - as I suppose is true of most medication. Anyways, I thought I’d add my experience to the discussion in case it is helpful for some to know that horrible withdrawal symptoms is not the case every time.

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Thank you for posting this. I just had coffee with a friend who went off Effexor cold turkey a few years ago and experienced only minor tingling and zaps. I don't know what her dosage was or how long she'd been on it, but our discussion confirmed for both of us that people can/do have very different experiences in coming off this drug. I agree -- not every Effexor/venlafaxine withdrawal is a nightmare.

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@markus1

I can't thank you enough, I was on pristiq for a year, which was absolutely fabulous,.. Until my work insurance wouldn't cover it, and my Physician told me they will probably cover Effexor xl, he said it basically the same thing (um no),.. Although it has "venaflaxin" in its name.... Not the same drug at all,.. I've Been on the Effexor xl for about two months now, and I do not feel good at all, very tired, I don't sleep, my "drive" for life is gone,.. I feel (for me) this is a terrible drug,.. Now I just want to get off of it as soon as possible,.. Maybe even "cold turkey", as I'm only on 75mg,..amd for only two months,.. I was wondering what you think?, (yes I did read what you had written, which is/was very helpful),.. But I'm still unsure, lol... If that makes sense,... I also wanted to state to you,. I'm assuming your situation may be better than mine,.. But you really should inquire a out the "PRISTIQ",. I can say in all honesty, that, it is very well received, by myself, and an acociate of mine, nothing but good things about it,. And what I've read as well,.. Take care, hope all is well 🙂

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Actually - they are very similar drugs and were developed by the same company. If I am reading correctly, Pristiq's primary active compound (desvenlafaxine) - is what effexor becomes after your liver has metabolized it. So Pristiq may be quicker and easier to metabolize...and perhaps have fewer side effects as you get on it. However, that doesn't mean that your experience with the drugs will be similar. Pristiq is still under patent -- so no generics....hence why your insurance doesn't want to pay for it. You can always file an appeal with the insurer - to win an appeal your doctor would have to show that you tried effexor (step therapy) and it wasn't tolerable but that you tolerated Pristiq and it was effective. It's not a guarantee that it will be covered - but it's your best chance. Cymbalta is quite similar to Effexor - but doesn't have the need to titrate up - could be another drug to suggest to your MD.

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@neros

I’ve read the stories of Effexor withdrawal in this thread with interest. I’m on day 5 now after discontinuing Effexor after 8 years of 75 mg. I went to 37.5 for about a month and now to zero. All I’ve noticed so far is a bit of tingling from time to time and a few strange dreams. However, I’d say it’s been less troublesome than a common cold. It looks to me like Effexor affects people very differently - as I suppose is true of most medication. Anyways, I thought I’d add my experience to the discussion in case it is helpful for some to know that horrible withdrawal symptoms is not the case every time.

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Your symptoms were generally consistent with mine -- with the exception that I had a couple of weeks of hot flashes and irritability...but I've been completely off almost 3 weeks (and on a very low dose of lexapro - 5mg - for one week). It was awful at times - but it passed relatively quickly.

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@neros
@kbmayo
@youngsally
I am so glad that your withdrawals were not that bad, or at least tolerable. Harvard physician Joseph Glenmullen, MD, writes, “78 percent stopping Effexor (venlafaxine) have withdrawal reactions ....” A survey by the manufacturer of Effexor shows that at least 35% of patients experience antidepressant withdrawal symptoms when they stop taking Effexor. (Note: Adverse reactions can be minimized by tapering off the drug. Stopping cold turkey can be very dangerous--to the point of life-threatening.)

Unfortunately, you can't tell before you start the quitting process if you're going to be one of the lucky ones to not be too bothered by withdrawal. I tapered off very slowly from only 25mg. I was fine for 6.5 weeks afterwards. Then, I started having all the withdrawal symptoms including akathisia; I think it took that long for my body to find and use up all the Effexor stored in my adipose tissues (fat). It is now six months after my last minimal dose of Effexor and I still have issues. If I had known that I'd be in for such a long haul towards recovery, I'd have stayed on Effexor even though my hot flashes were well passed. I told my doctor, "My husband and I have been married 38 years. In sickness and in health. In money, or without. But, I am not too sure about through Effexor withdrawal."

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