@Sabrina Sounds like cause = effect to me. I'm not sure why the pharmacy is driving your taper instead of you--you're the one feeling the effects! When a taper is too fast (and withdrawal symptoms showing up is definitely a sign), the recommendation is to go back to the dose where you were feeling fine and stay there for a while (weeks, months, whatever) before attempting to taper again to not so quite a reduced dose. Slower is better and more likely to lead to successful cessation of Effexor.