@sandij it's a good idea because while we the patients know how venlafaxine effects us, there are lots of things that can interact with it badly. And lying to one's doctor isn't a good course of action - it might be a critical piece of information.

Besides the more of us that insist on a smaller change, the more the evidence base will get closer to better understanding and treatment for people in the future.

Also with enough push back, I would think that at some point, the manufacturers will get the hint and make a wider range of dosages available.