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Tips on minimizing withdrawal symptoms from Effexor (aka Venlafaxine)
Depression & Anxiety | Last Active: 4 days ago | Replies (6363)Comment receiving replies
First time post. Have been on Effexor DR for 4 years. I have been thinking of findings a new doc (changed insurances) because of how ill I feel if I forget a dose: brain zaps, nausea. Now I have been diagnosed with glaucoma and it is very likely the Effexor. Laser surgery Thursday due to dangerous pressure in rt eye. I had noticed the warning about blood pressure but just hoped it would be ok since my no is always great. My eye pressures had been in the 20's for decades but now in the 30's. Read all the fine print. I'll be following ideas about tapering as well as talking to doc. I expect it to be difficult to get off of. Thanks.
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@sharonlou
Sorry to hear about your eye issues. I hope when you are off Effexor that your vision improves as mine did. I had my last dose on 4/14/18 and in early June, had my eyes examined so I could order more contacts. I couldn't figure out why I couldn't see with my new contacts (same prescription for years). Had another eye exam--in the two weeks between the first eye exam and getting my new contacts, my left eye improved by half a diopter!
@sharonlou
So sorry to hear about the issues you are having with your eyes.
I am in the process of reducing Effexor.
I've shared this many times, but I know how difficult it is to go back and read all past stories.
So here is my journey.
I am 64 yo. I've been on Effexor for more years than I can remember. I am guessing way over 10.
After 1 year of being on the Effexor, my PCP suggested that since I was doing so well, I should start to reduce and come off of it. I don't remember the dosage I was taking, at the time. I remember I was taking 2 pills (one in the am and one in the pm). She told me to reduce down to 1 pill for a week or so, and then the next. I got as far as reducing 1 pill when the anxiety kicked in to full mode. Worse than before.
I will not bore you with what went on between then and now. All I will say is that the drug has done well by me (as far as anxiety attacks), but I noticed severe memory issues and the feeling of my head always in a cloud and heavy. So, my goal right now is to reduce to a level where I feel is good.
When I began my reduction, I was taking 300 mg a day (2-75 mg in the AM and PM). I went into this expecting it will a VERY long time to get to where I want to be. I also acknowledged that it will be ME who will determine when I am ready to reduce. I will read my own body!
Each change, so far, has taken 3 weeks (by choice). If I thought I was having (or will have ) a reaction, that time frame woul change.
1st 3 weeks: I reduced 1/4 of 1 of my PM pills EVERY OTHER DAY. AM pills not changed
PATTERN: 1-3/4 PILLS, 2 WHOLE PILLS, 1-3/4 PILLS, 2 WHOLE PILLS, ETC.
2nd 3 weeks: I took the reduced dosage of my PM pills EVERY DAY. AM pills not changed.
PATTERN: 1-3/4 PILLS, 1-3/4 PILLS....THE SAME EACH DAY
3rd 3 weeks: I reduced another 1/4 of 1 of my PM pills EVERY OTHER DAY. AM pills not changed.
PATTERN: 1-1/2 PILLS, 1-3/4 PILLS, 1-1/2 PILLS, 1-3/4 PILLS, ETC.
4th 3 weeks: I took the reduced doage of my PM pills EVERY DAY. AM pills not changed
PATTERN: 1-1/2 PILLS, 1-1/2 PILLS,.....THE SAME EACH DAY.
5th 3 weeks: I reduced another 1/2 of 1 of my PM pills EVERY OTHER DAY. AM pills not changed
I am on the last couple of days of this pattern.
PATTERN: 1 -1/4 PILLS, 1-1/2 PILLS, 1-1/4 PILLS, 1-1/2 PILLS., ETC.
6th 3 weeks: In a couple of days I will take the reduced doage of my PM pills EVERY DAY. AM pills not changed.
PATTERN: 1-1/4 PILLS, 1-1/4 PILLS, 1-1/4 PILLS, ETC. **If I develop any issues, I will remain on this dosage.
I THINK YOU CAN SEE THE PATTERN I AM USING. SO FAR, ONLY MY SLEEP HAS BEEN IMPACTED, AND I AM NOT 100% SURE IT IS FROM THE REDUCTION. ON THE UPSIDE, I DON'T FEEL LIKE MY HEAD IS IN THE FOG AND MY MEMORY SEEMS TO BE GETTING BETTER!
Hope this helps and does not confuse you or anyone else even more.
Good luck!
Ronnie (GRANDMAr)
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@sharonlou
Shouldn’t be hard to get off of it. Trick is to go SLOWLY. The post from @yudy should be reason enough for going slow. Unfortunately most doctors seem to believe slow are 50% cuts.
Researchers are coming to the conclusion a 5-10% decrease, PER DOSE is highly successful. A lot of this information comes from the people who have tried various titrations and most are finding this the most effective. It is very important however that the 5-10% is based on each titration dose and not a particular percentage per 2 weeks or month. The problem with 5-10% per month is that although in the beginning your dose decrease is indeed 5-10%, but the farther into your titration you get those percentages start to jump all over the place, some decreases are 33% some lower some as high as 50% even though you I The problem being the titrations are not consistent. Admittedly it’s going to take more time but the chance of withdrawal is almost non existent. There is a member here who is decreasing their dose by less than one half of 1 percent each month. Even at that rate, they are having symptoms.
I wish you the best, you can do it,
Jake