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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@zainahelizabeth

I’ve had a horrendous skin problem where my entire body, including the insides of my ear canals, was covered with a thick exudate.

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How unfortunate
Thankfully mine is nothing like that
Thank you

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@looplu79

How unfortunate
Thankfully mine is nothing like that
Thank you

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I'm already trying to get off of Venlafaxine, it really only subsides the anxiety minimally, I am only on 37.5 and have only been on it since March of last year. I've tried to go up to 75mg a few times, each time trying, my symptoms just got worse. So, I'm just going to smoking Marijuana, which actually helps me tremendously. I have my Medical card and there are about 7 different types that are great for anxiety and depressed, so much better than tsken pills. In my opinion.

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Hi richyrich,
I completely sympathize with you! Withdrawal symptoms are horrendous - the brain shivers, anxiety and all the rest. I too was on Effexor XL for years. Every single time I asked doctors to reevaluate my dosage -or if I still needed the drug or not - all they did was up the dosage! I found a forum by folks in the same boat. We have to take getting off Effexor ourselves. I'll try and find that forum, but it was about 12 years ago.
I got a pill sorting kit and a supply of empty capsules. The good thing is that the Effexor capsules contain tiny beads. If I remember correctly I counted the beads in a single capsule first. Every two weeks I reduced the amount by about 10% which I then put into an empty capsule. It took me about five months to be totally off Effexor. It is key that you reduce the amount of the drug in your new capsules VERY gradually. The emotional feelings, brain shivers, and anxiety WILL go away in time without the horrendous withdrawal symptoms. My heart goes out to you. Good luck!

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@njoys

Withdrawal caused horrific anxiety, once it struck. The first time it happened, I didn't realize that it was withdrawal because my mother had died and my husband was being tested for a serious condition (which turned out not to be). I was in such a state that I called my doctor and asked for a prescription renewal because I couldn't cope (though I was put on Effexor for hot flashes). Of course, withdrawal symptoms ended and I had sought grief counseling, so that was that. Then, a few years later, I decided to get off Effexor again. I did the same thing--decreased my dosage from 75 mg to nothing over a period of months. Was fine for about two months, then BAM. Literally. Woke up in a panic that was hell for days--nightmares, if I could sleep at all, not wanting to get out of bed, too terrified to leave the house, wanting to cry, shaky, unable to eat. After some time, it struck me that I had felt this way before: after my first effort to end Effexor. When my doctor was no help, I turned to online research and found this post, as well as other valuable online resources, mostly from other patients! including Mark Horowitz's story. The evidence continues to pile up that this is a major issue for individuals who were prescribed an antidepressant without an end date, and without being warned about possible dependency and the difficulty of stopping the drug. See the December edition of Outro dot com's newsletter, Outro Health, which includes this link: https://www.theguardian.com/australia-news/series/coming-off-antidepressants.
In the meantime, I had to learn to deal with my anxiety--mostly through physical movement of any kind (because sitting and dwelling on it was detrimental), as well as strenuous exercise and deep breathing. Talking about it also helped. Withdrawal symptoms went away when I resumed Effexor up to 50mg immediate release tablets.
Now, more than a year after my second extreme withdrawal episode, I have started my third and final discontinuation of Effexor. I am optimistic because I have an independent pharmacist who is happy to help, and my doctor is willing to prescribe whatever it is I need to end my dependency on this drug. My pharmacist provided an equivalent liquid solution which I can easily decrease by 10% per month. (He used the guidance provided in The Maudsley Deprescribing Guidelines.) That is my plan, and if I need to adjust it, I can. I can even count beads in my leftover capsules and decrease them by 10% if that's what it takes. I know it will take time for my brain to adjust to a reduced amount of this drug, but I am ready to do whatever it takes.

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Njoys, Hi. I was on VEN / Effexor from April 2017. Unbearable side effects = I got nearly all, + the drug was of no use, led me to titrate off. Finishing, end Oct 2022, after DR & Pharmacist oversight of my hyper slow titration regime. BUT, I still get continuos terrible legacy ALLERGIC side effects from VENLAFAXINE. I was only on 75mg. Principally , extreme fatigue all day. 10 hrs in bed. Swollen lips,
Poor short term memory, Brain fog. I have contacted ALL UK Professors involved in this field, incl Royal Coll of Psych UK past President. No reply from Dr Horowitz UK. No help forthcoming. After years of Internet dialogue & research, it appears I am amongst a rare group who react violently to ANY Anti-depressant. Before VEN/EFFEXOR, i was given Mirtazapine, Risperidone & Quietipine . Only 2x pills of each ,gave me Psychosis & eye sight loss. I was Hospitalised @ one point as a result of these reactions. It appears in the rarest of cases like mine, it takes YEARS, after titration, for these legacy allergic affects to stop. AND , these effects go away & come BACK ! I can attest to this , (e.g. bleeding blood spots on head, tight breathing chest,). I have seen (Horowitz) mention 4 years as an average , for these legacy effects to subside in extreme cases. It is clear ,(reading yesterday ), Medical science are still in the dark about the long term adverse effects of these "new gen" Anti-depressants. Has anyone had such experiences as me? & what was / is the prognosis? Thanks

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I'm currently on my last stages of reducing Venlafaxine. I've been on it for approximately 3/4 years with a maximum dose of 225mg. In 8 months, with the help of my doctor, I've reduced to 37.5mg every other day. The next step is 37.5 every two days. Everything is going well apart from the nausea (which they gave me antisickness tablets for) and the brain fog. No matter what I try, I can't get past the brain fog. I hydrate, eat well, reduced caffeine, INCREASED caffeine, sleep well, I just cannot get past it.
Any tips would be appreciated. It's my biggest downfall. I can deal with the brain zaps, but the brain fog is the worst. I just feel like I can't think of see clearly.

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@nclaireb

I'm currently on my last stages of reducing Venlafaxine. I've been on it for approximately 3/4 years with a maximum dose of 225mg. In 8 months, with the help of my doctor, I've reduced to 37.5mg every other day. The next step is 37.5 every two days. Everything is going well apart from the nausea (which they gave me antisickness tablets for) and the brain fog. No matter what I try, I can't get past the brain fog. I hydrate, eat well, reduced caffeine, INCREASED caffeine, sleep well, I just cannot get past it.
Any tips would be appreciated. It's my biggest downfall. I can deal with the brain zaps, but the brain fog is the worst. I just feel like I can't think of see clearly.

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Hi NClaireB, (My sister is named Claire). Thanks for this post , this is the very problem I still get. I am too looking for Patient feedback, as to how long this Brain Fog symptom last. I was only on 75mg Ven for 18 months , but, it took 3 years to titrate off, as I was hyper sensitive to the drug. I suffered from nearly all listed side effects. After 2 years, I still get Brian Fog. Pre VEN , I had a photographic memory & have a very high IQ. BUT, Ven severely affected this. There is some *improvement of late of the Fog lifting. (*in the last 3 months). It is very bad ist thing in morning. It seems these VEN "legacy" side effects can last for a long time after titration off, from what I have read. Walking & exercise is said to help. I did try to ask Dr's if the length of time you are on the drug , directly corrolates in turn, to how long it will take for your body (& mind) to be clear of it's adverse effects. Note that - All the Dr stated "rules" of VEN "half life" are not at all realistic , in terms of the severe & long term legacy / post titration symptoms some patients experience. I have investigated this phenomenon for over 3 years , speaking to Neuropharmacologist Professors. Hope we can get some feedback. Regards.

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I began taking venlafaxine 10 years ago for health anxiety. Twice, I tried tapering off before I knew anything about ADS (anti-depressant discontinuance syndrome.) Neither did either doc who guided my taper-way too quickly. I gave up and continued the med. I’m starting to taper off again from 75 mg, taken at dinner time. I’ve reduced my dose from 75 mg. to 62.5 mg. taking a 37.5 mg capsule (extended release) and a 25 mg tablet (immediate release) together at dinner. Because of the shorter-half life, I’m wondering if it would be better taking the tablet at bedtime or the following morning to reduce the withdrawal effects I’ve begun having. Also, my taper plan is to go from 62.5 to 50 (25 mg twice a day) to 37.5 capsule onecd a day to 25 mg tablet once a day to 12.5 mg (half a 25 mg tab) once a day to zero. Thought about the 62.5 mg timing or the taper schedule.

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@fleetwood

I began taking venlafaxine 10 years ago for health anxiety. Twice, I tried tapering off before I knew anything about ADS (anti-depressant discontinuance syndrome.) Neither did either doc who guided my taper-way too quickly. I gave up and continued the med. I’m starting to taper off again from 75 mg, taken at dinner time. I’ve reduced my dose from 75 mg. to 62.5 mg. taking a 37.5 mg capsule (extended release) and a 25 mg tablet (immediate release) together at dinner. Because of the shorter-half life, I’m wondering if it would be better taking the tablet at bedtime or the following morning to reduce the withdrawal effects I’ve begun having. Also, my taper plan is to go from 62.5 to 50 (25 mg twice a day) to 37.5 capsule onecd a day to 25 mg tablet once a day to 12.5 mg (half a 25 mg tab) once a day to zero. Thought about the 62.5 mg timing or the taper schedule.

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There is a LOT of information on this site if you can find the time to read it. I did the same as you--tapered twice too quickly. I'm on my third try. This one will succeed because I'm following the recommendation set forth in The Maudsley Deprescribing Guidelines--basically, no more than 10% reduction at a time, reducing by ten percent of remaining dose (i.e., a decreasing amount) only when feeling stable at the reduced dose. Make sense? If not, please say so. One can do it by counting capsule contents or shaving tablets, but my independent pharmacist created a liquid solution, making the taper quite simple. Good luck to you.

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I did a lot of walking. It helped.

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@merpreb

@babydoll- When this group first began in 2016 @coloradogirl posted many suggestions to help withdrawal. These might help you, or give suggestions to others:

Posted by coloradogirl @coloradogirl, Wed, Nov 2, 2016 3:34pm

So, I just finished this process with Zoloft (sertraline) and here are some things that worked for me. Your mileage may vary, but hopefully these are low risk for you to try.

1) You may need to ask your doctor for a slower tapering program than other patients. Some people are just more sensitive to dosage changes. Be aware that symptoms will get better, then may reappear each time you taper. AAFMA (practice group of family physicians) says that the symptoms typically last 1-2 weeks and as long as 4 weeks, so I just kept reminding myself that it was temporary.
2) Be watchful for things that make your symptoms worse. For example, caffeine seems to trigger the brain zaps for me (still, even after being off for several weeks), so I cut back my caffeine intake. I didn’t give it up completely (because I still need to function), but cut back on how much real coffee I was drinking, mixed decaf with regular, and switched to tea sometimes. In the end, I probably cut my daily caffeine intake in half, and it did help quite a lot.
3) Ibuprofen or other pain reliever can help with the flu-like body aches.
4) Benadryl helped with the brain zaps.
5) Exercise helped with both. Even if I wasn’t up to a run, a few blocks of walking would settle down the symptoms for a while at least. (Then, when they come back, just take another walk. We took a lot of walks for a while there).
6) Get enough sleep. As I came down off the meds, my normal sleeping patterns returned, which was great, but it did mean that I needed to plan time to let my body rest.
7) Pay attention to your diet. Your brain uses carbs to make seratonin, so now is not the time to go on the Atkins diet. Eat well and make sure you’re getting enough healthy carbs. You may crave sweets; I certainly did. I tried to counteract this by having bananas, graham crackers, and other healthy things I could snack on instead of sticking my head in a birthday cake like I seemed to want.

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I went off Sertraline cold turkey 2.8.25 after 12.5mg for just 9, days every other day. The withdrawals have surprised me (they have been pretty bad) because I was on them for such a short time at such a low dose. I also suffer from MDIS - multiple drug intolerance syndrome. Cant take Ibuprofen as a heart patient. Can't exercise because I'm so dizzy. Sleep comes on suddenly from sertraline side effect, so sleeping often. Don't have mush control over my diet because live in a retirement community where they provide the food and it isn't always nutritious or healthy. Why do they continue? Is sertraline still in my system after two months off?

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