@egkamb It was rough. When I finally realized that it was a symptom of withdrawal (after being totally off the drug for a couple of months), I resumed a lower dose of Effexor (50 mg tablets). My symptoms, including the gagging, resolved quickly, confirming that I was in withdrawal. I researched the issue, learned about hyperbolic tapering, found a local independent pharmacist who created a liquid solution for me, and started tapering for the third time. At decreases of no more than ten percent at a time, I am down to a daily dose of 12.5 mg, and just switched from the liquid to counting the granules in a 37.5 mg Effexor capsule, because it's simple enough to count out one-third of those granules for my daily dose. When I'm ready for the next 10% decrease, I'll remove that many more beads, and so on until I'm down to zilch.