← Return to Avoiding discontinuation syndrome during removal of Venlafaxine XR

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@colleenyoung

Hi @h8fxr, welcome to Connect.
Tapering off venflafaxine is an active topic here on Connect. I recommend reading this discussion:
- Tips on minimising withdrawal symptoms from Effexor (aka Venlafaxine) https://connect.mayoclinic.org/discussion/tips-on-minimising-withdrawal-symptoms-from-effexor-aka-venlafaxine/

We took the question of cutting pills to a Mayo Clinic pharmacist and this is what she had to say:
"Each patient should consult their clinician for individualized recommendations for tapering off antidepressant medications. Tapers should be individualized with consideration for the specific medication to be tapered, current dose, how long they have been taking the medication and other factors based on the clinicians expertise. In some cases tablets may be split. Capsules should never be split. Removal of beads from capsules to accomplish titration is not a recommended method of tapering. Taper schedules can extend for several weeks if the patient's situation requires a slower taper. Tapers are sometimes shortened in the case of adverse effects or other patient factors. You can read more about antidepressant withdrawal here https://www.mayoclinic.org/diseases-conditions/depression/expert-answers/antidepressant-withdrawal/faq-20058133."

@texasduchess @maryathome also mention seeking advice from a compounding pharmacy.

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Replies to "Hi @h8fxr, welcome to Connect. Tapering off venflafaxine is an active topic here on Connect. I..."

❝ Capsules should never be split. Removal of beads from capsules to accomplish titration is not a recommended method of tapering. ❞

Fine, but there is no dose below 37.5mg for Venlafaxine XR ... How am I supposed to taper it off if I cannot take any of those beads off the capsule ?

What’s a person to do when the doctors don’t have a clue? This is why so many ask these tapering questions here.