Long term effects AFTER withdrawing from Effexor

Posted by DissidentDaughter @dissidentdaughter, Aug 4, 2018

I am wondering if anyone has had any experience like this. I weaned off Effexor three years ago. After doing so I have gradually developed what is now becoming debilitating chronic pain. I am wondering if there is any way that being on Effexor for 15 years could have caused me to develop this pain now that I am not on it anymore. Thanks for your thoughts. I can’t seem to find any direct related research on this.

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@dquest20

Hi just doing researching again and saw your post from 2018, I too was on Effexor for 15 years, I weaned off it in Nov 2012 and by March 2013 was my first ER visit that started my eight year chronic pain journey that has destroyed my life, and left me a shell of a person, it has been the mystery of my lifetime, I'm a cancer survivor and fought hard in my twenty's to survive endometrial cancer, after that to a successful business owner, raised my family and enjoyed life and I did suffer from some depression and anxiety and had a few other health issues but not that took away my quality of life and now I am completely bedridden in eight years, I have been to over 30 different doctors trying to get help/answers with all the pain throughout my body, in eight years now I have been diagnosed with Lupus, Chronic Osteoporosis, Osteoarthritis, Cervical Disc Disorder with Radiculopathy, Intercostal Neuralgia, Bilateral Occipital Neuralgia, Costochondritis, Fibromyalgia, Chronic Migraines, Bile Reflux, Meningiomas in my brain, etc. it just goes on. I had none of this before except I did suffer from Migraines all my life. The Pain started in my left ribcage and spread from there, when I went off the Effexor I had gained some weight from it at 175 pounds I am 5 foot tall, my normal weight was about 130, now I only weight 85 pounds because I can't eat much of anything, I have weighed under 100 pounds for four years now, and I've had to have all my top teeth replaced because my jaw bone was shifting and cracking, I had so many procedures and two surgeries, nerve blocks, and trigger point injections 700+ in 8 years, with over 400 just in the last three years all over my body rotated biweekly and I have to be on pain medication and sleeping pills for years, I feel like I will die any day I'm 58 years old, For years Dr. would take blood tests, MRI's, CT's X-rays and tell me I was fine, bloodwork looks fine, test look fine, but I was in so much pain I couldn't stand it, I didn't know why I was loosing weight or feeling such bad pain, I was scared, most dr's made me feel it was all in my head and treated me unkindly, all I was asking for was help I was scared, until the damaged started to show up on the MRI's, labs etc. and my health begin deteriorating and now. I have brought it up many time with dr's I have seen about any connection to Effexor since I had such a hard time getting off of it, but I just get that blank stare or they can't say. I would really be interested to know if anyone else has had anything similar happened to them or someone they know.

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Since I am beginning to view my abdominal problems differently (body inflammation) and reading about your symptoms, this sounds like your body is in a state of inflammation; too acidic. I just did a search on venlafaxine and inflammation. Low and behold there was a study done in 2015 which shows that venlafaxine has an anti inflammatory component that eliminates or greatly reduces inflammation!!!
Do a search of: The anti-inflammatory effects of venlafaxine. It was done at
ncbi.nim.NIH.gov

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@4cat

Those sound like brain zaps. They subsided for me after the initial, horrific month of withdrawals. B*nadryl helped tremendously for me.

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Glad to hear Benadryl helped. I wonder by what cellular mechanism..? I'd be interested.

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@4cat

I am not a physician or psychiatrist but if I were having your symptoms...Have you talked to your dr or perhaps get a second opinion for an alternative medication to help alleviate your symptoms. Or going back on a low dose and then stepping down.

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Oh, of course. Did all of that, thanks. Low dose made me so nauseous, I couldn't eat, then made headaches worse. I am a retired PhD biologist, so I should have put 2&2 together and figured it was the Effexor withdrawal...but I was not thinking along those lines. Now I have my primary care doctor, an internist, a psychiatrist, and a therapist. But my main complaint has always been Status migrainosus, with which I'm still dealing.

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@4cat

I had a telehealth visit with my dr this morning. He doesn’t believe my symptoms are related to withdrawal. I have an in office visit scheduled for Monday for blood work and physical exam. 🤞🏼

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The average doctor is not at all familiar with physchiatric drug withdrawals. I could almost guarantee he won’t find anything physically wrong with you and will not believe your problems are Effexor related. Be prepared to stand up for yourself. The doctor will try to make you think you’re crazy. Don’t let he/she put this BS on you.

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Thank you. I will have the bloodwork done, explore all possibilities for my abdominal symptoms. I do believe it is related to stopping the meds. I found additional info, today, on the anti inflammatory effects the drug has on the body. That is where my focus is now. Reducing the inflammation that I now believe is the root of my symptoms, as well as others who are suffering.

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@linamend

Oh, of course. Did all of that, thanks. Low dose made me so nauseous, I couldn't eat, then made headaches worse. I am a retired PhD biologist, so I should have put 2&2 together and figured it was the Effexor withdrawal...but I was not thinking along those lines. Now I have my primary care doctor, an internist, a psychiatrist, and a therapist. But my main complaint has always been Status migrainosus, with which I'm still dealing.

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I pray you find relief.

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@4cat

Since I am beginning to view my abdominal problems differently (body inflammation) and reading about your symptoms, this sounds like your body is in a state of inflammation; too acidic. I just did a search on venlafaxine and inflammation. Low and behold there was a study done in 2015 which shows that venlafaxine has an anti inflammatory component that eliminates or greatly reduces inflammation!!!
Do a search of: The anti-inflammatory effects of venlafaxine. It was done at
ncbi.nim.NIH.gov

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Hi 4cat, I noticed that you wanted to post the URL to research. You will be able to add URLs to your posts in a few days. There is a brief period where new members can't post links. We do this to deter spammers and keep the community safe. Clearly the link you wanted to post is not spam. Please allow me to post it for you.

- The anti-inflammatory effects of venlafaxine in the rat model of carrageenan-induced paw edema https://pubmed.ncbi.nlm.nih.gov/26351555/

Please note that this study was conducted on rats and not humans.

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I joined this page just to comment. I am in absolutely horrific pain and the muscles in my neck and shoulders are in constant spasm after being on Effexor for many years. I have been off since Jan 2019 and I see no end in sight of the pain.

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@texasduchess

I personally am not experiencing pain, nor chronic pain. I was on Effexor for 18 years, but only weaned off this Spring (last minimal dose was 4/14/18). I will keep my eye out for others mentioning pain as I continue to read/research Effexor withdrawal and how to minimize symptoms of same.

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Hi I'm on 75mg an 37.50 mg a day of venlafaxine I'm on it 6months it has made me worse how can I get off it an will withdrawal be bad. I have done cold turkey with another antidepressant an do not want to go through that again it was hell.. Can anyone give me some advice. Thank you

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@noirin1957

Hi I'm on 75mg an 37.50 mg a day of venlafaxine I'm on it 6months it has made me worse how can I get off it an will withdrawal be bad. I have done cold turkey with another antidepressant an do not want to go through that again it was hell.. Can anyone give me some advice. Thank you

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You can find a lot of tips, strategies and advice on another Mayo Clinic thread—"Tips on minimising withdrawal symptoms from Effexor (aka Venlafaxine)." It's a long thread, but well worth reading ALL of it.

You can click on my name and go to Discussions to read my previous posts.

Things to be aware of—

1) "Cold turkey" stopping Effexor/venlafaxine can be dangerous—another commenter to the above thread did this and had a stroke. Folks who taper off the drug are usually more successful at getting off it.

2) Skipping doses, or days puts you into withdrawal because Effexor/venlafaxine is a very short-lived drug in the body.

3) Slowly taper—reduce by no more than 5–10% each drop. If you drop the same amount at every taper, that drop is a bigger percentage each time (75mg – 12.5mg to 62.5mg is a 16.7% drop; 62.5mg – 12.5mg to 50mg is a 20% drop; 50mg – 12.5mg to 37.5mg is a 25% drop, etc.).

4) Stay at each new level for weeks (even months) AND stabilize BEFORE dropping again. This is a very powerful drug that affects your brain's neurotransmitter levels—it takes time for your head to recalibrate these without the drug, or at lower levels of the drug … hence, withdrawal symptoms (nausea, dizziness, insomnia, anxiety, etc.) when you taper too fast.

5) OTC medications and supplements can help with some of the withdrawal symptoms. Ben*dryl, Bon*ine, or other seasickness remedies can reduce/minimize the dizziness/vertigo. Here's a good article re how to mitigate withdrawal effects with supplements–https://www.4mind4life.com/effexor-withdrawal-symptoms. (Fish oil may be more helpful than krill oil.) Do NOT take l-tryptophan, or 5-HTP while still on Effexor (can trigger serotonin syndrome).

6) Your doctor can prescribe a different formulation (I was on 25mg regular-release tablets that could be cut), or he could specify a certain brand of capsules (@farm_mom found Teva had the most consistent size and number of beads within a capsule–helpful to those counting and throwing out beads to taper–see @sandij, or @doorman on how to do this). Or your doctor can write a prescription for a compounding pharmacy to make tapered doses for you (the extra cost may well be worth it because you can glide down in incremental amounts, rather than make rather large jagged drops).

Ask your doctor about a "Prozac bridge"–essentially, the Prozac cushions the effect of no Effexor and lets you "ride out" the withdrawal process.–https://natashatracy.com/treatment-issues/withdrawal/antidepressants-effexorpristiq-venlafaxinedesvenlafaxine/. See also https://www.depressionforums.org/forums/topic/107532-coming-off-of-effexor-with-prozac-bridge/.

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