Hello @ruth3,
Weaning off Effexor, or any other antidepressant, can be a challenge. Unfortunately, we all react to this process differently, so it is hard to make any hard/fast rules. As you said, you are a "fast metabolizer" so the way you adjust to changes in meds might be entirely different than that of another person.
When I was taking Effexor, I was taking the smallest amount that could be prescribed. As I recall, it was just 25 mg and then switched to the smallest dosage of Cymbalta (perhaps 25 mg of that as well). You might also get a second opinion, from another psychiatrist, if you are still having problems.
Pharmacists are another very good resource. They can be very helpful in dealing with meds, after all, that is all that pharmacists work with! Do you know an experienced pharmacist who might be able to work with you on this?
Thank you for your kind message, did you use cymbalta to taper off all medications then? I am trying to get advice from a pharmacist but they are reluctant to give me much info and just say go to your prescriber. One mentioned citralopram eventually today as I kept asking, to cross taper to that and maybe come off that then over a few weeks. The Effexor is so stimulating but has also burnt me out due to this. I’m wondering if anyone used this as a bridge to taper and then wean?