You need to get a plan to taper from your doctor. They make smaller capsules but your doctor needs to send a new prescription to your pharmacist (they can’t just give it to you). It is VERY important you do this and don’t try to taper on your own. Even with a good taper I had rough withdrawal symptoms for a couple weeks. (Effexor is one of the worst, you don’t even want to miss a dose)

The withdrawal was partly emotional / psychological but also physical (felt like weird electric pulses in my brain, trouble with my body temperature, couldn’t sleep, it was really disorienting and uncomfortable, and this was with a doctor ordered taper plan over several weeks)

Good luck! I hope you feel ok when you do yours! (Also do it in the summer, don’t wait for the depths of winter like I did!)

You can get tablets or capsules prescribed in 75 and 37.5 mg doses and decrease by breaking tablets or reducing by 37.5 mg increments with capsules. I am currently weaning off 150 mg Effexor that I have been taking for at least 20 years. My doctor has prescribed Prozac 10 mg to ease withdrawal symptoms. I have finished my first week reducing by 37.5 — so I am currently on 112.5 Effexor along w 10 mg Prozac. So far my symptoms are a little nausea and insomnia.