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WrenderedUseless: Venlafaxine withdrawl struggles


WrenderedUseless

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I found this forum when looking for advice to deal with my WD symptoms having just tapered down to 0mg venlafaxine. During tapering I was managing quite well, and my symptoms were minimal; mostly some diziness and shivering. But after 48hrs of being down to 0mg, I was in a really bad place. My anxiety feels totally out of control, especially in the mornings. I actually had a moment on that second day, when eating dinner, where I felt myself go from 'fine' to 'bad'. It was like someone flipped a switch and I slipped into a parallel universe where everything was the same, but bad and scary and horrible. I think I now recognise this as derealisation, from the reading I've been doing. I've been struggling quite significantly, and often find myself just trying to make it through one second at a time. I'm hoping that in being here I can get some peer support from people going through a similar time, and hopefully offer some support (or at least commiseration) to others too.

I hope my signature reads okay and isn't too messy.

Sertraline (Zoloft) 2016 - 2019

Venlafaxine (Effexor) 150mg [2019] 112.5mg [25 Oct 23] 75mg [17 Jan 24] 37.5mg [20 Feb 24] 18.75mg [24 March 24] 9.375mg [22 May 24]

0mg Venlafaxine as of 14th June 2024

Mirtazipine (Remeron) 15mg [22 May 24]

30mg Mirtazipine as of 20th June 2024

Propanolol (Inderal)

80mg Propanolol as of 22nd May 24

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  • Erimus changed the title to WrenderedUseless: Venlafaxine withdrawl struggles
  • Moderator
Posted (edited)

Hello, and welcome to Surviving Antidepressants. We are a peer support forum to assist in tapering off psychiatric drugs safely, or recovering from psychiatric drug withdrawal.

 

In your position I would highly recommend you drop back down to 15mg of mirtazapine, given it has only been one day on the increased dose, and that you reinstate venlafaxine. You have jumped from too high a dose, and are now beginning to experience withdrawal.

 

I would suggest going back to half of your final dose or something like that, given it has been just one week since cessation, if your signature is correct.

 

Please read: Tips for tapering off venlafaxine (Effexor)

Edited by Erimus

Active Monday-Friday UK time

 

Taper calculator spreadsheet

 

MEDICATION:

1) Sertraline:

50mg - Oct 2020, 100mg - Dec 2020, 50mg - April 2021, 75mg - May 2021, 50mg - Sep 2021, 55mg - 23 Feb 2024, 60mg - 20 March 2024, Start tapering - 24 April 2024

Current dose: 55.09mg  (1 July 2024)

2) Mirtazapine:

15mg - Nov 2020

SUPPLEMENTS:

Fish oils, Magnesium, Vitamin C

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  • Moderator

Active Monday-Friday UK time

 

Taper calculator spreadsheet

 

MEDICATION:

1) Sertraline:

50mg - Oct 2020, 100mg - Dec 2020, 50mg - April 2021, 75mg - May 2021, 50mg - Sep 2021, 55mg - 23 Feb 2024, 60mg - 20 March 2024, Start tapering - 24 April 2024

Current dose: 55.09mg  (1 July 2024)

2) Mirtazapine:

15mg - Nov 2020

SUPPLEMENTS:

Fish oils, Magnesium, Vitamin C

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  • Mentor

I agree with @Erimus (reinstate ven, reduce mirtazapine). What form of Venlafaxine were you previously using? XR or IR? Pills or capsules? If capsules, do they contain many micro-beads or just several mini-tabs?

1988-1996  Various AD’s, all classifications.  1996-2019  Effexor XR 37.5mg to 150mg. Jan 2017 onward, 37.5 mg.

2019  Apr 11 - July 24: Trials of Latuda then Rexulti. CT'd off per dr.  Jul 24: CT Effexor (per dr)  Sep 9-19: Viibryd, CT (per dr).  Sep 23-27: Trintellix. CT (per dr).  Sep 28 - Oct 24:  Prozac 10mg.  Oct 24:  Stop Prozac, began Pristiq 25mg->50->25mg.

2020  Feb 1: CT Pristiq. Feb 1: Reinstated Effexor XR (10 large beads) gradually increasing to 22 beads (15L+7M) or 9.072mgai on Mar, 2020.

2021  Started Jan w 21 beads (13L+8M) or 8.47mgai ended Dec: 17 beads (7L+9M+1S) or 6.19mgai. Severe COVID + TIA.

2022  Ended yr w 14 beads (3L+5M+5S+1XS) or 4.5mgai. Major jaw injury during year + family tragedy.

2023  Jan: 13 beads (2L+5M+5S+1XS) or 4.2mgai; Feb: 12 beads (2L+4M+5S+1XS) or 3.9mgai; Mar: 11 beads (2L+4M+4S+1XS) or 3.6mgai, Apr: 10 beads (2L+3M+4S+1XS) or 3.3mgai; Jun: 9 beads (2L+3M+3S+1XS) or 3mgai,

 

Current: July, 2023: Effexor XR -  9 beads (2L+3M+3S+1XS) or 2.7 mgai

Other current meds: Ambien 10mg 3.935mg , clonazepam .125mg .107mg, omeprazoleSynthroid, Premarin.  Supplements: D3, C, probiotic, K2-MK7, Mg Glycinate

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