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SH1217: Venaflaxine Withdrawal


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Hello,

This past few months I started my taper of 150mg of venaflaxine( was on for 10 years) 

With the guidance of my doctor I went from 150-75mg for 2weeks and then from 37.5-0 in 3 weeks. So I’ve been off for 6 weeks today. 
I have been having awful withdrawal symptoms, I have a young family and am or functioning for them. 
The worst side effects have been the physical symptoms that started around week 3, extreme fatigue, body aches and a burning sensation over my body. I can’t exercise or complete any labour with out feeling nauseous and faint. 
 

at this point I believe I need to reinstate ( not sure where to start) and get back to normal and try tapering again. 
 

thanks for your time 

Venaflaxine 150mg 2014-2024

Tapered down to 150mg-75mg 2weeks

75mg-35mg 3 weeks to zero 

 

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  • Erimus changed the title to SH1217: Venaflaxine Withdrawal
  • Moderator

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.

 

Reinstatement would certainly be a sensible idea in your position, you have tapered off a challenging drug much too quickly. At 6 weeks off reinstatement success is still very likely, but I would suggest you start out much smaller than the smallest prescribed dose. A good starting point would be 2.5mg. To prepare this dose you would need to utilise bead counting.

 

Please read these topics in full:

Counting beads in a capsule versus weighing

 

Tips for tapering off venlafaxine (Effexor)

 

Your first task would be opening a capsule and counting the number of micro beads in it. If your capsules do not contain micro beads you will need to ask your prescriber for either the liquid or the formulation with micro beads.

 

Once you have counted the number of beads in a 37.5mg capsule, write it down, and then repeat for another 4 capules. Work out the average from these figures. You will then know how many beads corresponds to 37.5mg of venlafaxine. Divide this number by 15 to calculate how many beads you need to make doses of 2.5mg. You can then preceed to prepare a week or two of 2.5mg capsules.

 

Monitor how you feel after reinstatement carefully, and report back any concerns you have with us here.

 

Regards

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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Hello

Thanks so much for the response. Unfortunately I hit rock bottom yesterday and was unaware of splitting the pills up and took a 37.5mg capsule,

should I stay with the 37.5 or try splitting up the beads

Venaflaxine 150mg 2014-2024

Tapered down to 150mg-75mg 2weeks

75mg-35mg 3 weeks to zero 

 

Link to comment
  • Moderator
9 minutes ago, SH1217 said:

Hello

Thanks so much for the response. Unfortunately I hit rock bottom yesterday and was unaware of splitting the pills up and took a 37.5mg capsule,

should I stay with the 37.5 or try splitting up the beads

It's fine to drop back down to the lower dose, as it has only been one day. You might feel a bit unusual for a few days but things will settle.

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

Link to comment

I really appreciate you what you do, I’ve felt pretty lost on this. 
Would I have done any permanent damage to myself over the past 6 weeks by tapering to fast?

Venaflaxine 150mg 2014-2024

Tapered down to 150mg-75mg 2weeks

75mg-35mg 3 weeks to zero 

 

Link to comment
  • Moderator
19 minutes ago, SH1217 said:

Would I have done any permanent damage to myself over the past 6 weeks by tapering to fast?

Absolutely not.

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

Link to comment

How long do I stay at 2.5 for? 
and do I stay at that does until I feel stable and then taper much slower? 
thanks 

Venaflaxine 150mg 2014-2024

Tapered down to 150mg-75mg 2weeks

75mg-35mg 3 weeks to zero 

 

Link to comment
  • Moderator
15 hours ago, SH1217 said:

How long do I stay at 2.5 for? 
and do I stay at that does until I feel stable and then taper much slower? 
thanks 

I would suggest at least 2 weeks, in order to see how you respond. Then you can decide whether to increase, decrease or hold, depending on how your symptoms progress.

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

Link to comment

I felt much worse after taking the 37.5mg pill, and even after the low doses. 
Should I just tough it out a zero going forward? 

Venaflaxine 150mg 2014-2024

Tapered down to 150mg-75mg 2weeks

75mg-35mg 3 weeks to zero 

 

Link to comment
  • Moderator

I said you would feel off for a few days after taking a high dose again. Try and stay on the low dose for a week.

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

Link to comment
  • 2 weeks later...

Hello

I stayed on the low does ( 2.5mg) for about 3 weeks. It did take the edge off the symptoms I was experiencing, but I’m still struggling with just getting through the day. I tried adding in 5 more beads today (about 4mg) 

it felt quite strange within about 30 mins of taking, I could feel more energy, tingling in hands and legs, but it was almost like an anxious energy. 
not sure what to do going forward? 
 

Venaflaxine 150mg 2014-2024

Tapered down to 150mg-75mg 2weeks

75mg-35mg 3 weeks to zero 

 

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