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emdee: Effexor taper


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Hi-I was prescribed Effexor ER 37.5 mg daily for tinnitus, which hasn't worked, (after taking for approximately 1 year) so I wanted to get off it. Not knowing what to do-I tried taking every other day - experienced extreme dizziness - then I realized it was from the taper (I had only missed 2 doses). Contacted my provider, who ordered Effexor 37.5 mg-and said to take 1/2 pill daily (she prescribed a 1 month supply). After reading some of the posts here, I am really nervous about the taper. I wondered if I took 27 mg (3/4 tab) , then decreased to 19 mg (1/2 tab), then to 10 mg (1/4) tab--does that sound reasonable? ( I also still have 13 capsules of Effexor XR left, I have ordered empty capsules and stated counting the pellets -- but wasn't sure if counting the pellets and adding that to the mix would be even more confusing)

Thank you! Any recommendations would be greatly appreciated!

Edited by Gridley

Effexor XR 37.5 mg - taking for 1 year for tinnitus.

Only other medications are Metoprolol for hypertension and Imitrex for migraines.

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  • Moderator

Welcome to SA, Emdee.


To give members the best information, we ask them to summarize their medication history in a signature -- drugs, doses, dates, and discontinuations & reinstatements, in the last 12-24 months particularly.  You'll need to use a computer rather than a phone.


Account Settings – Create or Edit a signature.


We recommend tapering by no more than 10% of your current dose every four weeks.  We strongly advise against tapering by skipping doses, which makes withdrawal worse.


Why taper by 10% of my dosage?


You are right to be nervous about the proposed taper.  Your doctor's plan is a 50% decrease, which is much higher than we recommend and puts you at risk withdrawal symptoms that can be unpleasant and long-lasting.  Doctors know nothing about safe tapering and don't believe in withdrawal.  Our experience here has been the opposite.


What is withdrawal syndrome.


Daily Checklist of Antidepressant Withdrawal Symptoms (PDF) 


Brain Remodelling 


Your plan is far too fast.  Dropping fro, 37.5 to 27 is a 28% decrease; from 27 to 9 is a 29.6% decrease; from 19 to 10 is a 47% decrease; and from 10 to zero is a 100% decrease.


Counting beads is an accepted method for tapering Effexor and much better than cutting tablets. This link explains how to taper by counting beads.


Tips for tapering off venlafaxine (Effexor)


You'll need to have a supply of Effexor for your taper.  Will your doctor be willing to continue prescribing Effexor XR?  Any M.D. can prescribe psychiatric drugs.  


We don't recommend a lot of supplements on SA, as many members report being sensitive to them due to our over-reactive nervous systems, but two supplements that we do recommend are magnesium and omega 3 (fish oil). Many people find these to be calming to the nervous system. 


Magnesium, nature's calcium channel blocker 


Omega-3 fatty acids (fish oil) 


Add in one at a time and at a low dose in case you do experience problems.


This is your Introduction topic, where you can complete your drug signatures, ask questions and connect with other members.  We're glad you found your way here.











Edited by Gridley

Gridley Introduction


Lexapro 20 mg since 2004.  Begin Brassmonkey Slide Taper Jan. 2017.   

End 2017 year 1 of taper at 9.25mg 

End 2018 year 2 of taper at 4.1mg

End 2019 year 3 of taper at 1.0mg  

Oct. 30, 2020  Jump to zero from 0.025mg.  Current dose: 0.000mg

3 year, 10 month taper is 100% complete.


Ativan 1 mg to 1.875mg 1986-2020, two CT's and reinstatements

Nov. 2020, 7-week Ativan-Valium crossover to 18.75mg Valium

Feb. 2021, begin 10%/4 week taper of 18.75mg Valium  

End 2021  year 1 of taper at 6mg

End 2022 year 2 of taper at 2.75mg 

Current dose as of Feb. 25, 2023 2mg

Taper is 89% complete.


Imipramine 75 mg daily since 1986.  Jan-Sept 2016 tapered to 14.4mg  

March 22, 2022: Begin 10%/4 week taper

Aug. 5, 2022: hold at 9.5mg and shift to Valium taper

Taper is 87% complete.  


Supplements: omega-3, vitamins C, E and D3, magnesium glycinate, probiotic, zinc, melatonin .3mg

I am not a medical professional and this is not medical advice but simply information based on my own experience, as well as other members who have survived these drugs.

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  • ChessieCat changed the title to emdee: Effexor taper

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