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Anjo: how to reinstate venlafaxine


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Hi! Would someone advise me how & when it would be best to reinstate Venlafaxine? I have reduced from 150mg Effexor XR to 75 mg of ordinary Venlafaxine tablets over 12 months. Have been on this for 4 weeks and feeling the effects of W/D. 

2002 Effexor XR 150 mg capsule

Mid 2019 Venlafaxine 150 mg XR tablet form

Late 2019 Venlafaxine 150mg IR tablets 
Mid Feb 2020 112mg. Mid May 103.12 mg

1st July 2020 93.78 mg. Early Oct 84.37 mg

Early Jan 2021 75mg to present 75mg

 

 

 

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Also, my hay fever is so bad at the moment. Is that a result of Venlafaxine W/D? In my previous post I meant to say my W/D symptoms are just about bearable so should I just stay on this dose until I feel better. It’s the daily headaches which are making me feel horrible and slightly nauseous together with heavy feeling & pins & needles in my hands, arms & feet.

2002 Effexor XR 150 mg capsule

Mid 2019 Venlafaxine 150 mg XR tablet form

Late 2019 Venlafaxine 150mg IR tablets 
Mid Feb 2020 112mg. Mid May 103.12 mg

1st July 2020 93.78 mg. Early Oct 84.37 mg

Early Jan 2021 75mg to present 75mg

 

 

 

Link to post
  • Moderator
getofflex
Posted (edited)

Hello, and welcome to SA.  We are a peer owned and run forum of people who have been or are getting off of psychiatric drugs.  What are you withdrawal symptoms?   

 

 I'm not sure if hay fever can be a symptom of withdrawal from Venlafaxine.  It could be a coincidence - you could have recently developed allergies to pollen.  Is it spring where you are?

 

First of all, can you please give us specific information about your drug history?  Please read the link below for instructions.  This will allow us to give you the best guidance.  

 

How to List Drug History in Signature

 

This helps you understand what withdrawal syndrome is: 

 

What is Withdrawal Syndrome?

 

Here is some information about how these drugs actually work.  

 

How Psychiatric Drugs Remodel Your Brain

 

From reading the information in your profile, it looks like you tapered by 25% every 6 to 8 weeks.  Tapering is best done extremely slowly, and we taper by 10% of the current dose, so that the taper becomes exponentially smaller.  This is probably why you are having WD symptoms.  

 

 Why Taper by 10% of my Dosage  

 

Also, as we are tapering, we suggest keeping things slow, simple, and stable. 

 

Keep it Simple, Slow, and Stable

 

 

When we recover, there are times of feeling OK mixed in with times of feeling bad.  This is called windows and waves.

 

Windows and Waves Pattern of Stabilization

 

Here are some techniques to cope with symptoms: 

 

Non Drug Ways to Cope with Withdrawal Symptoms

 

 

We don't suggest many supplements, but 2 that many of us find helpful are magnesium and omega-3 fish oil. Here are the links for info about those. It is suggested to add one at a time, and start with a low dose to see how it affects you. 

 

Magnesium

Omega 3 Fish Oil

 

Finally, increasing your dose, which we call reinstatement, is best done very carefully.  There is some risk involved, and we need more specifics about your drug history before we can suggest a good dose at which to reinstate.  Here is some information about reinstatement.  

 

About Reinstating and Stabilizing to Reduce Withdrawal Symptoms

 

I've given you quite a bit of information here.  Please read through it, and mull it over, and we will take it from there. In the meantime, take care of yourself, and take heart.  We in this forum have been through this, and we understand first hand the pain and discomfort you are going through.  Please know that the brain is amazing in it's healing abilities.  It takes time, but healing can and will happen. 

Edited by getofflex

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

Lexapro   Started Apr 15 02 - 10 mg;  Apr 2 20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10 

Trazodone.  used 50 mg once every 4-7 days for sleep, stopped

Xanax. used 0.5 mg once every 4-7 days for sleep, stopped

Benadryl 50 mg, Ibuprofen 800 mg, or Tylenol 1000 mg

other meds: Levothyroxine 75 mg

suppl AM: fish oil, flax oil, multivitamin, vit C, vit E, calcium

suppl PM: magnesium 350 mg, GABA 750 mg, Estroven, melatonin 3 mg, calcium

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Drug history. Effexor XR 150mg capsules Started 2003
                “       Venlafaxine tablets XR  150mg started February 2020 

          “.              Venlafaxine tablets 150mg started April 2020

                         — then reduced dose by cutting into quarters with 6/8 weeks in between each reduction. Until I reached 75mg. February 2021. 
 

I have decided to stay on this dose as experiencing W/D effects. I guess too late to reinstate a little higher.??? 
 

Any help from moderators appreciated.

Thanks
                          

                          

 

2002 Effexor XR 150 mg capsule

Mid 2019 Venlafaxine 150 mg XR tablet form

Late 2019 Venlafaxine 150mg IR tablets 
Mid Feb 2020 112mg. Mid May 103.12 mg

1st July 2020 93.78 mg. Early Oct 84.37 mg

Early Jan 2021 75mg to present 75mg

 

 

 

Link to post
  • Moderator
getofflex
Posted (edited)

Hello Anjo.  Thank you for giving us more information about your drug history.  I will need more detailed information about your taper.  It would help if you could put this in your signature as instructed in the link I gave you previously. That way it will be included in each post, and not get lost in your intro thread.  Instead of saying "cutting into quarters", please state the date and the dosage in mg. for each dose reduction.  If you don't remember the day, say "early, middle or late April" for example. This will reduce confusion, and help us to give you accurate suggestions.   I don't know from the above post when you started your taper.  Thank you. 

 

You could possibly try a reinstatement.  One of us moderators will suggest a reinstatement dose when we see more details about your taper.  

Edited by getofflex

***Please note this is not medical advice.  Discuss any decisions about your medical care with a doctor who understands psych meds and how to withdraw from them, if you can find one.

Lexapro   Started Apr 15 02 - 10 mg;  Apr 2 20  0.18 mg; Jul 16  0.17 mg, Aug 23  0.16 mg, Oct 7  0.15 mg, Nov 8 - 0.14, Jan 16 '21 - 0.13, Feb 7 - 0.12, Feb 22 - 0.11, Mar 26 - 0.10 

Trazodone.  used 50 mg once every 4-7 days for sleep, stopped

Xanax. used 0.5 mg once every 4-7 days for sleep, stopped

Benadryl 50 mg, Ibuprofen 800 mg, or Tylenol 1000 mg

other meds: Levothyroxine 75 mg

suppl AM: fish oil, flax oil, multivitamin, vit C, vit E, calcium

suppl PM: magnesium 350 mg, GABA 750 mg, Estroven, melatonin 3 mg, calcium

Link to post

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