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Tips for tapering off Effexor and Effexor XR (venlafaxine)

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FeralUrban

OK, how to I share my spreadsheet? I couldn't even figure out how to share photos on this site, which I wanted to do on the Is Dirt Good for you? thread I started. You know, proof of my love of dirt and gardening. And fancy pictures of my potatoes and garlic harvests. 

 

The spreadsheet I have is in Apple's program, Numbers. I think I can convert ti to the Office version of spreadsheet, but don't know how much would translate, much less how to share it here.  Perhaps you can message me privately with the info so we won't clog up the thread with technical details. 


2002 to 2016 Venlafaxine ER 225mg.  2013 TMS treatments triggered nerve pain in face, arm, back.  2016 TMS round ending Feb 1 Central Nerve Pain and and sub-acute serotonin toxicity compounded by Imitrex.  April-June tapered over 3 months from 225 to 0. Reinstated 6/20/16 21.5 nonER 2x day. 7/7/16-37.5mg; 7/17/16-36.6; 7/22/16-33.75; 8/22/16 32.6mg, 9/11/16-28.9mg, 9/25/16-25mg, 12/3/16-19.4mg, 12/18/16-18.5 holding.  OTHER DAILY PHARMACEUTICALS:   *Oxcarbazepine 150 mg 2x/day since mid 2015, *Naproxen 220mg 3x/day as an antidepressant and for pain since 2012, *Levothyrozine 75mcg since 2008 (hypothyroid), *Levothyronine 5 mpg 2x/day since 2012 (hypothyroid) *montelukast SOD 10 mg for asthma since 2014, Advair 250/50 2x daily, [DX 11/16 Felodopine 5mg since 2006,DX combivent 8/1/16] *MEDICAL MARIJUANA for neuropathic pain:CBD oil 25 mg 3-4 x day, THC tincture a few drops: 1/4 tsp 0-3x/day, vaporize CBD for breakthrough pain, CBD concentrate for severe pain.  PRN MEDS *Valium 5 mg PRN up to 4/day for muscle spasms, usually 1-2 x/ day. *Low dose Ketamine nasal spray for severe pain, and also finding 1 dose calms bad WD quickly. HERBAL TINCTURES: burdock, lobelia, turmeric, white willow. CURRENT SUPPLEMENTS:  *Methylated B vitamins, *Vitamin D 5000 iu, Alpha Lipoid Acid, Neti pot. [DX 6/13/16 promethazine suppository + 2 OTC Benadryl for severe pain N Acetyl Cytine for asthma1992-2002, over 20 different psych meds. 2012-2016 Eliminated 7 meds 1 at a time DX Plaquenil DX Spironolactone DX Lunesta, DX Ativan,  + others

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JanCarol

Hey Feral - I use "snip it" which takes a picture of what you highlight, and just make a .jpg.  I then post the .jpg to photobucket, and use the picture link (below the smiley faces above) to post a link to the .jpg in photobucket. 

 

Gosh, that sounds garbled.  But it's what I do.  It's not posting the actual spreadsheet, but you can take a picture of your work, and send that to us.


"Easy, easy - just go easy and you'll finish." - Hawaiian Kapuna

 

Holding is hard work, holding is a blessing. Give your brain time to heal before you try again.

 

My suggestions are not medical advice, you are in charge of your own medical choices.

 

A lifetime of being prescribed antidepressants that caused problems (30 years in total). At age 35 flipped to "bipolar," but was not diagnosed for 5 years. Started my journey in Midwest United States. Crossed the Pacific for love and hope; currently living in Australia.   CT Seroquel 25 mg some time in 2013.   Tapered Reboxetine 4 mg Oct 2013 to Sept 2014 = GONE (3 years on Reboxetine).     Tapered Lithium 900 to 475 MG (alternating with the SNRI) Jan 2014 - Nov 2014, tapered Lithium 475 mg Jan 2015 -  Feb 2016 = GONE (10 years  on Lithium).  Many mistakes in dry cutting dosages were made.


The tedious thread (my intro):  JanCarol ☼ Reboxetine first, then Lithium

The happy thread (my success story):  JanCarol - Undiagnosed  Off all bipolar drugs

My own blog:  https://shamanexplorations.com/shamans-blog/

 

 

I have been psych drug FREE since 1 Feb 2016!

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Altostrata

If you use a Mac, Command-Shift-4 will take a screenshot.


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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primekittycat

FeralUrban, the calculations you provided are exactly what I have done for my Effexor taper in Google Sheets. I weigh every day because I like being as stable as possible in my dosage. It usually ends up with me taking out the same amount of beads, but sometimes can be 1-3 beads different and I am very sensitive. Been doing it for over a year now. Here is a snippit of my spreadsheet:  http://imgur.com/UxBXNrN.  You can't see the formulas but I am multiplying the previous dose by .95 in each column (I do 5% cuts every 2 weeks). I also weigh the 'leftover' beads to make sure the 2 amounts equal my total (the amount I am taking and the amount I am removing). I have had great success with this.

 

Oh, I also highlight the dose I'm taking in green so my eyes don't go crazy with all of the numbers and I measure the right dose. I also have had to either hide columns and also made a new sheet because it got to like 12+ columns and too hard to scroll all the way over using my phone.


Began suffering from panic attacks when my father passed away in 2005. Been on and off SSRIs (Celexa, Lexapro, Effexor XR), and therapy since then.

2009 - Started Effexor XR 75mg. Consistent therapy starting Oct 2013

Feb 2014 - Therapist and I felt I was ready to come off Effexor - went to half dose (37.5mg) for a week and then off completely by advice of psychiatrist - bad w/d for a week then gone

May 2014 - bad protracted w/d came out of nowhere.. constant dizziness, agoraphobia(never had before), intense headaches, fatigue for 3 months, all tests (brain MRI, inner ear tests, blood tests, etc.) normal. could not drive, grocery shop, or live life.

Aug 2014 - back on Effexor XR 75mg as neurologist thought these symptoms were my anxiety coming back, all w/d symptoms disappear within 2 weeks. I should have went back on at a lower dose, but I hadn't discovered this site yet.

 

Tapering Effexor XR.. let's do this! Slow & steady:

Started tapering from 75mg in July 2015. 5% cuts every 3 weeks. From July 2015 - March 2016, reduced to 37.5mg (half dose). In March 2017, down to 18.3mg (quarter dose). April 2020 -  0.38mg - on track to be med free in May 2020! almost 5 years of consistent tapering.

 

Supplements: meditation, daily exercise, clean diet, working from home (more sleep!)

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FeralUrban

Continued frustration. I'm appalled really. :o

 

I am, going by the average weight of my first week weighing and reducing weight from there. It seems the only sensible way to do this. So my goal was 0.122g. I appreciate SquirellyGirl for the suggestion!

 

Today I weighed my Effexor beads for the coming week.

Initial weight of all beads in each capsule:

Highest weight: 0.176 -- had to remove 46 beads to arrive at desired doses 0.122

Lowest weight. 0.118 -- had to add 4 beads to arrive at desired doses 0.122

 

Does that mean there was 32.95% difference in content by weight? 

Can someone check my math? 

 

I think the next time I get a bottle, I'm going back to the generic, because at least in that there seemed to be a fairly consistent amount of beads.

 

I do think there is small variance in the scale -- it can go up or down by 0.005g if I shake the measuring tray and redistribute the beads, but no way it is off by that much. 

 

I'm also going to look into getting a more accurate scale -- for now it works, but when I get down into the drops of 0.003g this scale is not going to work.

 

I could of course go to the liquified non-extended release, but from I would have to be taking it like clockwork every 8 hours. This I know from my previous attempt at pill cutting 20mg non-ER and finding that an hour or two late could be hell. And, I'm not super time aware. Think this is my first incarnation with clocks.  ^_^


2002 to 2016 Venlafaxine ER 225mg.  2013 TMS treatments triggered nerve pain in face, arm, back.  2016 TMS round ending Feb 1 Central Nerve Pain and and sub-acute serotonin toxicity compounded by Imitrex.  April-June tapered over 3 months from 225 to 0. Reinstated 6/20/16 21.5 nonER 2x day. 7/7/16-37.5mg; 7/17/16-36.6; 7/22/16-33.75; 8/22/16 32.6mg, 9/11/16-28.9mg, 9/25/16-25mg, 12/3/16-19.4mg, 12/18/16-18.5 holding.  OTHER DAILY PHARMACEUTICALS:   *Oxcarbazepine 150 mg 2x/day since mid 2015, *Naproxen 220mg 3x/day as an antidepressant and for pain since 2012, *Levothyrozine 75mcg since 2008 (hypothyroid), *Levothyronine 5 mpg 2x/day since 2012 (hypothyroid) *montelukast SOD 10 mg for asthma since 2014, Advair 250/50 2x daily, [DX 11/16 Felodopine 5mg since 2006,DX combivent 8/1/16] *MEDICAL MARIJUANA for neuropathic pain:CBD oil 25 mg 3-4 x day, THC tincture a few drops: 1/4 tsp 0-3x/day, vaporize CBD for breakthrough pain, CBD concentrate for severe pain.  PRN MEDS *Valium 5 mg PRN up to 4/day for muscle spasms, usually 1-2 x/ day. *Low dose Ketamine nasal spray for severe pain, and also finding 1 dose calms bad WD quickly. HERBAL TINCTURES: burdock, lobelia, turmeric, white willow. CURRENT SUPPLEMENTS:  *Methylated B vitamins, *Vitamin D 5000 iu, Alpha Lipoid Acid, Neti pot. [DX 6/13/16 promethazine suppository + 2 OTC Benadryl for severe pain N Acetyl Cytine for asthma1992-2002, over 20 different psych meds. 2012-2016 Eliminated 7 meds 1 at a time DX Plaquenil DX Spironolactone DX Lunesta, DX Ativan,  + others

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btdt

This is one thread that needs to be merged as tons of work has already been done on the various forms of effexor...a lot of old info still holds true and some of it is not easy to find.

peace


WARNING THIS WILL BE LONG
Had a car accident in 85
Codeine was the pain med when I was release from hosp continuous use till 89
Given PROZAC by a specialist to help with nerve pain in my leg 89-90 not sure which year
Was not told a thing about it being a psych med thought it was a pain killer no info about psych side effects I went nuts had hallucinations. As I had a head injury and was diagnosed with a concussion in 85 I was sent to a head injury clinic in 1990 five years after the accident. I don't think they knew I had been on prozac I did not think it a big deal and never did finish the bottle of pills. I had tests of course lots of them. Was put into a pain clinic and given amitriptyline which stopped the withdrawal but had many side effects. But I could sleep something I had not done in a very long time the pain lessened. My mother got cancer in 94 they switched my meds to Zoloft to help deal with this pressure as I was her main care giver she died in 96. I stopped zoloft in 96 had withdrawal was put on paxil went nutty quit it ct put on resperidol quit it ct had withdrawal was put on Effexor... 2years later celexa was added 20mg then increased to 40mg huge personality change went wild. Did too fast taper off Celexa 05 as I felt unwell for a long time prior... quit Effexor 150mg ct 07 found ****** 8 months into withdrawal learned some things was banned from there in 08 have kept learning since. there is really not enough room here to put my history but I have a lot of opinions about a lot of things especially any of the drugs mentioned above.
One thing I would like to add here is this tidbit ALL OPIATES INCREASE SEROTONIN it is not a huge jump to being in chronic pain to being put on an ssri/snri and opiates will affect your antidepressants and your thinking.

As I do not update much I will put my quit date Nov. 17 2007 I quit Effexor cold turkey. 

http://survivingantidepressants.org/index.php?/topic/1096-introducing-myself-btdt/

There is a crack in everything ..That's how the light gets in :)

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FeralUrban

I've attached a screenshot of my spreadsheet graph, with the informative, gratifying columns that reveal patterns (where I see none in the numbers.) Graphing in this way has helped me understand what is going on, in a way that notes  did not. 

A few words about the spreadsheet.

I use a modified form of the tracking checklist I found somewhere on this site. 

I grouped symptoms that seemed to go together for me. I subtotal each group of symptoms, and then the grand totals.

Each day I rate the symptom on a scale of 1-10.

(There is a difference between being a little dizzy around the corners and having the world spin.)

 

I use a negative rating number for my neuropathy symptoms and positive numbers for my withdrawal symptoms, as in my case these two are separate entities. Neuropathic pain is caused by (imho) by the venlafaxine being in my system. And the withdrawal symptoms are  caused by  taking away venlafaxine. Therefore I have a visual representation of the tightrope I am walking. The rainbow colors are W/D symptoms and the purple is neuropathic pain symptoms. 

 

Below that graph, I have a graph on activity, and below those (not visible) I have a graph of PRN meds, and regular meds. They are all lined up and help me correlate data.

 

I also track medication dosages

Activity levels

I have a section at the bottom for notes about what happened each day, that may remind me of why I was having a good day or bad day.

 

I use a threshold line (Horizontal yellow line) to determine when my W/D symptoms are below an acceptable threshold (in this case under 20 points), and then when I hit 10 -14 days below that threshold I can reduce, in may case by 5%. 

 

I use vertical lines to look at correlations between symptoms and activity and medication changes. 

 

The graphing is a feature you can find in both excel and numbers.

 

post-7563-0-78880100-1471530885_thumb.jpg


2002 to 2016 Venlafaxine ER 225mg.  2013 TMS treatments triggered nerve pain in face, arm, back.  2016 TMS round ending Feb 1 Central Nerve Pain and and sub-acute serotonin toxicity compounded by Imitrex.  April-June tapered over 3 months from 225 to 0. Reinstated 6/20/16 21.5 nonER 2x day. 7/7/16-37.5mg; 7/17/16-36.6; 7/22/16-33.75; 8/22/16 32.6mg, 9/11/16-28.9mg, 9/25/16-25mg, 12/3/16-19.4mg, 12/18/16-18.5 holding.  OTHER DAILY PHARMACEUTICALS:   *Oxcarbazepine 150 mg 2x/day since mid 2015, *Naproxen 220mg 3x/day as an antidepressant and for pain since 2012, *Levothyrozine 75mcg since 2008 (hypothyroid), *Levothyronine 5 mpg 2x/day since 2012 (hypothyroid) *montelukast SOD 10 mg for asthma since 2014, Advair 250/50 2x daily, [DX 11/16 Felodopine 5mg since 2006,DX combivent 8/1/16] *MEDICAL MARIJUANA for neuropathic pain:CBD oil 25 mg 3-4 x day, THC tincture a few drops: 1/4 tsp 0-3x/day, vaporize CBD for breakthrough pain, CBD concentrate for severe pain.  PRN MEDS *Valium 5 mg PRN up to 4/day for muscle spasms, usually 1-2 x/ day. *Low dose Ketamine nasal spray for severe pain, and also finding 1 dose calms bad WD quickly. HERBAL TINCTURES: burdock, lobelia, turmeric, white willow. CURRENT SUPPLEMENTS:  *Methylated B vitamins, *Vitamin D 5000 iu, Alpha Lipoid Acid, Neti pot. [DX 6/13/16 promethazine suppository + 2 OTC Benadryl for severe pain N Acetyl Cytine for asthma1992-2002, over 20 different psych meds. 2012-2016 Eliminated 7 meds 1 at a time DX Plaquenil DX Spironolactone DX Lunesta, DX Ativan,  + others

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SquirrellyGirl

Feral, I am blown away by, I can't find the right words, your "scientific" approach to evaluating your experience and basing your taper decisions on concrete data.  Truly inspirational! I used to be so detail-oriented, but can't garner the gumption these days.  Kudos to you!

 

SG


Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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FeralUrban

I HAD to take this approach. My neurologist was in his words "overwhelmed." My psychiatrist was baffled. I was in such severe pain and ANS dysfunction that I thought I would be dying soon. 

 

I learned the technique from my sister, who manages her complicated coronary microvascular disease and vasospasm, so that she can remain objective. Let's admit it a bad day feels like the *worst* and like it's been this way *forever* But when I track I discover some bad days are much worse. or much better than other bad days, and that in fact they come and go.

 

This method, which I started in February helped me identify venlfaxine as a major problem, along with other drugs. The other drugs are gone, V remains at 32.6 mg presently. 

 

I wish I had it together enough to teach others how to do this. Maybe someday.

 

Feral


2002 to 2016 Venlafaxine ER 225mg.  2013 TMS treatments triggered nerve pain in face, arm, back.  2016 TMS round ending Feb 1 Central Nerve Pain and and sub-acute serotonin toxicity compounded by Imitrex.  April-June tapered over 3 months from 225 to 0. Reinstated 6/20/16 21.5 nonER 2x day. 7/7/16-37.5mg; 7/17/16-36.6; 7/22/16-33.75; 8/22/16 32.6mg, 9/11/16-28.9mg, 9/25/16-25mg, 12/3/16-19.4mg, 12/18/16-18.5 holding.  OTHER DAILY PHARMACEUTICALS:   *Oxcarbazepine 150 mg 2x/day since mid 2015, *Naproxen 220mg 3x/day as an antidepressant and for pain since 2012, *Levothyrozine 75mcg since 2008 (hypothyroid), *Levothyronine 5 mpg 2x/day since 2012 (hypothyroid) *montelukast SOD 10 mg for asthma since 2014, Advair 250/50 2x daily, [DX 11/16 Felodopine 5mg since 2006,DX combivent 8/1/16] *MEDICAL MARIJUANA for neuropathic pain:CBD oil 25 mg 3-4 x day, THC tincture a few drops: 1/4 tsp 0-3x/day, vaporize CBD for breakthrough pain, CBD concentrate for severe pain.  PRN MEDS *Valium 5 mg PRN up to 4/day for muscle spasms, usually 1-2 x/ day. *Low dose Ketamine nasal spray for severe pain, and also finding 1 dose calms bad WD quickly. HERBAL TINCTURES: burdock, lobelia, turmeric, white willow. CURRENT SUPPLEMENTS:  *Methylated B vitamins, *Vitamin D 5000 iu, Alpha Lipoid Acid, Neti pot. [DX 6/13/16 promethazine suppository + 2 OTC Benadryl for severe pain N Acetyl Cytine for asthma1992-2002, over 20 different psych meds. 2012-2016 Eliminated 7 meds 1 at a time DX Plaquenil DX Spironolactone DX Lunesta, DX Ativan,  + others

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SquirrellyGirl

I am glad that you are able to identify the patterns and see that it isn't "all bad all the time."  It is so easy to get caught up in that thinking and many here do and suffer greatly because of it.  You are a strong one and you WILL make it out to the other side of this!

 

SG


Started ADs back around 1995 after bad break-up, starting with Prozac.  Switched to Wellbutrin, and then to Effexor in 2002
Effexor XR 2002-2014 up to 225 mg at one point, down to 37.5 mg towards end but back up to 75 mg in 2014; now realize I had W/D as I dropped down, memory very poor about history.  Extreme emotions, poor concentration as I stepped back down, didn't connect the dots!
Summer 2014 reduced to 0 very quickly, was sick of anhedonia/sexual dysfunction due to meds, depression never controlled if not worse. Didn't recognize WD since symptoms built slowly (thought I had ADD! and menopausal on top of it), starting with severe sweats, very bad cog-fog and memory issues, culminating in weight loss, severe anxiety and depression, panic, severe apathy and insomnia by eight months off.  Saw p-doc who put me on Remeron, increased from 7.5 mg/day to 37.5 mg by May 22, 2015; still doing very badly though able to sleep.

June 1. 2015 Reinstated Effexor XR 37.5 mg, Remeron dropped to 30 mg PM. Immediate relief of symptoms, like nothing had ever happened!  Joined SA and began on advice of friend who recognized it was WD all along! Began tapering in July 2015.

Been tapering both meds ever since, focusing on one more than the other or doing no more than 5% of each per month.

12 mg Effexor and 5.8 mg Remeron (mirtazapine SolTabs to make a solution with OraPlus) as of 5/4/2017 

Update 3/14/18: 2.9 mg Remeron and 6 mg Effexor; 6/10/18:  2.6 mg Remeron and 4.9 mg Effexor

 

My intro: http://survivingantidepressants.org/index.php?/topic/9313-squirrellygirl-effexor-withdrawal-etc/page-2#entry196679

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

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peng

A graph I made for my own Effexor gives 10 beads as about 4%.

 

However, be wary of this, more knowledgeable folks on here report of different numbers of beads in different manufacturer's versions of the drug.

 

If you can manage to count all the beads in a 225mg cap (preferably more than one - I know - what a drag!), you can plot your own graph.

 

Good luck, I am attempting what you are, cutting from 225mg.  I am at 187.5mg today.  If you can get Venlablue XL 37.5mg in Oz, it can help with adjusting doses.  The capsule contains 3 x 12.5mg little white tablets like the old sweeteners for tea and coffee. 

 

The tireless, helpful Mods on here will come on to point you at the most vital introductory sections to read on the website, depending on your particular issue.

 

Stick at it - the fact you are working to solve the problem should help!


Born 1945. 

1999 - First Effexor/Venlafaxine

2016 Withdrawal research. Effexor.  13Jul - 212.5mg;  6Aug - 200.0mg;  24Aug - 187.5mg;  13Sep - 175.0mg;  3Oct - 162.5mg;  26Oct - 150mg 

2017  9Jan - 150.00mg;  23Mar - 137.50mg;  24Apr - 125.00mg;  31May - 112.50mg holding;  3Sep - 100.00mg;  20Sep - 93.75mg;  20Oct - 87.5mg;  12Nov - 81.25mg;  13 Dec - 75.00mg

2018  18Jan - 69.1mg; 16Feb - 62.5mg; 16March - 57.5mg (-8%); 22Apr - 56.3mg(-2%); CRASHED - Updose 29May - 62.5mg; Updose - 1Jul - 75.0mg. Updose - 2Aug - 87.5mg. Updose - 27Aug - 100.0mg. Updose - 11Oct 112.5mg. Updose - 6Nov 125.00mg

2019 Updoses 19 Jan - 150.0mg. 1April - 162.5mg. 24 April - Feeling better - doing tasks, getting outside.  7 May - usual depression questionnaire gives "probably no depression" result.

Supps/Vits  Omega 3;  Chelated Magnesium;  Prebiotics/Probiotics, Vit D3. 

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Vitality

Thank you for replies. I've been on 225mg xr Effexor as a maintainence dose for over 2 years though ECT was the only effective treatment to turning a major depressive episode around. My Dr has agreed to consider lowering my Effexor dose from around the beginning of next year but occasionally I get fed up with hearing how ill I was and my terrible relapse rate stats given I've unofficially (ie not been hospitalised) had episodes of depression on other occasions. So I decided to have a go at reducing the dose now but I am very sensitive to any signs that I could return to being so ill as I was in 2014. I felt nauseous and just unsteady psychologically so I quickly put back in the beads I had taken out today and then felt okish. Well as OK as I feel after the recent reminders from my dr of just how grim things were and the impact of my biology.


ECT 2014

Effexor 225mg, mirtazapine 45mg, zyprexa 5mg in 2014. Currently on 225mg Effexor xr and .625mg zyprexa prn

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Cicci

The venlafaxine in a mini-tablet fragment may be released more quickly as it can be absorbed easier. If you take your venlafaxine in the morning, you may wish to take the mini-tablet fragment in the afternoon to avoid too much release of the drug at once.

I'm now on 175 mg of Venlafaxine gelatine capsules - one 150 mg capsule and two 12,5 mg mini-tablets.

Do you recommend me taking the capsule in the morning and the mini-tablets in the afternoon?


1988 - 2016 Different sorts antidepressants from Anafranile to Voxra. A couple of attempts to quit, but relapsed (?).

10/7 -16 From 225 mg Venlafaxin to 200 mg - No problems

31/7 -16 From 200 mg Venlafaxin to 175 mg - Minor panic attacks now and then

1/10 -16 Switched straight off from 175 mg Venlafaxin to 150 g Voxra on doctor's ordination (due to difficulties to cope with working as little as 25%)

-Bad withdrawal symptoms; dizzieness, nausea, insomnia, nighmares, heart pounding, panic attacks, malaise

4/10 -16 Continued with 150 mg Voxra and added 150 mg of Venlafaxine

5/10 -16 Removed Voxra on advice from SA, went back to 175 mg of Venlafaxine and will continue slowly tapering it out.

 

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peng

Cicci's latest post promts a hopefully useful note at this point:

 

The Swedish pharma company BLUeFISH make "Venlablue XL 37.5mg prolonged release capsules, hard"

containing 3 hard mini pills of 12.5mg each.

 

These were the form of 37.5mg dose I got as prescribed here in the UK (Scotland).

They have proved most useful in tapering.  A lot better than all that counting beads palaver.


Born 1945. 

1999 - First Effexor/Venlafaxine

2016 Withdrawal research. Effexor.  13Jul - 212.5mg;  6Aug - 200.0mg;  24Aug - 187.5mg;  13Sep - 175.0mg;  3Oct - 162.5mg;  26Oct - 150mg 

2017  9Jan - 150.00mg;  23Mar - 137.50mg;  24Apr - 125.00mg;  31May - 112.50mg holding;  3Sep - 100.00mg;  20Sep - 93.75mg;  20Oct - 87.5mg;  12Nov - 81.25mg;  13 Dec - 75.00mg

2018  18Jan - 69.1mg; 16Feb - 62.5mg; 16March - 57.5mg (-8%); 22Apr - 56.3mg(-2%); CRASHED - Updose 29May - 62.5mg; Updose - 1Jul - 75.0mg. Updose - 2Aug - 87.5mg. Updose - 27Aug - 100.0mg. Updose - 11Oct 112.5mg. Updose - 6Nov 125.00mg

2019 Updoses 19 Jan - 150.0mg. 1April - 162.5mg. 24 April - Feeling better - doing tasks, getting outside.  7 May - usual depression questionnaire gives "probably no depression" result.

Supps/Vits  Omega 3;  Chelated Magnesium;  Prebiotics/Probiotics, Vit D3. 

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Cicci

Yes, it's really handy peng! They also come in 75 mg and 150 mg capsules with the same mini-tablets inside (12,5 mg).


1988 - 2016 Different sorts antidepressants from Anafranile to Voxra. A couple of attempts to quit, but relapsed (?).

10/7 -16 From 225 mg Venlafaxin to 200 mg - No problems

31/7 -16 From 200 mg Venlafaxin to 175 mg - Minor panic attacks now and then

1/10 -16 Switched straight off from 175 mg Venlafaxin to 150 g Voxra on doctor's ordination (due to difficulties to cope with working as little as 25%)

-Bad withdrawal symptoms; dizzieness, nausea, insomnia, nighmares, heart pounding, panic attacks, malaise

4/10 -16 Continued with 150 mg Voxra and added 150 mg of Venlafaxine

5/10 -16 Removed Voxra on advice from SA, went back to 175 mg of Venlafaxine and will continue slowly tapering it out.

 

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Altostrata
On 10/5/2016 at 9:36 AM, Cicci said:

 

On 5/5/2011 at 8:01 PM, Altostrata said:

The venlafaxine in a mini-tablet fragment may be released more quickly as it can be absorbed easier. If you take your venlafaxine in the morning, you may wish to take the mini-tablet fragment in the afternoon to avoid too much release of the drug at once.

I'm now on 175 mg of Venlafaxine gelatine capsules - one 150 mg capsule and two 12,5 mg mini-tablets.

Do you recommend me taking the capsule in the morning and the mini-tablets in the afternoon?

 

 

Cicci, a whole mini-tablet, intact, WILL have the extended-release properties. When you cut up a mini-tablet, the extended-release quality may be destroyed.

 

Your mini-tablet can be taken at the same time you take the capsule.

Edited by Altostrata
corrected error

This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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alenka9

I successfully went from venlafaxine 150mg to 75mg by eye-balling a 10% taper - worth trying if you're unwilling to count hundreds of beads every day.


On venlafaxine since 2001. Three cold turkey WD attempts unsuccessful.

In 2012 I slowly tapered from 75mg. Less than a year after taking the last grain I developed extreme anxiety and pseudo dementia.

After all clear neuro tests in 2013 I was put on Effexor 150mg. Instant improvement. 

In 2014 I tested positive for chronic mercury poisoning. I'm chelating using Andy Cutler's protocol, www.noamalgam.com.

Tapering Venlafaxine Actavis 150mg: Mar 10%, May 10%, Jun (eyeballing) 3 quarters of capsule, Sep slighlty over half of capsule. End Oct exactly half capsule. Feeling great when chelating and being very hopeful that this time I will succeed!

My intro & updates

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DragonButterfly

Hi everyone,

My husband is on 150mg of venlafaxine (regular tablets not slower release capsules). He split the time for his dose going from 150mg in the morning now to 75mg (AM) and then 75 mg (PM) - about a week ago - with the aim of tapering according to the schedule we found here. Alas, he has already started to experience withdrawal symptoms. I'm wondering if this could be because of the difference between tablets and capsules? We were told making this change should really not change anything as he's still getting the same dose per day (no actual drop) but obviously that's not the case. I should add that he is also currently taking 15mg of mertazapine and 10mg of temazepam as well, right before bed.


Husband's history: Diagnosed with clinical depression and anxiety and panic disorder in May 2015. Was put on antidepressants and anti-anxiety medications but saw no marked improvement. Doctors didn't realise this was due to excessive alcohol consumption. By the time they realised, he was already on venlafaxine 150mg, mirtazapine 15mg, temazepam 10mg and quetiapine (dose unknown). Husband was still in denial about alcohol problems at this point. Moved back to the UK in Sept 2015. Been through 5 GPs (all giving contradicting advice). Husband gave up drinking in January 2016 (mostly). Started smoking cannabis to cope with constant nausea, cramps etc. Weaned off of quetiapine in July 2016 (over 15 days) and went through major withdrawal for 4 straight weeks. Felt good after that until changing the times for his usual dose of venlafaxine in an attempt to prepare for new tapering schedule. Experienced mild withdrawal for 1 week. Symptoms did subside. 20th Oct 2016: Dropped from 150mg to 140mg of venlafaxine. Held for 1 week until mild symptoms subsided. 27th Oct 2016: Dropped to 131mg venlafaxine. Currently experiencing quite severe withdrawal symptoms: i.e: 'constant pings in the head', nausea, cramps, body aches, blurred vision, mild hallucinations, insomnia, loss of appetite, sensitivity to sound & light, flu-like symptoms, severe fatigue, etc. Current: venlafaxine 131mg; mirtazapine 15mg; temazepam 10mg.

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ChessieCat

Hi DragonButterfly,

 

Your question is being discussed in your Intro/Update topic here:  dragonbutterfly-husband-going-off-effexor


Being very patient.  I'll get there - slowly.  ETA mid 2021

ADs:  25 years - 1 unknown, Prozac (caused muscle weakness), Zoloft/sertraline; citalopram (pooped out) CTed (very sick for 2.5 wks a few months after)

Pristiq:  50mg 2012, 100mg beg 2013 (mild Serotonin Toxicity)

Began tapering Oct 2015  Current from 12 Sept 2020:  Pristiq 0.625 mg (compounded)

My tapering program

My Intro (goes to my tapering graph)

My website - includes my brief history + links to videos & information on the web

PLEASE NOTE:  I am not a medical professional.  I provide information and make suggestions.

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John

Can anyone tell me what the actual weight of a brand name Effexor XR 75mg pill is?


 

 
 

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RachelE

A YouTube video from our friend Mixter showing his method for reducing Effexor XR (the number of beads in his 150mg Wyeth Effexor XR capsule may be different than the number of beads in yours):

 

How to remove 30 mg in pellets off 150 mg Effexor XR Wyeth, to get the desired dose 120 mg the fastest way for my taper! Remember 1 pellet equals 0.2757mg! One 150 mg Effexor Wyeth contains average of 544 pellets! So we get 109 pellets by calculating 30 divided with 0.2757! This is my 5 bunch 5 group method!

 

I'm very thankful my effexor beads are less tiny. 


I have been on so many medications since I was 20 and diagnosed as "mentally ill" that I have lost count.

Right now, however I have been taking:

Lamictal 25 mg: I went on it in March for only 13 days, then cold turkeyed off when I thought I was developing a rash because of it. Pretended to go back on it, but didn't. Not the best idea, but I had no way to reduce the dose. Anyhow I had no adverse withdrawal reactions, probably because I was on it for less than 2 weeks.

Abilify 20 mg:  I have been on this for several years. Actually at least half the time I have spent as a meds "consumer" I have been on this nasty pill. I finished tapering off it at the beginning of 2016. Was reinstated during the 4 days I spent in a psych ward in March. Tapered off it again in 10 weeks, from say March 15-June 30. Needless to say this is not exact, but I remember I was off it before July 4 (patriotic holiday in America!) I am doing fine, although I know I may have to wait till Christmas or later to know I am out of the danger zone for withdrawal psychosis. The main thing I notice about being off is that I no longer crave sweets all the time and am losing weight without trying. Good thing since I used to weigh 350 lbs.!

Effexor 150 mg: This is the real trouble-maker. Since I have no other way of tapering I do the best I can by bead counting. I unscrew the gel capsule and count out the tiny micro-capsules or beads inside. This works fairly well with the generic time release version. Only 120 beads to count of almost identical size. Lately I have been "holding" at 20 bead removal due to some major stress in my life. Moving hundreds of miles from my old home and a bout of strep throat that wouldn't respond to antibiotics.  I guess that means I'm on 120 mg of Effexor right now. On October 16 I am going to recommence my taper since I am safely moved and no longer have strep! 

I admit now that I did something stupid. I had trouble opening the extra strength gel capsules containing the beads so I reinstated at the original dose for a week. I know it's not good to play ping pong with my brain, but I could never open the capsules without spilling those microscopic balls all over so I was never sure what dosage I was taking! Thank the LORD that I finally have the old kind again and can safely count out the amount. I am now back on 135 mg and feel somewhat better.

October 30, 2016. I am down to 120 mg effexor. November 27, 2016. Down to 105 mg effexor. December 25, 2016. 90 mg effexor. January 15, 2017. 75 mg effexor. January 21. 82.5 mg effexor. January 23, 90 mg again. Feb. 14, 81.25 mg. Mar. 15, 72.5 mg. Mar. 27, 65 mg.  Apr. 9, 58.75 mg. Apr. 24, 52.5 mg.

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peng

DOSE - Effexor 150mg XL  -  

1 X 150mg capsule, or 2 X 75mg (XL).

 

Thanks to you guys, I am down to the magic, round number of 150mg/day.  Not been that low (??!) for 3 years.

 

I have plenty of 75mg.  In your personal opinions, mods, will taking two of them at once in the evening be OK, or is there not much to choose between that and one 150mg at that time, please?


Born 1945. 

1999 - First Effexor/Venlafaxine

2016 Withdrawal research. Effexor.  13Jul - 212.5mg;  6Aug - 200.0mg;  24Aug - 187.5mg;  13Sep - 175.0mg;  3Oct - 162.5mg;  26Oct - 150mg 

2017  9Jan - 150.00mg;  23Mar - 137.50mg;  24Apr - 125.00mg;  31May - 112.50mg holding;  3Sep - 100.00mg;  20Sep - 93.75mg;  20Oct - 87.5mg;  12Nov - 81.25mg;  13 Dec - 75.00mg

2018  18Jan - 69.1mg; 16Feb - 62.5mg; 16March - 57.5mg (-8%); 22Apr - 56.3mg(-2%); CRASHED - Updose 29May - 62.5mg; Updose - 1Jul - 75.0mg. Updose - 2Aug - 87.5mg. Updose - 27Aug - 100.0mg. Updose - 11Oct 112.5mg. Updose - 6Nov 125.00mg

2019 Updoses 19 Jan - 150.0mg. 1April - 162.5mg. 24 April - Feeling better - doing tasks, getting outside.  7 May - usual depression questionnaire gives "probably no depression" result.

Supps/Vits  Omega 3;  Chelated Magnesium;  Prebiotics/Probiotics, Vit D3. 

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Altostrata

DOSE - Effexor 150mg XL  -  

1 X 150mg capsule, or 2 X 75mg (XL).

 

Thanks to you guys, I am down to the magic, round number of 150mg/day.  Not been that low (??!) for 3 years.

 

I have plenty of 75mg.  In your personal opinions, mods, will taking two of them at once in the evening be OK, or is there not much to choose between that and one 150mg at that time, please?

 

Yes, you can take two 75mg capsules or tablets rather than one 150mg for your dose.


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

All postings © copyrighted.

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peng

Thanks Altostrata!

 

A couple of days ago, now down to 125mg, thanks to ideas offered on your fine site.

 

(75mg capsule + 4 X the extremely useful 12.5mg minitablets in the Swedish "BLUeFISH Venlablue XL prolonged release capsules, hard - Venlafaxine" prescribed by our health centre here.)  

 

Generic versions of Effexor liable to change at any time, here, though, depending on cost to the local county Health Trust.

One of our GPs told me a few years ago that the drugs bill is so immense that they employed a person specially to examine current costs of all medications so that they could opt quickly for the most cost effective brand at any time.

 

Also, personally, I have not been aware of any markedly differing symptoms when changing from one version of Effexor to another as some people report.


Born 1945. 

1999 - First Effexor/Venlafaxine

2016 Withdrawal research. Effexor.  13Jul - 212.5mg;  6Aug - 200.0mg;  24Aug - 187.5mg;  13Sep - 175.0mg;  3Oct - 162.5mg;  26Oct - 150mg 

2017  9Jan - 150.00mg;  23Mar - 137.50mg;  24Apr - 125.00mg;  31May - 112.50mg holding;  3Sep - 100.00mg;  20Sep - 93.75mg;  20Oct - 87.5mg;  12Nov - 81.25mg;  13 Dec - 75.00mg

2018  18Jan - 69.1mg; 16Feb - 62.5mg; 16March - 57.5mg (-8%); 22Apr - 56.3mg(-2%); CRASHED - Updose 29May - 62.5mg; Updose - 1Jul - 75.0mg. Updose - 2Aug - 87.5mg. Updose - 27Aug - 100.0mg. Updose - 11Oct 112.5mg. Updose - 6Nov 125.00mg

2019 Updoses 19 Jan - 150.0mg. 1April - 162.5mg. 24 April - Feeling better - doing tasks, getting outside.  7 May - usual depression questionnaire gives "probably no depression" result.

Supps/Vits  Omega 3;  Chelated Magnesium;  Prebiotics/Probiotics, Vit D3. 

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KarenB

Trying to work out what to do now that NZ is no longer supplying name-brand Effexor.  Instead we have access to Enlafax, but today I opened the capsule to find two large pills in it!  Less than lady-like words escaped my mouth...

 

So, now looking at Alto's Effexor thread to see what to do:

Quote

 

Check with the manufacturer of your generic extended-release venlafaxine that the capsule is made of gelatin. If it is, the time-release quality is in the mini-tablets.

 

A gelatin capsule has no time-release effects. To make the drug extended-release, the time-release ingredients such as povidone and microcrystalline cellulose are integrated into the core of each mini-tablet (the coatings are not time-release).

 

You can taper by removing these mini-tablets:

  • Ascertain how many mini-tablets are in each of your capsules. Open a few and count the mini-tablets.
  • Divide the dosage of each capsule by the number of mini-tablets in each capsule. That is the dosage of the mini-tablet.

(For example, every dosage of Venlablue contains some number of 12.5mg mini-tablets; 37.5mg contains 3 12.5mg mini-tablets while 150mg contains 12 12.5mg mini-tablets.)

 

Calculate the amount of your decrease, such as 10%, on your current daily dosage. If necessary, you may split a mini-tablet into smaller doses. For more precise dosing when splitting mini-tablets, see Using a digital scale to measure doses

 

The venlafaxine in a mini-tablet fragment may be released more quickly as it can be absorbed easier. If you take your venlafaxine in the morning, you may wish to take the mini-tablet fragment in the afternoon to avoid too much release of the drug at once.

 

 

1.  I have checked to see if the capsules are made of gelatin, and the sheet says gelatin and titanium dioxide (for colour).  So the time-release is not in the outer capsule. 

 

2.  I will have to split/crush the table into smaller doses.  (Above, it says the time-release quality is in the CORE of the mini-tab.  Is it okay to crush and weigh them?)

 

3. I will continue taking two doses daily, to help keep up with the possibly faster releases. 

 

4.  I will do a short bridge between the effexor and the enlafax. 

 

May I have a second opinion to let me know if my plans are on track or not?   

 

Or, would it be a better option to switch to regular effexor, as below:  (Although am wondering if that's no longer available in NZ either.  Crushing as above might be my only option).
 

Quote

 

If you are taking brand-name Effexor XR, use the bead-counting method until you get down to 37.5mg, then convert to regular Effexor and make a liquid from it to finish the taper, taking doses at least twice a day.

 

 

 


2010  Fluoxetine 20mg.  2011  Escitalopram 20mg.  2013 Tapered badly and destabilised CNS.  Effexor 150mg. 

2015 Begin using info at SurvivingAntidepressants.  Cut 10% - bad w/d 2 months, held 1 month. 

Micro-tapering: four weekly 0.4% cuts, hold 4 weeks (struggling with symptoms).

8 month hold.

2017 Micro-tapering: four weekly 1% cuts, hold 4 weeks (symptoms almost non-existent).

2020 Still micro-tapering. Just over 2/3 of the way off effexor. Minimal symptoms, - and sleeping well.
Supplements: Fish oil, vitamin C, iron, oat-straw tea, nettle tea.

My story of healing:ContinuedHealing

***I am not a doctor; please do your own research and be able to take responsibility for decisions you make.*** 

           'The possibility of renewal exists so long as life exists.'  Dr Gabor Mate.

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bubble

I will check it with my husband. He found himself in a similar situation with Effexor earlier this year: could not get hold of regular Effexor tablets he had been dissolving to taper thus far. All he could get were XR pills. I have to check but as far as I remember there was a capsule with 3 smaller pills inside. I had no idea where time release could be.

 

Although I was freaking out because that thread you quoted clearly says not to do that he had no choice but to take  those 3 pills out and dissolve them. He started taking that suspension two times a day and luckily he had no symptoms. I still worry as to the efficacy of this and he has been complaining about fatigue a lot lately so I would like to get to the bottom of this too.

 

I think we should best bring it to Alto's attention and mazbe move the discussion to the thread on Effexor so that other members in a similar situation would know what to do... 


Current: Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013)

Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 
1999. - present Xanax prn up to 3 mg.
2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg
went from 2.5 to zero on 7 Aug 2013, bad crash 40 days after
reinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours
28 Jan 2014 Xanax 1.9, 18 Apr  2015 1 mg,  25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64  Xanax     9 month hold

24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26

Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic 

I'm not a medical professional. Any advice I give is based on my own experience and reading. 

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KarenB

Thanks Bubble - I've moved them (clearly;)).  Next to find Alto ... I guess if I'm up now, she'll be asleep.


2010  Fluoxetine 20mg.  2011  Escitalopram 20mg.  2013 Tapered badly and destabilised CNS.  Effexor 150mg. 

2015 Begin using info at SurvivingAntidepressants.  Cut 10% - bad w/d 2 months, held 1 month. 

Micro-tapering: four weekly 0.4% cuts, hold 4 weeks (struggling with symptoms).

8 month hold.

2017 Micro-tapering: four weekly 1% cuts, hold 4 weeks (symptoms almost non-existent).

2020 Still micro-tapering. Just over 2/3 of the way off effexor. Minimal symptoms, - and sleeping well.
Supplements: Fish oil, vitamin C, iron, oat-straw tea, nettle tea.

My story of healing:ContinuedHealing

***I am not a doctor; please do your own research and be able to take responsibility for decisions you make.*** 

           'The possibility of renewal exists so long as life exists.'  Dr Gabor Mate.

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bubble

It seems that my brain was a lot mushier in February when I read this because I get what I see now: the way to go is to weigh mini tablets. That would mean that crushing them is ok but would like to hear Alto confirm it.

 

But my husband got so used to his liquid and a syringe that he simply continued doing it: make XR mini tablets into a liquid although it's written in red not to do it.

 

I sort of understand why: it destroys the time release or something like that but would like to know what really happens if you dissolve mini xr tablets. Especially since this is how he has been taking his drug for 5 months now.


Current: Xanax 0.26 (down from 2 mg in 2013), Lexapro 2.85 mg (down from 5 mg 2013)

Amitriptyline (tricyclic AD) and clonazepam for 3 months to treat headache in 1996 
1999. - present Xanax prn up to 3 mg.
2000-2005 Prozac CT twice, 2005-2010 Zoloft CT 3 times, 2010-2013 Escitalopram 10 mg
went from 2.5 to zero on 7 Aug 2013, bad crash 40 days after
reinstated to 5 mg Escitalopram 4Oct 2013 and holding liquid Xanax every 5 hours
28 Jan 2014 Xanax 1.9, 18 Apr  2015 1 mg,  25 June 2015 Lex 4.8, 6 Aug Lexapro 4.6, 1 Jan 2016 0.64  Xanax     9 month hold

24 Sept 2016 4.5 Lex, 17 Oct 4.4 Lex (Nov 0.63 Xanax, Dec 0.625 Xanax), 1 Jan 2017 4.3 Lex, 24 Jan 4.2, 5 Feb 4.1, 24 Mar 4 mg, 10 Apr 3.9 mg, May 3.85, June 3.8, July 3.75, 22 July 3.7, 15 Aug 3.65, 17 Sept 3.6, 1 Jan 2018 3.55, 19 Jan 3.5, 16 Mar 3.4, 14 Apr 3.3, 23 May 3.2, 16 June 3.15, 15 Jul 3.1, 31 Jul 3, 21 Aug 2.9 26 Sept 2.85, 14 Nov Xan 0.61, 1 Dec 0.59, 19 Dec 0.58, 4 Jan 0.565, 6 Feb 0.55, 20 Feb 0.535, 1 Mar 0.505, 10 Mar 0.475, 14 Mar 0.45, 4 Apr 0.415, 13 Apr 0.37, 21 Apr 0.33, 29 Apr 0.29, 10 May 0.27, 17 May 0.25, 28 May 0.22, 19 June 0.22, 21 Jun updose to 0.24, 24 Jun updose to 0.26

Supplements: Omega 3 + Vit E, Vit C, D, magnesium, Taurine, probiotic 

I'm not a medical professional. Any advice I give is based on my own experience and reading. 

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KarenB
On 14/07/2017 at 1:28 PM, KarenB said:

To make the drug extended-release, the time-release ingredients such as povidone and microcrystalline cellulose are integrated into the core of each mini-tablet (the coatings are not time-release).

This interests me.  If the time-release is in the CORE of each mini-tablet, does it need to remain there in order to slowly work, or, can the mini-tab be crushed and mixed round so the time-release ingredients are evenly spread into each dose as it is separated out and weighed.

 

I have been looking, and cannot find any availability of regular effexor (non-XR) in NZ.   


2010  Fluoxetine 20mg.  2011  Escitalopram 20mg.  2013 Tapered badly and destabilised CNS.  Effexor 150mg. 

2015 Begin using info at SurvivingAntidepressants.  Cut 10% - bad w/d 2 months, held 1 month. 

Micro-tapering: four weekly 0.4% cuts, hold 4 weeks (struggling with symptoms).

8 month hold.

2017 Micro-tapering: four weekly 1% cuts, hold 4 weeks (symptoms almost non-existent).

2020 Still micro-tapering. Just over 2/3 of the way off effexor. Minimal symptoms, - and sleeping well.
Supplements: Fish oil, vitamin C, iron, oat-straw tea, nettle tea.

My story of healing:ContinuedHealing

***I am not a doctor; please do your own research and be able to take responsibility for decisions you make.*** 

           'The possibility of renewal exists so long as life exists.'  Dr Gabor Mate.

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dj2010

I was on the same vanlafaxine capsules, they were called vensir and had 6 little tablets inside the capsule, they were 75mg, I tapered by cutting the little tablet into bits with a tablet cutter during the end,

 

Not sure if this will work, I have looked online and you can buy empty time release capsules, maybe you could fill them yourself, see here:

 

\\https://www.amazon.com/Empty-Enteric-Coated-Capsules-Joined/dp/B014EPR180


2001 - 2005 prozac,  2001 - 2017 various benzos, mainly diazapem and zanex,  2002 - 2017 olanzapine or seroquel,  2002 -2017 propanolol, 2005 - 2009 venlafaxine 75mg , forced to go cold turkey off venlafaxine as moved Thailand, doctor cut me off and couldn't get it there, severely ill for over 2 years, countered withdrawals with more zanex and seroquel

2014 returned to UK, mainly to get treatment getting off meds

doctor advised to taper seroquel over a few weeks, severely ill and bed bed-bound so reinstated it, 2015 tapered seroquel myself slower over a few months, was off it 2 months and was too ill so went on olanzapine, became zombie and too tired to get out of bed, went back on seroquel, very depressed so went back on venlafaxine, didnt work  so doctor swapped to zoloft became very agitated so back on venlafaxine

June 2016 - felt strong enough to begin tapering again, started what I thought was a slow taper of all meds,  2016 July Not had any alcoholic drink since this date, 

2016 October completely off diazepem, 2017 Feb completely off seroquel, 2017 March completely off proponanlol, 2017 April (day before birthday) completely off venlafaxine, OFF ALL MEDS 11/4/2017, was fine for nearly 3 months and then delayed withdrawal hit,

supplements taking: turmeric capsules, NiaCel (nicotinamide riboside), Vit B12 sublingual, Vit B3, Vit B6, Vit B1, apple cider vinegar, manuka umf 10 honey, camu camu powder,  melatonin when needed, epsom salt baths, juices, smoothies, 

Intro: http://survivingantidepressants.org/topic/15175-dj2010-off-all-meds-for-3-months-and-been-fine-now-bad-insomnia/

 

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KarenB

That's very interesting DJ.  It might be very helpful for this turn of events. 


2010  Fluoxetine 20mg.  2011  Escitalopram 20mg.  2013 Tapered badly and destabilised CNS.  Effexor 150mg. 

2015 Begin using info at SurvivingAntidepressants.  Cut 10% - bad w/d 2 months, held 1 month. 

Micro-tapering: four weekly 0.4% cuts, hold 4 weeks (struggling with symptoms).

8 month hold.

2017 Micro-tapering: four weekly 1% cuts, hold 4 weeks (symptoms almost non-existent).

2020 Still micro-tapering. Just over 2/3 of the way off effexor. Minimal symptoms, - and sleeping well.
Supplements: Fish oil, vitamin C, iron, oat-straw tea, nettle tea.

My story of healing:ContinuedHealing

***I am not a doctor; please do your own research and be able to take responsibility for decisions you make.*** 

           'The possibility of renewal exists so long as life exists.'  Dr Gabor Mate.

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peng

Our form of Venlafaxine with either 3 or 6 little pills inside for 37.5mg and 75mg, respectively, is called Venlablue XL and is made by BLUeFISH PHARMACEUTICALS  of Stockholm, Sweden.

 

It must come at a favourable price for our NHS Health Trust's GPs, because they employ a person at the surgery whose job is solely, IIRC, to keep up to date with the "best buys" of medication.  


Born 1945. 

1999 - First Effexor/Venlafaxine

2016 Withdrawal research. Effexor.  13Jul - 212.5mg;  6Aug - 200.0mg;  24Aug - 187.5mg;  13Sep - 175.0mg;  3Oct - 162.5mg;  26Oct - 150mg 

2017  9Jan - 150.00mg;  23Mar - 137.50mg;  24Apr - 125.00mg;  31May - 112.50mg holding;  3Sep - 100.00mg;  20Sep - 93.75mg;  20Oct - 87.5mg;  12Nov - 81.25mg;  13 Dec - 75.00mg

2018  18Jan - 69.1mg; 16Feb - 62.5mg; 16March - 57.5mg (-8%); 22Apr - 56.3mg(-2%); CRASHED - Updose 29May - 62.5mg; Updose - 1Jul - 75.0mg. Updose - 2Aug - 87.5mg. Updose - 27Aug - 100.0mg. Updose - 11Oct 112.5mg. Updose - 6Nov 125.00mg

2019 Updoses 19 Jan - 150.0mg. 1April - 162.5mg. 24 April - Feeling better - doing tasks, getting outside.  7 May - usual depression questionnaire gives "probably no depression" result.

Supps/Vits  Omega 3;  Chelated Magnesium;  Prebiotics/Probiotics, Vit D3. 

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Altostrata

KarenB, if regular Effexor is available, I'd switch to regular Effexor twice a day, with part tablet and part liquid if possible, to relieve the uncertainty and possibly the inconvenience of crushing and weighing tablets that are supposed to be extended-release.


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.

"It has become appallingly obvious that our technology has surpassed our humanity." -- Albert Einstein

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KarenB

I've just found out from Pharmac NZ that regular effexor is no longer subsidised here.  So you would say, if I want to be on the safe side, that I shouldn't be crushing and weighing mini-tabs?  I wonder if my next best option would be a prozac bridge.  Yikes. 


2010  Fluoxetine 20mg.  2011  Escitalopram 20mg.  2013 Tapered badly and destabilised CNS.  Effexor 150mg. 

2015 Begin using info at SurvivingAntidepressants.  Cut 10% - bad w/d 2 months, held 1 month. 

Micro-tapering: four weekly 0.4% cuts, hold 4 weeks (struggling with symptoms).

8 month hold.

2017 Micro-tapering: four weekly 1% cuts, hold 4 weeks (symptoms almost non-existent).

2020 Still micro-tapering. Just over 2/3 of the way off effexor. Minimal symptoms, - and sleeping well.
Supplements: Fish oil, vitamin C, iron, oat-straw tea, nettle tea.

My story of healing:ContinuedHealing

***I am not a doctor; please do your own research and be able to take responsibility for decisions you make.*** 

           'The possibility of renewal exists so long as life exists.'  Dr Gabor Mate.

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scallywag

Karen: Pardon my question -- it comes from not knowing how NZ healthcare works. Does not subsidised mean it is not available?


This is not medical advice. Discuss any decisions about your medical care with a knowledgeable medical practitioner.
1997-1999 Effexor; 2002-2005 Effexor XR 37.5 mg linear taper, dropping same #beads/week with bad results

Cymbalta 60 mg 2012 - 2015; 2016: 20 mg to 7 mg exact doses and dates in this post; 2017: 6.3 mg to  0.0 mg  Aug. 12; details here


scallywag's Introduction
Online spreadsheet for dose taper calculations and nz11's THE WORKS spreadsheet

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KarenB

It means that it is very expensive, and therefore likely to be unavailable, as pharmacies tend not to buy in things that are not subsidised, I guess as too few people buy them.   


2010  Fluoxetine 20mg.  2011  Escitalopram 20mg.  2013 Tapered badly and destabilised CNS.  Effexor 150mg. 

2015 Begin using info at SurvivingAntidepressants.  Cut 10% - bad w/d 2 months, held 1 month. 

Micro-tapering: four weekly 0.4% cuts, hold 4 weeks (struggling with symptoms).

8 month hold.

2017 Micro-tapering: four weekly 1% cuts, hold 4 weeks (symptoms almost non-existent).

2020 Still micro-tapering. Just over 2/3 of the way off effexor. Minimal symptoms, - and sleeping well.
Supplements: Fish oil, vitamin C, iron, oat-straw tea, nettle tea.

My story of healing:ContinuedHealing

***I am not a doctor; please do your own research and be able to take responsibility for decisions you make.*** 

           'The possibility of renewal exists so long as life exists.'  Dr Gabor Mate.

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