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This article was co-written by Liana Georgoulis, PsyD. Liana Georgoulis is a licensed clinical psychologist with over 10 years of experience, currently the clinical chair of Coast Psychpogical Services in Los Angeles. She received her Doctor of Psychology degree from Pepperdine University in 2009. Her clinic offers cognitive behavioral therapy and other evidence-based therapies for adolescents, adults, and couples. .
There are 9 references cited in this article that you can view at the bottom of the page.
This article has been viewed 2,967 times.
Effexor and Effexor XR are trade names for venlafaxine in the US, an antidepressant that treats millions of people. Effexor is prescribed by doctors to treat depression, anxiety disorders, and panic disorders. [1] X Trusted Source Mayo Clinic Go to Source Effexor is a prescription drug, so it’s important that you take it as directed by your doctor, including when you and your doctor decide when to take it. is most appropriate to stop taking the drug. You may be able to stop using Effexor by gradually reducing the dose and relieving possible withdrawal symptoms.
Steps
Reduce drug dosage
- Avoid stopping or reducing your dose of Effexor before talking to your doctor. You need to continue to follow your doctor’s instructions when prescribing your medication.
- Tell your doctor why you want to stop taking the medicine. You need to be honest when giving your reasons so that your doctor can consider the best treatment options for you. There are many reasons why you might want to stop taking Effexor, such as if you are already feeling better, you are pregnant or breastfeeding, or because of a drug interaction. [3] X Trusted Source Mayo Clinic Go to Source
- Listen to your doctor’s recommendations. Ask your doctor if you have any questions, including the benefits and risks of stopping and other alternative therapies your doctor may recommend. There is always a second treatment option that you can choose from if necessary.
- Take 1-2 weeks to reduce your dose of Effexor if you have only been taking it for less than 8 weeks. If you have been taking Effexor for 6-8 months, you must wait at least 1 week between dose reductions. For patients taking Effexor at a maintenance dose, the reduction in dosage will be slower. For example, you should not reduce more than ¼ of your dose every 4-6 weeks. [6] X Research Source
- Write the plan on paper or in a notebook with other notes such as your mood or problems you face. For example, you might write a plan like this: “Initial dose 300 mg; first dose reduction: 225 mg; 2nd reduced dose: 150 mg; 3rd dose reduction: 75 mg; 4th dose reduction: 37.5 mg.” [7] X Harvard Medical Schop Trusted Source Go to Source
- If you are taking Effexor XR, you will have to change to regular Effexor. Effexor XR is a long-acting drug, and cutting the tablet in half affects its release mechanism. This means that there is a risk of overdose, as too much medicine will be released at once. [9] X Research Source
- Buy a pill cutter at a pharmacy or medical supply store. Ask your pharmacist or salesperson if the product is right for your split medicine needs.
- Keep a weekly journal as part of your cessation plan. Keep a record of your dose and how you feel. If you feel comfortable and have few withdrawal symptoms, you can continue to reduce the dose of the drug according to your scheduled schedule. Remember not to speed the process to prevent withdrawal symptoms. [11] X Research Source
- Consider keeping a “mood calendar” for each day of the week. You can rate your mood on a scale of 1-10 every day to identify problems or detect patterns of symptoms when the dose is reduced. [12] X Trusted Source Harvard Medical Schop Go to Source
- If you have trouble stopping Effexor, your doctor may suggest switching to fluoxetine (Prozac). This way you can reduce your dose of fluoxetine without experiencing withdrawal symptoms.
Reduce withdrawal symptoms
- Nervous
- Dizzy
- Tired
- Headache
- Have lucid dreams
- Insomnia
- Nausea
- Excitement
- Concerned
- Chills
- Sweating
- Runny nose
- Trembling
- Feelings of insecurity or fear
- Muscle pain
- Stomach problems
- Flu-like symptoms
- Depression
- Having thoughts of suicide
- Continue to keep your doctor informed of your progress. You may even need to see a psychiatrist or psychologist as an alternative form of therapy to help with stopping Effexor. This can limit symptoms and perhaps also provide you with a new coping mechanism.
- Let family and friends know that you are stopping taking Effexor and may be experiencing withdrawal symptoms. You should let them know how they can help you.
- Take a break from work if necessary. Be honest with your manager about your condition. If you still can’t take leave, ask what you can do to contribute to the company if you are experiencing withdrawal symptoms or relapse.
- Try to dedicate a total of 150 minutes each week or 5 sessions of 30 minutes each to moderate-intensity activities. Activities like walking, jogging, swimming or cycling will benefit your mood. You should also consider yoga or Pilates, which not only add to your total weekly activity time, but also improve your mood and help you relax.
- Choose food from 5 food groups. Eat a variety of fruits, vegetables, whole grains, protein, and milk. [20] X Trusted Source USDA Center for Nutrition Ppicy and Promotion Go to the source You should try to eat half of your servings of vegetables at each meal.
- Consider eating more magnesium-rich foods like: almonds, avocados, spinach, soybeans, black beans, salmon, halibut, oysters, peanuts, quinoa, and brown rice. [21] X Research Source
- Avoid stressful situations whenever possible. If you can’t avoid it, fix it by taking a deep breath and asking permission to “go to the bathroom” or “to answer the phone”. Just a moment’s pause can help relieve stress.
- Allow yourself to have regular massages to relax.
- Go to bed and wake up at the same time every day. You should sleep at least 7 hours a night and keep this habit even on weekends to minimize symptoms. [24] X Research Sources
- Take a 20-30 minute nap as needed. You will regain your sanity and possibly reduce your withdrawal symptoms.
Warning
- Avoid stopping Effexor on your own. Consult your doctor before making any changes to your medication dosage. You should also not take any other medicines while taking Effexor without consulting your doctor first.
- Continue taking Effexor even if you already feel better. If you stop taking the medicine, your condition may start to get worse again.
This article was co-written by Liana Georgoulis, PsyD. Liana Georgoulis is a licensed clinical psychologist with over 10 years of experience, currently the clinical chair of Coast Psychpogical Services in Los Angeles. She received her Doctor of Psychology degree from Pepperdine University in 2009. Her clinic offers cognitive behavioral therapy and other evidence-based therapies for adolescents, adults, and couples. .
There are 9 references cited in this article that you can view at the bottom of the page.
This article has been viewed 2,967 times.
Effexor and Effexor XR are trade names for venlafaxine in the US, an antidepressant that treats millions of people. Effexor is prescribed by doctors to treat depression, anxiety disorders, and panic disorders. [1] X Trusted Source Mayo Clinic Go to Source Effexor is a prescription drug, so it’s important that you take it as directed by your doctor, including when you and your doctor decide when to take it. is most appropriate to stop taking the drug. You may be able to stop using Effexor by gradually reducing the dose and relieving possible withdrawal symptoms.
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