detlef.schtraka replied: "Never quit cold turkey! WITHDRAWING SAFELY WITHDRAWING FROM PSYCHIATRIC MEDICATIONS
MEDICATIONS. DIFFICULTY STOPPING PSYCHIATRIC DRUGS. See sections 1, and the antidepressant websites, and read section 2, at ezy-build* (my standard post follows): See depression treatments, at ezy-build *(below) in section 2, and consult a doctor, to eliminate thyroid problems, etc. as possible contributing factors: also seek a referral to a therapist using Cognitive Behavioural Therapy, or Rational Emotive Behavioural Therapy. It is your decision, and yours alone, as to whether to take any antidepressants offered, but, before you do, read section 1, and check medications out at so you will be on the lookout for side effects, like sexual dysfunction. My strong recommendation, however, is to follow the advice of my doctor, his associate, and also Marcelle Pick, OB/GYN NP, and Dr. Mercola, as well, at and avoid antidepressants (pages 2V, and 2Z refer, & antidepressant websites: page 2). The reasons why we all share the same view on this are explained in full, as you will find, if you read the whole section. All of their advice, (except prayer, because many people are not religious) I have incorporated into the "core treatments", including others as options, such as the supplements: Inositol, or SAMe, or herbal remedies, like St. John's wort. If you are diagnosed with clinical (major) depression, antidepressants may be necessary for a while, which will give the treatments time to become effective. The antidepressants themselves need at least several days, or even weeks to begin becoming effective. It's a good idea to taper off them slowly, with medical advice, after several months, say, to a couple of years, at most, because they are only effective in the long term for about 30% of people. Because of this, you would be well advised to begin the treatments immediately, and maintain them. I'd just thank your mental health care provider, and pocket the prescription, trying the treatments for a few months, to see if they are sufficient for you, before considering filling it (unless clinically depressed, and having great difficulty functioning, or suicidal, in which case I'd take them). If the amount of daylight you have been exposed to recently has reduced, perhaps due to the change of seasons, see Seasonal Affective Disorder (S.A.D.) in section 2, at * and, instead of taking 4 Omega 3 fish oil supplements, daily; replace 2 of them with cod liver oil supplements for the winter months only! (or, as probably a better alternative to the 2 cod liver oil supplements: 1 teaspoonful of cod liver oil, with a little butter, to ensure its use; I take mine on sourdough rye bread, or toast, covered with fishpaste, and pepper, to mask the strong taste). Consider having your doctor test your vitamin D levels. Print/refer her. I'd go back on 1/2 dose, for 3 weeks, then begin tapering off, with medical advice."
TRACE replied: "I have heard nothing good about Effexor. Bad withdrawl seems to be pretty common. I refused to take the crap. Hope your friend gets better quick."
I am slowly weaning myself from Effexor XR? I started taking it every other day, then every two days and so on and am now taking it every fourth day. I feel awful on the third day!!! Dizziness and major fatigue! How long will these withdrawl symptoms last and should I just stop taking it all together since I'm waiting three days inbetween anyway?
KARA replied: "Listen to me I am a Doctor you can't do this alone contact your doctor he will help you..you are not a doctor my friend you must not do this without supervision love kara"
...hello? replied: "stick with the plan, you may want to stay at every four days for a few weeks. withdrawal symptoms are not good becareful"
michele replied: "Best to reduce by 37.5 mg weekly to avoid the symptoms you're now experiencing. Some folks have no trouble at all with discontinuing effexor. Others, such as yourself, experience the dizziness and fatigue. Rather than going with your every other day (or every fourth day) plan, how about just reduce by 37.5 mg each week until you are completely weaned?
Hang in there,
~M~"
TeriR replied: "Are you doing this under your doctor's supervision? What dosage are your capsules? When tapering off this medication, most doctors will prescribe the lowest dosage capsules and help you taper down that way. It's usually not good or easy to just abruptly discontinue this type of medication. The sudden change in neurotransmitter levels can produce some nasty symptoms. Good luck."
CLICKHEREx replied: "Wrong way! See on page 2. Get a pill splitter, and check out the low strength liquid variety with your doctor. I would take 1 now, then see the doctor tomorrow, or ASAP (phone now) and take 1 every day until then."
phil replied: "you should have just started taking lower doses every day your bringing yourself off to fast"
striasl replied: "I strongly agree with the people who said 1) please do this with the guidance of your doctor and 2) get a pill splitter and take a (supervised) tapered dose every day.
I have heard that effexor has some of the worst withdrawal effects, but it should be ok if you are tapered very slowly -- by your doctor.
Good luck !"
gurlieak replied: "Please do this with your Physicians help.
You can really get into long term withdrawl problems if you are not careful.
Severe withdrawal symptoms can develop from patients on any level of dosage, so if you're taking a low dose don't think you're necessarily safe.
Effexor withdrawal symptoms can easily last two months or more, and some people don't feel back to normal even after a year of discontinuation.
Because effexor has a 'half-life' of about five hours, withdrawal symptoms can develop from missing only one dose.
(The half-life refers to the amount of time it takes the body to metabolize one-half of the drug.) Five hours is a frighteningly short half-life for a drug of this nature. It almost guarantees problems.
One Harvard study found 78% of patients experienced withdrawal symptoms from discontinuing effexor xr making it the only drug worse than paxil in this regard....
...
As withdrawal time increases, so does the frequency of the shocks, before they wane completely. At their peak, "brain shivers" have been associated with severe headaches. They may last for a period of several weeks after the last dose, but usually resolve completely within a month. However, the effect may only last a few days.
There is hypothetical and anecdotal evidence that Omega 3 supplementation can be very helpful to alleviate the symptoms of brains shivers.
Best of Luck!"

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