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Weaning Effexor?  

post #1 of 16
Thread Starter 
Has anyone weaned off of Effexor XR? I'm on 37.5mg q2d, but I feel really down now. I've been diagnosed with PPD since Nov/03...and since I was feeling better a few weeks ago, my doctor has started me weaning off the med. I really don't want to be on any meds, but I also don't want to go back to feeling so poorly. It's such a dark place I've come from...I thought I was making good progress. Do you think my day might have to do with the weaning off of Effexor (I hear it's nasty)...or that my dose is getting too low, and I may need to stay on it, or go on something different?
Thanks
post #2 of 16
Hi,

I too am worried about weaning off of Effexor. I have been on it for almost 9 months and it has been a life saver, marriage saver, and parenting saver for me. I am on a much higher dose than you-150mgs. I started on 37.5 then went up to 75. I found that I plateud on that and was really back to feeling in the dumps. I went to see my dr. and she relayed that it was possible to plateu on this medication. So, it was upped to the 150 which I believe is the standard therapeutic dosage for most folks. I am not too keen on being on this medication and am starting couseling this week and also acupuncture to help counter my PPD. Personally, I have made the decision to stay on Effexor until I have weaned my dd or until she is down to minimal nursing. I just feel that nursing (which I love to do) has been the trigger to a lot of my PPD issues. I don't want to give it up and I don't want to wean my dtr. I would rather have her wean. So, sorry I did not answer your question. I guess I am going to stay on something until I feel strong enough emotionally, physically, and mentally to come off of it. I know I am still not there yet and have a long way to go. If you are doubtful about it and feel you still need the help stay on it. It's been hard for me to accept that I need medication or even that something was wrong in the first place. I am still on that road to getting back to what's "normal" for me and will not go off until I feel I am strong enough to handle the everyday setbacks. Wow, did I ramble. Well, I hope that helped.
post #3 of 16
Thread Starter 
Well, I had a better day yesterday. I felt pretty goog, though I'm still having the occasional negative thoughts. I think I'll continue to wean, and see how it goes. I'm coming up to the end of my maternity leave, and I'm only going back to work on-call. I don't think I'll take any shifts though...I've only ever left DS for 2 hours at a time...I can't imagine leaving him for 8-12hrs+. I'm actually starting to think that this may not be the best time to wean off of my med. I just don't really know. I'd love to be med-free, but I'm worried about how I'll cope. My doctor is really good, and I'll go to him if I have any problems. Now I'm rambling...
P.S. I wasn't aware that you could plateau at 75mg (my original dose). I had some pretty bad days even on 75mg back in March/April.
post #4 of 16
Yes, I successfully weaned off of Effexor though I am back on it. I was taking 150mg a day and did a 6 week wean to avoid the aweful withdrawl effects

I can't remember my ezact weaning schedule but I could probably come up with it. I'm nak now.

I started back on the Effexor after the birth of my second son and have no plans of stopping soon. I realized once I weaned how much I need the medicine to keep me stable.

Good luck to you!
post #5 of 16
I'm weaning, too. I went on 75mg a few years back for depression, then weaned completely because I started an exercise/low-glycemic-nutrition routine that REALLY helped me a lot, and that routine along with the meds actually made me manic.

I went back on the stuff late last year due to prenatal depression, and ended up at 150mg. The postpartum period was okay up to a point. I'm having depression issues now, triggered by a return to work -- a bad reaction to the separation from my sweet little boy. (He's 4 months old right now.) Effexor was great for my general malaise and anxiety, but I can tell you for sure that it isn't helping me with what I call "situational depression." I decided to go off of it.

I started weaning from 150mg a few months ago, then waited it out for a while at 75mg. I'm now at about 45mg. My mood is getting a little better about the work situation as time passes and I adjust. I haven't noticed the weaning making it any worse.

That said, EFFEXOR WEANING IS HELL. If you do it very gradually, you'll feel occasionally icky. If you do it quickly, you wouldn't believe how sick and crazy you can get. When I first did it several years ago, I went straight from 75 to 37.5. BIG MISTAKE. Even though I no longer had depression problems, the abrupt weaning made me an emotional wreck. Suddenly I was sobbing at the drop of a hat, irritable, antisocial, and angry. I also had nausea, constant headaches, and really bad dizziness. You may have seen recent controversy in the media about otherwise healthy people who went cold-turkey on antidepressants and became suicidal. It can really mess you up.

FYI, the drug manufacturers used to say that you should never open a pill. They recently changed their tune. The scientific inserts now indicate that it's okay to open the pill and sprinkle the little medicine pellets into a spoonful of applesauce, then swallow the applesauce. I've been doing this for my recent weaning, and it's made the withdrawal symptoms much milder, because it gives me a fine level of control over dosage. (Every three days or so, I cut dosage by 10-20 pellets, which is roughly 5-10% of the 75mg capsules.)

OwensMa, you may want to try weaning more gradually (try the sprinkling method if your doctor says it's okay), or just wait until things are more stable to try going off the meds. Any stresses or big changes in your life will make it that much harder, and it's already hard enough.

If you're really desperate to wean, then stay at the 37.5mg for a while to see if your mood stabilizes. If you're still feeling horrible after a month or so at that dosage, then maybe you still need the meds after all.
post #6 of 16
I don't mean to scare anyone, but before I was preggo with William, I was on 300mg of it, and it was the hardest thing coming off of. The side effects were horrendous. Make sure you take as long as possible coming off of it, as you reduce your intake!
post #7 of 16
Thread Starter 
Well, I'm officially off Effexor. Weaning wasn't as hellious as I expected, but it wasn't/isn't nice either. Headaches, dizziness, weird GI symptoms....Anyway, I had a BAD day yesterday. I planned a BBQ for the holiday, and invited 21 people over. I had a breakdown while doing last minute preparations. I felt terrible, like I used to before I started taking Effexor. Thing is (and I feel fine right now), I don't know if what happened yesterday is a result of coming off of the Effexor, or if it means I should still be on it. Anyone have similar situations?
post #8 of 16
Hmmm...well I know that if I have two people over for dinner that causes enough stress for me to breakdown even before I started effexor. Consider how much stress is involved with getting things ready. Did you have any help? If it's anything like my house....I do all the work before, during, and after the party while everyone else relaxes and enjoys. Give it more time.
post #9 of 16
Wow, I really just wanted to say that I'm so glad to have found this thread...I unfortunately don't have any advice about weaning off of it, as I'm still on it.

I'm on the lowest dose, but for me, it's made a huge difference. I find that if I miss a day or two, I start becoming 'that' person that I was before I started on it. It's unreal how quickly it comes back! I've been on it since Christmas, and my doctor sees me being on it until at least next Spring, so we'll see.

Good luck to everyone!
post #10 of 16

weaning off of effexor

Hello to everyone: I started taking effexor one year ago. I was taking it because I suddenly developed Mitral Valve Prolapse. Twice my heart beat was stuck at 150 or higher bpm. My doctor prescribe effexor. I gained weight and was in low gear most of the time. Plus, my cholesterol and blood pressure went up. Two weeks ago I started to alternate the daily taking effexor. I skipped it every other day. Immediately I felt much better. It has now been four days since I have had a pill (75 mg). The only side effect I am having is a strange feeling with my eyes and head; almost like a mild hang-over. Hopefully, this will pass.
post #11 of 16
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post #12 of 16
Owensma-
It sounds like you're doing great. I think what's most important is that youre really aware of your reactions. Feeling overwhelmed and stressed here and there will continue, of course. But, if you just have a few isolated lows, that aren't "that low", you're probably fine. Just keep track of how you're feeling. You may even want to write it on your calender or something so you know. Also, make sure you're being gentle with youself. Try not to take too much on right now. Going it without the meds can be challenging. Make sure you don't push yourself too hard. You're doing beautifully!
Take care!
post #13 of 16
Thread Starter 
Thanks everyone...I felt myself spiralling downward again, so I'm back on 75mg, and I truly do feel so much better for it.
post #14 of 16
A friend of mine is also on EFFEXOR. She cut her dose in half and got ear - ringing, fuzzy headedness, dizziness and vision problems. She couldn't hack it and went back on the full dose. I'm trying to get her to try St.John's Wort and Griffonia Seed Extract to naturally up her seretonin levels, with consulting her doc, of course. Anyone tried St. John's Wort and Griffonia Seed Extract?

Melissa
post #15 of 16
Hi Melissa...my understanding is that St. Johns Wort and Griffonia Seed is only really effective for mild to moderate depression. This has borne out with the many people I know (including myself) who have tried it. Anyone with more severe depression or who has been chronicly depressed for a long time found it just didn't work and that includes me
Effexor actually works on 2 different neurotransmitters: seratonin and norepinephrine. The norepinephrine supposedly starts kicking in at a higher dosage (I think its at 150mg but am not sure), until then they say it works mostly on increasing seratonin in the brain. So depending on your friends depression and whether Effexor was working on increasing norepinephrine as well as the seratonin taking just St. Johns Wort and/or Griffonia Seed might not work well.
Perhaps if she wanted to explore a more natural route she could see an Orthomolecular Physician (or a knowlegable Naturopath) and see if they can help wean her successfully off Effexor and help balance her brain chemistry through amino acids and other nutrients. Mental illness is a very complex disease and usually requires a great deal of tweaking and trial and error to find something that works, which is why I would recommend consulting a health care practitioner, one with a lot of experience in treating mental disorders. Good Luck to you and your friend
post #16 of 16
Thanks for the extra information on Effexor. I take Effexor too. Right now I'm take a bit over 100mg. I may go up to 150 soon. It helps to hear your explanation! Thank you!!
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