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Getting off Effexor after 12 years on it. My doctor and my…

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Getting off Effexor after 12...
Getting off Effexor after 12 years on it. My doctor and my pharmacist do not agree on subject. My doctor is in such a hurry to get me off it. The pharmacist says "the longer you have been on Effexor, the longer you should take getting off of it". And, "the faster you get off , the more likely you will just get depressed again". I trust my pharmacist more than my doctor.
Thank you for any information you can give me. I would also like to know the most common side affects come while weaning off Effexor X-RAY, 225 mg.
Susan R
Submitted: 2 years ago.Category: Medical
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Answered in 17 minutes by:
1/21/2016
Doctor: Dr. D. Love, Doctor replied 2 years ago
Dr. D. Love
Dr. D. Love, Doctor
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Hello from JustAnswer.

I agree that someone that has been on an antidepressant for a longer period of time should have a more gradual taper off the drug, but the primary concern would be withdrawal symptoms, not recurrence of depression. There is a risk of recurrence of depression regardless of how the drug is stopped, but there is no evidence that the risk of depression is greater with a faster taper.

The evidence is far greater that there can be withdrawal symptoms. There are many different withdrawal symptoms that can occur, but the most common are anxiety, irritability, dizziness, headache, nausea, vomiting, diarrhea, loss of appetite, fatigue, tremors, insomnia, and abnormal sensations, such as shock-like sensations.

For someone taking 225 mg per day, I would usually decrease the dose in steps of lowering the strength by by 75 mg per day and then taking a step every 3-4 weeks. If any symptoms occur at this tapering schedule, then it would be reasonable to take smaller steps of 25-37.5 mg.

If I have answered all your questions, please rate my response Excellent (click on the 5th star).

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Doctor: Dr. D. Love, Doctor replied 2 years ago

Please let me know if I can provide any additional assistance.

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