I'm 45 & on 75mg Effexor Xr (am); want to taper to 37.5mg. Extreme sensitivty to med changes. Hi function until started meds for 1st time 3 yrs ago. Quickly from ssri to many meds (5 meds at once) & many side affects (eg, parkinsons, etc). New psych & 2 yrs of med changes later, down from 5 to 2 meds (Effexor XR & Xanax) in Jan. "Normal" taper sched per Dr. always too much- too fast.
Tapered 112.5mg Effexor XR to 75mg in Feb- harder than other med changes. Still have difficulties as when on so much meds- better- but still big. Starts like clockwork EVERY day about 10a. Starts w/ feeling racy, tongue burnt, cold sweats, hard to sit still/vibrate, pain & stiff all over, escalates to phys. anxiety & very weak/shakey, body wants to scream, & on bad days follow w/ uncontrollable, deep crying (no amt of cognitive or relax techniques help prevent). All before 12p. Start recouping after 3:30p (take .5 mg Xanax XR daily around 1p). Can't do thinking or physical activities for long (even if it feels good) w/o vibrational, muscles wiped, agitation, phys. anxiety reprocussions. Correlation seems to exist between amt of time spent on activity and how long repro lasts (repro anywhere from eve to 2-3 days). (fyi-fall asleep fine, but often wake from many vivd mares or just wake & quickly go tosleep.)
Am scared of the chng, but need to understand what this drug is or isn't doing for me & keep going forward. Dr. said drop directly to 37.5mg XR; says no big deal for people. Ssked if this jump ok given it's histories. Said yes, but if I wanted I could take 12.5mg IR w/ the 37.5mg Xr for a few weeks. Asked if I should split IR in two doses like we did when I first started Effexor and said she didn't know, then-didn't matter, then- just take the 12.5 IR w/ 37.5 XR together in a.m. I need another perspective. What might be best options for avoiding or dealing w/ the worst withdrawl symptoms? Have Xanax to help if needed. Will work w/ dr.