Our expert says:
Venlafaxine / Venlor is not an antidepressant I like, and I do not ever prescribe it. I don't like its side-effects, including possible blood pressure problems at some doses, and the discontinuation syndrome when one tries to withdraw from its use, as you are experiencing, and which sometimes starts even when someone delays a dose for some hours. I'm sure you are continuing to discuss this with your psychiatrist, who knows your details, and this is the best way to deal with this.
Dizziness and nausea are among this drug's ordinary side-effects, and can also be notable among the symptoms when one starts to reduce the dose. Some people seem relatively little troubled when they gradually reduce the dose; some find the troublesome symptoms last a couple of weeks, for some it lasts several weeks, and uncommonly ( thank goodness ) some people fine a few problem symptoms may last months.
If you were doing OK on the first level of dose reduction, but have started feeling unwell on the next step down, it's usually best to go back to the last dose on which you felt OK, and then start reducing by a smaller reduction and staying a bit longer on each step down. But do discuss this with your doctor : as he has chosen to be a Venlor prescriber, he must be more familiar with managing the dose reduction that those of us who do not choose to prescribe it.
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