Many people take prescription medications to manage mental health or medical conditions. Some commonly prescribed medications have the potential for abuse or addiction. It is essential to understand the risk of prescription drug abuse and seek treatment if you recognize a problem.
Effexor is a prescription antidepressant drug used to treat depression and anxiety. People may use this antidepressant medication to reduce symptoms related to these mental health conditions.
While many experts do not consider Effexor to be highly addictive, evidence suggests that people may experience unwanted side effects and symptoms of addiction when taking it. People who take Effexor for extended periods may experience withdrawal symptoms if they suddenly stop taking it.
This article will explore what to expect during Effexor withdrawal. You will learn:
- How Effexor works
- The effects and risks of Effexor abuse
- The abuse and addiction potential of Effexor
- The symptoms of Effexor withdrawal
- What happens during each stage of the Effexor withdrawal timeline
- How to treat Effexor withdrawal
- What to expect in Effexor addiction treatment
- Where to find comprehensive addiction treatment and recovery support
If you or someone you love struggles with substance abuse or addiction, you are not alone. Find treatment and recovery support programs at First Step Behavioral Health. Contact our intake specialists to learn more about Effexor addiction treatment or to schedule an intake assessment.
What is Effexor (Venlafaxine)?
Effexor is the brand name for a prescription drug called venlafaxine. It is a serotonin-norepinephrine reuptake inhibitor (SNRI). People may take Effexor to manage symptoms related to depression and anxiety disorders.
Effexor works by balancing levels of neurotransmitters (brain chemicals) related to mood, anxiety, energy, focus, and other functions.
People may also take Effexor recreationally (without a prescription) for their pleasurable, energizing effects. Common slang terms for recreational Effexor include:
- Bottled smiles
- Wonder drug
- Miracle drug
- Happy pills
Some addiction experts do not believe it is possible to develop physical dependence on Effexor. However, people who use it for long periods or who abuse it may develop symptoms of addiction.
If you or someone in your life struggles with Effexor abuse, you are not alone. Contact the First Step Behavioral Health specialists to learn about our treatment and recovery support programs.
What Conditions Does Effexor Treat?
Effexor is an FDA-approved prescription drug used to treat anxiety disorders and depression. Here is an overview of these common mental health conditions.
Depression
Surveys suggest that about 21 million adults in the United States experience some form of depression each year. There are several forms of depression, including:
- Major depressive disorder
- Seasonal depression
Perinatal depression - Persistent depressive disorder (sometimes called “high-functioning depression”)
Depression is a serious mental health condition that causes physical and emotional symptoms, including:
- Low mood
- Fatigue
- Hopelessness
- Loss of interest in activities someone used to enjoy
- Agitation or irritability
- Physical discomfort, including muscle aches, headaches, or nausea without a clear physical cause
- Difficulty sleeping–either sleeping too much or struggling to fall asleep
- Thoughts of death or suicide
- Feelings of guilt or shame
People must experience some of these symptoms for at least two weeks to receive a diagnosis of depression. Research shows that most people will experience at least one period of depression in their lifetime.
People may treat depression using a combination of medication, talk therapies, and lifestyle changes. It is important to begin treating depression as soon as you recognize the symptoms. Untreated depression may be life-threatening.
Anxiety disorders
Anxiety is part of everyday life for most people. People may feel anxious in many situations, such as preparing to give a speech or during an argument with a loved one.
However, some people experience overwhelming, intense, or frequent anxiety that requires treatment.
Anxiety disorders are mental health conditions that cause physical and psychological symptoms. There are several types of anxiety disorders, including:
- Generalized anxiety disorder (GAD)
- Phobias
- Panic disorder
Anxiety can cause symptoms including:
- Irritability
- Racing heart
- Dizziness
- Tingling in the hands or face
- A tight feeling in the chest or throat
- Sweating
- Muscle tension
- Headaches
- Nausea
- Dry mouth
- Difficulty falling or staying asleep
- Difficulty relaxing
- Compulsive behaviors
- Poor focus and concentration
The symptoms of anxiety can be very disruptive to daily functioning. People may avoid situations that may trigger anxiety or panic. They may also have physical symptoms that keep them from keeping up at work, sleeping well, and more. Treatment for anxiety includes medications, talk therapies, and lifestyle changes.
Contact the First Step Behavioral Health specialists to learn about our mental health and substance use disorder (SUD) treatment programs.
Is it Possible to Get Addicted to Effexor?
Most addiction and medical experts believe the risk of Effexor abuse and addiction is low. Effexor does not cause intense, pleasurable side effects like euphoria.
However, people who take Effexor may develop symptoms of physical dependence. People who use Effexor long-term may experience venlafaxine withdrawal symptoms when abruptly discontinuing Effexor. This is called antidepressant discontinuation syndrome.
Discontinuation symptoms like nausea and flu-like symptoms can make it very challenging to stop the medication. People may require intensive treatment and ongoing support to quit taking Effexor (venlafaxine).
The Effects and Risks of Effexor
Some medical experts have expressed concerns about the potential for unwanted side effects and addiction related to Effexor use. Here is an overview of some potential risks associated with Effexor use.
Serotonin syndrome
Effexor affects the brain’s serotonin levels, causing them to increase. Research shows that excessive serotonin levels may cause a condition called serotonin syndrome. Symptoms of serotonin syndrome may include:
- Rigid muscles
- High fever
- Agitation
- Seizures
People who exhibit symptoms of serotonin syndrome must seek emergency medical attention. They may also need to stop taking Effexor.
Cardiovascular issues
Research suggests a link between Effexor use and a higher risk of cardiovascular problems, including stroke and heart attack. One large-scale study found that more than a third of study participants who took Effexor had life-threatening heart rhythm disturbances.
Pregnancy complications
Studies suggest that Effexor use during pregnancy may increase the risk of fetal development problems, including heart and lung defects. Research also finds that it may affect an infant’s development and ability to breastfeed, which may have long-term effects on a baby’s growth.
Suicidal thoughts
More research is needed to establish a connection between Effexor use and suicidal thoughts. However, some studies have found higher rates of suicidal thoughts and attempts in those taking Effexor.
Self-harm and suicidal thoughts are potential symptoms of Effexor withdrawal. It is critical to have support when stopping Effexor. Contact your doctor or seek immediate mental health support if you experience thoughts of self-harm or suicide.
Contact the treatment specialists at First Step Behavioral Health to learn more about the potential risks of Effexor or to explore our mental health treatment services.
Recognizing Effexor Dependence and Withdrawal
Many experts believe that it is unlikely to develop emotional or behavioral symptoms of Effexor addiction. Effexor does not increase dopamine or other neurotransmitters related to pleasure or reward. People may not experience cravings, compulsive use, or other behavioral symptoms of addiction.
However, the body may adjust to the presence of Effexor. Effexor changes levels of norepinephrine and serotonin. Over time, the CNS may adapt to these new levels. If someone abruptly stops taking Effexor, their body and brain may not be able to maintain these new neurotransmitter levels.
Effexor users may develop tolerance after taking this drug for extended periods. Tolerance indicates that the body has adjusted to a specific dose of the medication. When tolerance occurs, people may discover they require higher doses to get the desired effects of Effexor.
People who stop taking Effexor “cold turkey” are likely to experience physical and psychological withdrawal symptoms. Experiencing these withdrawal symptoms is the primary symptom of physical dependence. Medical and mental experts typically anticipate that this will occur. They may avoid having patients stop taking Effexor abruptly.
Instead, medical professionals may help people gradually taper off Effexor. This can reduce the risk of withdrawal symptoms. They may also prescribe other medications, including Prozac, to help people safely manage mental health disorders while quitting Effexor.
The Symptoms of Effexor Withdrawal
People may become physically dependent on Effexor after taking it for extended periods. Abruptly stopping Effexor can lead to withdrawal symptoms, including:
- Flu-like body aches
- Nausea
- Mood swings
- Insomnia
- Confusion
- Thoughts of self-harm or suicide
- Mania
- Irritability
- Agitation
- Appetite changes
- Brain zaps
- Tingling sensations in the body
- Nightmares
- Persistent headaches
- Drowsiness
- Dizziness
Many factors can impact the type, severity, and duration of your Effexor withdrawal symptoms, including:
- How long you have been taking Effexor
- Your age
- Dosage
- Gender
- Medical and mental health conditions
- How you stop taking it (abruptly or gradually)
Contact the First Step Behavioral Health specialists to learn more about Effexor withdrawal or to explore your detox and treatment options.
The Effexor Withdrawal Timeline
Effexor withdrawal can be challenging. Intense, long-lasting withdrawal symptoms may test your reserve. Knowing what to expect at each stage of withdrawal may help you stay focused and navigate withdrawal successfully.
Each person has their own unique experiences throughout Effexor withdrawal. However, symptoms typically follow a common pattern or timeline.
Here is an overview of the Effexor withdrawal timeline.
24 to 72 hours
Effexor withdrawal symptoms typically start within the first one to three days after stopping this medication. Acute withdrawal symptoms might include:
- Body aches
- Agitation
- Anxiety
The first few days of withdrawal may be challenging. It is important to practice good self-care to manage symptoms. Seek treatment and support at First Step Behavioral Health to help you navigate Effexor detox successfully.
Days 4-7
Most people experience a peak of Effexor withdrawal symptoms in the first four to seven days after quitting. In addition to acute withdrawal symptoms, you might also have:
- Nausea
- Vivid or strange dreams
- Dizziness
These symptoms may make you very uncomfortable. It is essential to continue self-care or seek professional treatment to manage them.
Two weeks
Many people notice an improvement in their withdrawal symptoms during the second week. However, it is common to develop emotional symptoms, including changes in mood and irritability.
Three weeks and beyond
After three weeks without Effexor, your withdrawal symptoms should be minimal. However, some people continue to experience mood swings or difficulty sleeping for longer periods.
Effexor withdrawal can be very challenging, but having treatment and support can help you get through it. Contact the First Step Behavioral Health specialists to learn about our comprehensive detox and treatment programs.
Managing Effexor Withdrawal Symptoms
Long-term Effexor use can lead to tolerance and physical dependence. If you stop taking Effexor suddenly, you are likely to experience a range of withdrawal symptoms.
The severity of your withdrawal symptoms will depend on how quickly you stop taking Effexor, your dosage, your general health, and other factors. Here are some tips you can use to manage Effexor withdrawal symptoms.
Go Slow
Consult with your doctor about gradually reducing your dose rather than stopping cold turkey. In most cases, faster isn’t better with this medication, and the slower you can taper, the less intense your withdrawal symptoms will be.
Eat well
Eating a balanced diet will supply your body with all the nutrients it needs during detox. A healthy diet can stabilize blood sugar, boost mood, and improve sleep. Try to eat a diet rich in:
- Healthy sources of fat, such as avocado, nuts, fatty fish, and olive oil
- Fruits and vegetables
- Whole grains
- Lean meat
Many people experience nausea during Effexor withdrawal. This can affect how often or how much people eat. You may still nourish your body by eating simple meals and nutritious snacks when you can.
It’s also important to stay hydrated and drink plenty of fluids.
Prioritize sleep
Good sleep can improve your mental health, mood, and energy levels. Follow a good bedtime routine that includes:
- Going to bed at the same time each night
- Keeping your bedroom dark and cool
- Reducing or eliminating screentime for at least an hour before bedtime
- Doing gentle stretching exercises before bed
- Avoiding alcohol or caffeine in the afternoon and evening
- Getting exercise during the day
A bedtime routine can help to reduce agitation or anxiety that may interrupt sleep.
Get exercise
Exercise can promote healthy blood flow, improve mood, and encourage the body to produce “feel-good” chemicals called endorphins. Exercise can also help to enhance the quality of sleep and reduce agitation during Effexor withdrawal.
Reduce stress
Reducing stress can help you cope with the symptoms of Effexor withdrawal. Avoid stress as much as possible. Take frequent breaks from work and prioritize rest. Use stress-reducing techniques often, including:
- Yoga
- Breathing exercises
- Tai chi
- Mindfulness
Controlling your stress may help reduce withdrawal symptoms. It may also boost your mood and help you get better sleep.
Make a safety plan
In some cases, the symptoms of Effexor withdrawal can become severe. Some people experience thoughts of self-harm or suicide and other severe symptoms.
It is critical to have a safety plan in place. Talk with trusted mental health professionals, friends, or family members about your experiences. Plan on who you will call if you experience worsening of severe withdrawal symptoms.
Contact the First Step Behavioral Health specialists to learn more about our treatment programs or get more information about managing Effexor withdrawal.
Tapering Off Effexor Gradually
People who have been taking Effexor for more than a couple of months should not stop taking it abruptly. Instead, tapering off Effexor is safer. This involves gradually lowering your dose over time to reduce withdrawal symptoms and give your body time to adjust. Tapering usually involves reducing your dose in small steps over weeks or even months.
Never stop Effexor on your own. Your doctor will create a tapering plan based on your current dose, how long you’ve been taking it, and how your body responds. People who’ve been on it for a long time or at high doses often need a slower taper.
Keep your provider updated throughout the process. They can help if withdrawal symptoms get too uncomfortable or if your original symptoms return.
Treatment During Effexor Detox
Some people attempt to manage the effects of Effexor withdrawal at home. However, quitting “cold turkey” can be dangerous, and many people develop intense withdrawal symptoms that require immediate treatment.
While gradually tapering off Effexor is the best way to detox, those who are addicted to other drugs may need medical detox programs that offer support, supervision, and treatment that can help people safely manage withdrawal symptoms. A detox treatment plan might include:
- Round-the-clock supervision and access to therapies
- Over-the-counter and prescription medications to reduce withdrawal symptoms
- Emotional support, including individual and group counseling
- Holistic therapies, like mindfulness, acupuncture, nutrition support, yoga, and more
An Effexor detox plan may also include a gradual tapering of Effexor. Slowly tapering off Effexor can reduce withdrawal symptoms and limit the risk of severe complications.
It is important to consult a medical professional before quitting Effexor. Contact the team at First Step Behavioral Health to learn more about Effexor detox or to explore your treatment options.
Comprehensive Treatment for Effexor Addiction
Medical and addiction experts believe there is a relatively low risk of developing Effexor addiction. However, people who attempt to stop taking it cold turkey are likely to experience withdrawal symptoms.
People may also develop other symptoms of addiction when taking Effexor long-term. They may develop tolerance (needing higher doses to get the desired effects) or compulsive use. Some may also struggle with symptoms of psychological addiction, including:
- Anxiety about running out of Effexor
- Feeling as though they must take Effexor to function
- Using it to alter the effects of other drugs or alcohol
People may need intensive treatment to overcome Effexor addiction. Here is an overview of what to expect in a comprehensive addiction treatment program.
Assessments
Substance abuse treatment plans often include assessments, diagnostic testing, and other screenings. Initial assessments may consist of:
- Questions about past and current substance use
- A medical and mental health history
- A family history of substance use disorder (SUD)
- Lab testing
- A physical exam
As treatment progresses, medical and mental health professionals may assess people to ensure treatment is effective. This allows people to receive tailored care at each stage of treatment.
Medication management
People may take medications to manage ongoing withdrawal symptoms. People may also work with healthcare providers to find alternative treatment for mental health conditions when stopping Effexor.
Behavioral therapies
Cognitive behavioral therapy (CBT) and other behavioral therapies can help people make significant changes and progress in recovery. Behavioral therapies help people understand the link between their thoughts, emotions, and behaviors. People can use this deeper understanding to reduce harmful behaviors, including substance abuse.
Counseling
Addiction treatment programs may offer individual, group, and family counseling. During counseling sessions, people work with a licensed mental health professional to identify problems, process feelings, and work toward greater self-awareness.
Holistic therapies
Many comprehensive addiction treatment programs incorporate holistic therapies to soothe the mind and body. These may include:
- Creative expression, such as dance, journaling, art, or music
- Exercise
- Mindfulness and meditation
- Yoga
- Tai Chi
- Acupuncture
- Animal therapy
- Nature therapy
These and other holistic therapies can help to reduce stress, improve mood, and enhance the treatment process.
Psychoeducation
Many addiction treatment programs at all levels of care offer psychoeducation groups. Psychoeducation groups provide accurate, comprehensive information about addiction, recovery, and aftercare. People may learn new skills, develop more effective communication, explore community SUD resources, and more.
Aftercare planning
Addiction is often a lifelong condition that requires ongoing management. After completing a detox and treatment program, people must stay engaged in recovery.
An aftercare plan can help people receive ongoing support and care after detox. An aftercare plan might include:
- Spending time living in a sober community
- Attending 12-step meetings or other support groups
- Participating in community sober events
- Receiving regular mental health and medical care
- Participating in individual or group counseling
- Attending other types of addiction treatment
Knowing what to expect during treatment can help you seek care with confidence. Contact the First Step Behavioral Health specialists to learn about our comprehensive treatment and recovery support programs.
Find Addiction Treatment
Substance abuse and addiction can take a toll on your physical health, emotional well-being, and daily functioning. Detoxing from addictive substances, including prescription drugs like Effexor, can be very challenging.
It is crucial to get the information, treatment, and support you need to help you overcome addiction. First Step Behavioral Health offers comprehensive substance use disorder treatment programs, resources, and recovery support. Contact our treatment team to learn more about our services or to schedule an intake appointment.
References:
- JAMA Network: Efficacy of Venlafaxine Extended-Release Capsules in Nondepressed Outpatients With Generalized Anxiety Disorder
- The American Journal of Psychiatry: Efficacy of Extended-Release Venlafaxine in Nondepressed Outpatients With Generalized Anxiety Disorder
- American Academy of Family Physicians: Antidepressant Discontinuation Syndrome
- National Institute of Health (NIH): Venlafaxine
- NIH: Venlafaxine withdrawal syndrome
- NIH: Venlafaxine and Serious Withdrawal Symptoms: Warning to Drivers
- NHS: How and when to take venlafaxine
