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Tapering: Pristiq

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texas

Tapering pristiq and trileptal

September 6, 2026··
So I’ve been on 50 mg of pristiq and 900 mg of trileptal for about 7 years now. I went down to 750 of trileptal for 2 weeks and had no symptoms so i went down to 600 and it’s been about a month. I’m having severeee anxiety like literally making up scenarios and i’m able to convince myself it’s real and when i cry i physically cannot get myself to stop. im not doing good but i wanna get off of these meds so so bad so i dont wanna raise my dosage. any tips?

Pristiq — 50 mg — 7 years — actively tapering |
Trileptal — 600 mg — 7 years — actively tapering

1 Reply

Based
BasedStaff12d ago
Community AnchorEffexor
Zac, that sudden jump from 750 to 600 is a big one, and what you're describing sounds like classic withdrawal. The obsessive spiraling and the crying that won't stop are the brain adjusting to less drug, it's brutal but it's a sign the taper is moving too fast. Try making smaller cuts, 10% and see how you feel. The ones you did are ok to start but can be too big as you get closer to 0. The anxiety you're feeling now is the drug's hold on your nervous system. Since this is your first post, would you consider logging check ins under My Taper? After a few weeks you'll see the pattern of how each cut hits you, and that data is gold for showing a prescriber exactly why slow is better. Also, when you have a window where the anxiety lifts, drop a comment on someone else's thread here. People three steps behind you need to hear that the bad days don't last forever.

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