Pristiq is a prescription drug used to address major depressive disorder and anxiety disorders. This antidepressant medication belongs to the serotonin-norepinephrine reuptake inhibitor (SNRI) class, and in clinical trials, this drug has been very effective in helping the balance of chemicals in the brain to offset the effects of depression and anxiety. While the drug has proven successful in some cases, abruptly discontinuing it can lead to Pristiq withdrawal symptoms, some of which can be severe. Recognizing and understanding the symptoms of Pristiq withdrawal is the first step toward achieving successful discontinuation of the drug.

Understanding Pristiq and Its Uses

Pristiq is primarily used to treat:

  • Major Depressive Disorder (MDD): Pristiq alters the brain’s levels of chemicals known as norepinephrine and serotonin in the brain, thereby alleviating symptoms of depression.
  • Generalized Anxiety Disorder (GAD): It is sometimes prescribed for anxiety due to its mood-stabilizing effects.

How Pristiq Works

Pristiq works by inhibiting the reuptake of serotonin and norepinephrine, which means it is made more accessible and more available to the brain. This alteration helps improve mood, emotional stability, and overall mental health. However, the brain can become accustomed to this artificial balance, which can lead to withdrawal symptoms if the medication is abruptly stopped.

Causes of Pristiq Withdrawal Symptoms

Withdrawal of Pristiq can happen when the brain and body must readjust to the absence of the drug after prolonged use. The main causes include:

  • Neurochemical Imbalance: As the brain adapts to Pristiq, it reduces its natural production of serotonin and norepinephrine. When Pristiq is removed, it takes time for the brain to return to its normal chemical production, leading to withdrawal symptoms.
  • Dependence: Physical dependence can develop with prolonged use, where the body relies on Pristiq for maintaining chemical balance.
  • Abrupt Discontinuation: Stopping Pristiq suddenly can cause a shock to the system, leading to more severe withdrawal symptoms.

Withdrawal Symptoms

Common Pristiq Withdrawal Symptoms

Because everyone is different, the severity and type of Pristiq withdrawal symptoms are also different from person to person. Factors play a part throughout the pristiq withdrawal timeline, and symptoms manifest differently according to the duration of use, strength of the dosages, and individual health conditions. Common Pristiq withdrawal symptoms include:

Physical Symptoms

  • Nausea and Vomiting: Gastrointestinal disturbances are common during withdrawal, often accompanied by a loss of appetite.
  • Headaches and Dizziness: Patients often experience frequent headaches, dizziness, or a sensation similar to vertigo.
  • Sweating and Chills: Sudden temperature changes and sweating may occur, leading to discomfort.
  • Fatigue and Lethargy: A persistent feeling of tiredness and a lack of energy are typical during withdrawal.
  • Flu-like Symptoms: Some individuals may feel like they have the flu, experiencing body aches and muscle pains.

Psychological Symptoms

  • Anxiety and Agitation: Increased anxiety levels, restlessness, and irritability are common as the brain readjusts.
  • Mood Swings: Emotional instability, including sudden bouts of crying or anger, may occur.
  • Insomnia or Sleep Disturbances: Difficulty sleeping or staying asleep can exacerbate other symptoms.
  • Depression: Temporary feelings of depression or depressive episodes may arise during withdrawal.
  • Brain Zaps: This term describes a sensation similar to electrical shocks or jolts in the brain, commonly reported during withdrawal from SNRIs and SSRIs.

How Long Do Pristiq Withdrawal Symptoms Last?

Because everyone is different, the severity and duration of Pristiq withdrawal symptoms are also different from person to person. Typically, symptoms begin within a few days of stopping Pristiq and may last anywhere from a few weeks to several months. Factors affecting duration include:

  • Dosage and Duration of Use: Longer usage and higher doses often lead to more prolonged withdrawal symptoms.
  • Individual Physiology: Genetic factors, metabolism, and overall health can influence how quickly symptoms subside.
  • Tapering Process: Gradually reducing the dosage of Pristiq under medical supervision can minimize withdrawal symptoms and speed up recovery.

Pristiq Withdrawal Symptoms Timeline

The timeline for Pristiq symptoms varies from person to person, but generally follows the same pattern.

First 1–3 Days

During the initial days after reducing or stopping Pristiq, many people experience flu-like symptoms, irritability, dizziness, and mild nausea. Some may notice “brain zaps,” or electric shock–like sensations in the head.

Days 4–7

Symptoms often intensify in this period, including headaches, sweating, insomnia, and heightened anxiety or mood swings. Digestive issues such as diarrhea or nausea may also become more noticeable.

Weeks 2–3

Withdrawal symptoms may start to gradually peak or fluctuate, with continued mood instability, fatigue, and sleep disturbances. Some people report persistent dizziness, sensitivity to light or sound, and occasional brain zaps.

Weeks 4–6

Many physical symptoms begin to ease, though psychological symptoms like low mood, anxiety, or irritability can linger. Energy levels and sleep patterns may still be irregular as the body adjusts to normal serotonin levels.

Weeks 6+

Most withdrawal symptoms typically resolve, though some individuals may experience occasional mild symptoms, especially if the taper was abrupt. Emotional and cognitive recovery continues as the nervous system fully stabilizes.

Young woman having headache

Managing Pristiq Withdrawal Symptoms

Successfully managing withdrawal symptoms often involves a combination of medical intervention and self-care strategies. Here are some effective approaches:

Medical Guidance and Supervision

  • Consulting a Healthcare Professional: Before discontinuing Pristiq, you should discuss it with your doctor, who can assess your situation and recommend a tapering schedule.
  • Tapering Schedule: Gradually reducing the dosage of Pristiq helps minimize withdrawal symptoms. A healthcare professional can devise a plan tailored to your needs.
  • Medication Alternatives: In some cases, transitioning to a different medication or using temporary supplements can ease withdrawal symptoms.

Lifestyle and Self-Care Strategies

  • Balanced Diet and Hydration: Staying hydrated and following a nourishing diet can support overall health and alleviate some physical symptoms.
  • Regular Exercise: Physical activity can boost mood, reduce anxiety, and improve sleep quality.
  • Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, tai chi, and deep breathing, can all work together to manage stress and alleviate the physical and emotional withdrawal of Pristiq.
  • Support Network: Lean on people you trust and build a support group. Turn to friends or family members, or join a support group because talking and sharing about withdrawal can be greatly helpful in regaining balance and wellness.
  • Sleep Hygiene: The mind and body need adequate rest to heal. Therefore, you should make sure to establish a serene environment to ensure a solid sleep schedule and reduce insomnia.

When Should You Seek Professional Help for Pristiq Withdrawal?

While many individuals can manage withdrawal symptoms with self-care and gradual tapering, some may experience severe or prolonged symptoms requiring professional assistance. Seek medical help if you experience:

  • Persistent Depression or Suicidal Thoughts: Immediate intervention is crucial for anyone experiencing severe depression or suicidal ideation.
  • Intense Physical Symptoms: Severe headaches, dizziness, or any symptoms affecting daily functioning warrant medical attention.
  • Unmanageable Anxiety or Panic Attacks: Persistent anxiety or panic attacks may need professional treatment.

Conclusion

As you can see, undergoing the withdrawal of Pristiq poses a lot of different factors and details. It’s necessary to understand the drug and the potential consequences of discontinuing Pristiq in order to avoid unwanted effects as the drug is removed from your system. Always consult with a healthcare professional before making changes to your medication regimen, and remember that you don’t have to navigate this process alone. With the right support and guidance, overcoming Pristiq withdrawal symptoms is achievable, paving the way for improved mental health and well-being.

At Neurish Wellness, we provide comprehensive mental health care to empower individuals struggling with mental health issues. Our team of experienced behavioral health experts offers personalized care that treats the whole person, not just their symptoms, including individual therapy services. We utilize innovative, holistic, and clinically sophisticated treatment tailored to each individual’s needs and circumstances.

If you or a loved one is struggling with mental health issues, please do not hesitate to contact us. Our team is available to provide support and answer any questions you may have.

FAQs About Pristiq Withdrawal Symptoms

What is the safest way to stop taking Pristiq?

The safest way to stop taking Pristiq is to follow a gradual tapering schedule under the guidance of a healthcare professional. Abruptly discontinuing Pristiq can lead to severe withdrawal symptoms, so it’s essential to reduce the dosage slowly to permit time for the brain to adjust to the changes.

How long does it typically take to taper off Pristiq?

The tapering process for Pristiq varies from person to person and depends on several factors, including the dosage, duration of use, and individual physiology. On average, tapering off Pristiq safely can take around a few weeks or up to several months. Again, your healthcare provider should develop a personalized tapering plan that suits your needs.

Can Pristiq withdrawal symptoms be mistaken for a relapse of depression or anxiety?

Yes, withdrawal symptoms can sometimes mimic the symptoms of depression or anxiety, leading individuals to believe they are experiencing a relapse. This is why it’s essential to differentiate between withdrawal symptoms and a true relapse, which can be challenging without professional guidance. Consulting a healthcare provider can help distinguish between the two and determine the best course of action.

Are there any natural remedies or supplements that can help with Pristiq withdrawal symptoms?

Some individuals find relief from Pristiq withdrawal symptoms using supplements or natural remedies. Common options include omega-3 fatty acids, magnesium, B vitamins, and herbal teas like chamomile or valerian root. However, talk to your doctor before using any supplements, as they may interact with other medications or affect individual health conditions.

Can exercise help alleviate Pristiq withdrawal symptoms?

Yes, exercise can be beneficial in managing Pristiq withdrawal symptoms. Physical activity releases natural mood enhancers from the brain that minimize stress and anxiety. Moving your body can also promote better sleep and make you feel better overall, which means that exercise is an excellent ally in managing Pristiq withdrawal symptoms.

Is it normal to experience brain zaps during Pristiq withdrawal?

Brain zaps, often described as sudden electrical shock-like sensations in the brain, are a common withdrawal symptom associated with Pristiq and other antidepressants. While they can be unsettling, brain zaps are generally harmless and tend to subside as the body adjusts to the absence of the medication.

Is it possible to experience withdrawal symptoms even with a gradual tapering process?

While a gradual tapering process significantly reduces the risk of withdrawal symptoms, some individuals may still experience mild symptoms. These can include headaches, irritability, or mild nausea. Communicating with your healthcare provider throughout the tapering process is essential to address any discomfort and make necessary adjustments to your tapering plan.

Are there any long-term effects of Pristiq withdrawal?

For most individuals, Pristiq withdrawal symptoms are temporary and resolve once the body adjusts to the absence of the medication. However, if symptoms persist or worsen over time, seek medical advice immediately to rule out other underlying conditions or mental health issues.

Which antidepressant has the worst withdrawal symptoms?

Antidepressant withdrawal can vary widely by person, but medications like Effexor (venlafaxine) and Cymbalta (duloxetine) are often reported to cause some of the most difficult withdrawal symptoms. This is due to their short half-lives, which make the body feel the effects of missing doses more quickly.

Can Pristiq cause heart palpitations?

Yes, Pristiq (desvenlafaxine) can cause heart palpitations in some people as a side effect. If palpitations are persistent, severe, or paired with chest pain or dizziness, it’s important to seek medical advice immediately.

Can Pristiq cause night sweats?

Night sweats are a known side effect of Pristiq and may happen during treatment. They can also occur during withdrawal if the medication is stopped too quickly.

Can you die from Pristiq withdrawal?

Pristiq (desvenlafaxine) withdrawal is generally not life-threatening, but it can cause uncomfortable and intense symptoms such as dizziness, nausea, irritability, and electric shock–like sensations, often referred to as brain zaps from Pristiq. Severe complications are rare, but it’s important to taper under medical supervision to avoid serious health issues.

How to stop taking desvenlafaxine?

Desvenlafaxine should be discontinued gradually under the guidance of a healthcare provider to minimize withdrawal symptoms. Your doctor will usually recommend a tapering schedule, slowly reducing the dose over weeks or months rather than stopping abruptly.

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