Tapering Desvenlafaxine 50mg When Discontinuing
Rationale for Tapering
- Serotonin-norepinephrine reuptake inhibitors (SNRIs) like desvenlafaxine require dose tapering to reduce the risk of a discontinuation syndrome, as recommended by the American Geriatrics Society 1
Evidence on Tapering vs. Abrupt Discontinuation
- The incidence of withdrawal symptoms such as headache is lower with tapering, with a reported frequency of 3-8% 1
Special Considerations
- The Centers for Disease Control and Prevention recommends individualizing the taper schedule based on the patient's response, and not rushing the taper if the patient is experiencing significant withdrawal symptoms 2
When to Consider Slower Tapering
- For elderly patients or those with comorbid medical conditions, a slower taper may be necessary, as recommended by the American Geriatrics Society 1