How do you manage withdrawal symptoms of SNRIs that exist even after slow taper?   

Another strategy is to do a custom ultra-slow taper. You need to be able to trust the patient can follow through with the instructions. The venlafaxine XR capsule can be opened and sprinkled on food. You can decrease by very small amounts (<1 mg) by taking fewer and fewer beads over time (e.g., ...

I use a low dose of a long-acting SSRI, typically fluoxetine 10 mg for 1 week, then stop. I'll go to sertraline if they had a bad reaction to fluoxetine in the past.