Hi there, thanks for asking. As you mentioned, Decreasing the dose of Effexor
could cause panic attacks, especially if the period necessary for taking the medication has not completed. For example if somebody has experienced two episode of depression
in his/her life he/she should take the medication for at least five years. If somebody has panic disorder, she should take the medication for at least a year and if she wants to discontinue the medication, she should take advantage of talk sessions to avoid the relapse of the symptoms. When you experience such symptoms at the time you are decreasing the dose of Effexor, it means this attempt is premature rather than other issues. Xanax
is helpful for every attack of panic, but it cannot prevent the attacks in the near future. Effexor could also prevent such anxiety
bursts to happen. You can decrease the dose after talk therapy
sessions. I wish you a good health.