I was on it for 2 years. I took a pill every other day for a week then stopped. With a 50mg pill that cant be cut or crushed only other way was to maybe skip doses for longer.
Yes, Pristiq is only made as a slow-release formulation because of the very short half-life, about 11 hours, and the makers warn against cutting or crushing the tablets, however, many psychiatrists ignore this advise and have their patients disolve the tablets in fruit juice (not grapefruit), for example Dr Steven M. Stahl
in his Essential Psychopharmacology: The Prescriber's Guide (4th ed.) which many consider to be the psych drug bible (see p 61
Discuss this with your doctor BEFORE
doing so as there may be reasons why it isn't advisable in specific cases. Also the 1% reduction is probably too conservative in all but very severe cases. Most could tolerate a bigger reduction.
Ive only had success with SNRIs for my anxiety.
Then you should also respond to the tricyclics which are generally have fewer start up side-effects and are usually a lot easier to quit.
And Ive never heard palpitations (skipped/extra beats) was actually a good thing.
Not all are, but unless there is evidence of heart disease they should be ignored as the electrical system of the heart is chaotic by nature. Perfectly regular systems are much more prone to failure than chaotic ones.