Clanging, sometimes known as clang association, association chaining or glossomania, is a term used in psychiatry. It describes an unusual mode of speech associated with what are called thought disorders. Thought disorders are found in people with conditions such as schizophrenia and mania, and they reveal themselves in a person's speech. Clanging occurs when a person makes connections between words because of the way they sound and it can involve the use of puns and rhymes.
At venlafaxine dosages of <150 mg/d, an immediate switch to another SNRI of equivalent dosage generally is well-tolerated. For higher dosages, a gradual cross-taper is advised. Most patients tolerate a venlafaxine dosage reduction by 75 mg/d, at 1-week intervals.
Effexor withdrawal symptoms have only recently been recognized. Symptoms, advice and treatment for venlafaxine withdrawal (Efexor withdrawal).