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I was on Effexor XR for 8 years and I recently went off. I gave the drug 8 out of 10 because overall my anxiety and depression were greatly improved. I didn't have any sexual side effects and only felt dizzy when I did not take the medication at exactly the same time every night. I did lose a lot of my energy and was prescribed Wellbutrin to help out with that. However, the withdrawal, as others have mentioned, is terrible. My doctor prescribed a low dose of prozac (20mg) to ease the withdrawal and it really helped. If you are going off effexor, do it with prozac. I tried without it twice before and it was such a horrible experience that I went right back on.
I was having extreme hot flashes and started taking Effexor 75 mg and it almost immediately stopped 95% of them. I am up to 150 mg per day now and the only issue I have with the medication is the horrible withdrawal symptoms. I was without insurance for a month and within 2 days of not taking it I was at the hospital with what I thought was the flu. My Doctor had warned me not to stop cold turkey but I had no idea it would be that severe. But if you take as directed and discontinue with your Doctor's help there should be no problem. The pros definitely outweigh the cons.
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