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i agree w/ wait2long, you should give the effexor a good try before deciding against it. it may help you!! it does take some time. i was on it for 2 months and my doc decided to switch me to something else. he started me slowly on effexor, i think w/ 37.5, then up to the next dose...the most i took was 150mg i think (forgive me if my mg's aren't right, i've been on so much stuff, i'm trying to remember!). i switched to cymbalta and he didn't even wean me off effexor. i guess they are similar medications, so he said there was no need to wean. cymbalta didn't help either, i guess they were too "extreme" for me.