I am 51 and began taking Effexor XR 75 mg as prescribed by my physician to help reduce the hot flashes. I've taken this same level of Rx for 3 years. It has helped to reduce the hot flashes, however, I have other side effects that concern me. I am now trying to wean myself off the Effexor and the side effects are significant (vertigo, confusion...) and the hot flashes seem worse than ever! Is there anything I can do to reduce or eliminate these without antidepressants? I need some help, it is impacting my quality of life and it is very uncomfortable at work. I appreciate any suggestions.