Hey atm,
I feel like I'm stalking you from forum to forum, sorry
Have probably already told you and tis 5.30am (fckin insomnia..) but my experience of venlafaxine is:
- Overall really good, has pulled me out of a dark hole and several trials off it have proved to me that it really does work, I don't want to think about how I'd be without it
- Side effects were unpleasant initially (first few days - felt like I was coming up but in a really uncomfortable way, very jaw-clenchy, dilated pupils, jittery, sick, no appetite, difficulty sleeping) then eased over the next few days to residual nausea and insomnia (nausea didn't trouble me too much and insomnia was fixed by a week of zopiclone) until about 10 days later I had zero side effects and have remained that way since. I know I have insomnia at the mo, haha, but pretty sure it is unrelated as I was sleeping like a baby not that long ago!
- Increase your dose slowly and go for the ER version to minimise side effects
- If I skip a dose or two I get quite nasty discontinuation symptoms (brain zaps, irritibility, headache, generally feel crap) but these go after a day or so. I tend not to skip it though! It has a short half life so you need to be on it with taking your doses...
Obviously it varies a lot, but in summary it had more side effects than some but it was 100% worth it for me as it lifted me out of my depression so I can live my life again and I currently get no side effects as long as I take my dose each day! I'd forgive this drug a lot, it has really helped me enormously. I hope it does the same for you, and good luck for your up-coming CBT
