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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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