not everyone has the experience you do to missing a dose, so please be careful so that you don't scare others who may just be starting to take a specific med. my problems with effexor didn't happen until i had missed several doses, and the only result then was that i started feeling really depressed and anxious again, and had to find the cause of it. having some memory problems, i had to find a solution to forgetting to take my meds. thank goodness i have, because taking them on a regular basis really levels me out.