Please understand I cannot personally say how good/bad Effexor is, only to say the experience my ex-husband had was terrible..he was taking Effexor ER and it gave him "brain shocks" really bad, and he couldn't concentrate on doing anything but laying in bed..he was taking multiple other meds but didn't have these problems until he started the Effexor. He had to be IP hospitalized for 28 days to get stabilized after coming off of it..I hope you have good success with this medication yourself...By the way, did you have problems with the Fetzima?