When I first took EffexorXR, it was great. I quit having so many anxiety attacks and felt really good. Then I started losing weight. I lost 38 lbs. I only ate every two or three days and then just a bite or two....I tried to get my doc help me get off it and he refused. So my pharmacist helped me. My head felt like rocks were rolling around in it and at times I thought I could even hear things rubbing inside my skull. It took FOREVER to get off it and I was only on 75mg. But I'm only five feet tall........I had the brain zaps, the shivers, the headaches but no throwing up.....We opened those capsules and counted those little suckers in them...that's how cautious I was about tapering off.......It was the worst med experience of my entire life! I went back to the old tried and true prozac. I've gained toomuch weight but I'd rather be fat and happy than skinny and dead!! Let me know what you decide. Pat