"started effexor after other anti-depressants gave me too many side effects. i&#039;m four months in now and so far it has been great. i do have times where i&#039;m very sleepy, have vivid dreams, and some weight gain but those are minor to me compared to how miserable i was before. sexually it&#039;s been helpful as i&#039;m not on edge all the time and can relax easier.  it&#039;s up to the individual to decide what side effects are deal breakers. i have accidentally missed a dose here and there but haven&#039;t experienced any of the withdrawals that others have."