"after 4 years of trying all the other anti-depressants i was put on effexor. from the first day it was like the lights were turned on. if i go 2 days without i can&#039;t stop crying and is difficult to function. i don&#039;t have insurance and a low income so it&#039;s really tough at times. i feel like i need to increase the dose but  225mg is the max."