"i take 30 mg a day. my only complaint is embarresing but i&#039;m having trouble with have orgasms. the desire is still there but my husband has to work real hard! i use to be &quot;easy&quot;. now there is no such thing as a &quot;quicky&quot;. i spoke to my doctor and he says when my unchangeable life evets calm down he can swithch me to effexor xr which is suppose to be better. we&#039;ll see."