Sorry you are having a difficult time. I started Venlafaxine in Dec. I initially took 37.5mg and it was to much to start with. As Helen pointed out, go low and slow. I took 1/3 by counting the beads and taking them with a glass of water. I am currently at 56mg. Each time I increase the dose my symptoms increase for a period of time. Some side effects are to be expected. It has worked well for me. I still need to go higher due to visual vertigo crap.