That is what I was researching online. It looks like Effexor XR and Pristiq are the most equivalent, but I’m afraid of all of these genetics after what I went through. I guess I can always try the generic form and if it doesn’t work, see if my doctor can do a brand penalty exception with the insurance to cover the brand name. I still can’t believe this is happening. It feels like I’m in a nightmare. May I ask how the Effexor compares to Cymbalta?