Hi @cmhall1118 and welcome to Mayo Clinic Connect. So glad to have you. You'll see that I moved your post to a long standing discussion about Pristiq side effects so that you can meet other people having similar problems. @daliea, @anonymouse, @linamend, and @flow65 perhaps you can share your experience with @cmhall1118

Has your physician offered suggestions of other medications that might be a better fit for you?