Well, just wanting everyone to know that I stop taking this medication cold turkey 3 day's ago because of the evil side effect's. For those who just started on this med just wait until u miss a day are two or been on it long enough u will experience something's u will not like trust us u will be trying to get off this evil drug!!! I've been on it for 2 year's and at first I didn't experience anything I thought it was great it worked for the hot flashes immediately but after my body got use to taking it the hot flashes came back along with virtigo more and more just wait and see!!! it wont be long, but anyway I quiet 3 day's ago and I feel great!!! the side of effect of dizzyness and me not being able to walk straight are there but the energy & me feeling myself again feels GREAT!!! Im not tired anymore for the first time Im up early like I use to get up, and last night I wasn't sleepy early I stayed up with my husband he couldn't believe it! I actually feel good about myself. If u ask me this medication need's to be revisited because it doesn't help after awhile I wouldn't want to take something that if I were in a situation were I didn't have this med I would be close to death without it, Im off cold turkey and going to hang in there until the side effect's go away and it's out of my system for good! I pray for u all whose on this med because it's insane and not good. Oh I forgot to mention that it get's worse for the first time I over slept and was so,so,so tired friday night I couldn't go to work this drug after awhile draines u and makes u so sleepy and wore out it make u feel like you've been drinking all night and have a hangover trust me this is real.