Hello, I had a crying spell last night after a fight with my husband that caused my nose to become so congested that it was difficult to get it to clear and I had to blow it multiple times. Since then, I have been having that head tremor, blurry shakey vision feeling that you can get if you accidently miss taking your antidepressant medication. I take 300mg venlafaxine and have been for many years, and I know I took it yesterday morning. I went to bed early last night, and had horribly vivid paralyzing dreams and felt like I couldn t wake from them and was ultimately sleeping for 12 hours. Since I have been awake, I have been having the same heady feeling and a feeling of uncontrollable crying spells. I do not feel like I am having a panic attack, more concerned that I am having a migraine or serotonin type syndrome? I am expecting to begin menses any day now, and occasionally get migraines from that, but they are normally painful, whereas I am not in any pain. Don t want to go to a walk in or ED, but concerned that maybe I need to. Would it be ok to take excedrin migraine while taking effexor?