Curbside consults

        First question                                                                   Second question

Question 2:

A 79 year-old woman presents with 10 years of treatment with venlafaxine XR 75 mg/d for perimenopausal hot flashes.  When she tried to come off venlafaxine, she felt much worse, with return of hot flashes and marked agitation.  She went to see an expert consultant, who told her she just needed to resume venlafaxine. She now believes that her post-menopausal hot flashes still remain with her, and that she needs venlafaxine for the rest of her life.  Is this correct?

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