Hi, I have been having anxiety and panic attacks for a while now and I am quite depressed. I do want to start on the pristiq but after reading some of the side effects it is a bit scary, also I dont like the one about reduced sex drive as I am 51 and going through PeriMenopause so I dont need that onto of the rest. Please if anyone can give me feedback on their experiences with this pristiq I would be grateful. I have to run a business also so I am afraid of the tiredness, and also it mentions insomia.