Bipolar Disorder Support Group
Bipolar disorder is not just a single disorder, but a category of mood disorders marked by periods of abnormally high energy and euphoria, often accompanied by bouts of clinical depression. This is the place to talk about your experience with bipolar disorder, learn from others' experiences, and find support.
Pristiq was mostly produced because the drug company's patent on Effexor ran out, and there is generic available. So Effexor is much cheaper now.
I would check and see the cost of the two (with your insurance). If there is no price difference, get Pristiq. It is 'cleaner' because it eliminates a step in metabolizing Effexor, and there are reports of fewer side effects as you said.
The antidepressant effects of the two drugs should be the same though- same chemical.
So, just be cautious..
Good luck to you.
I hope you find the right combo.