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Anon - Venlafaxine is not a narcotic drug, it's an antidepressant in a group of drugs called selective serotonin and norepinephrine reuptake inhibitors (SSNRIs). It works by restoring the balance of certain natural substances in the brain (serotonin and norepinephrine), which helps to improve specific mood problems.In addition to being used for hot flashes, as in your case, this drug is used to treat major depressive disorder, anxiety and panic disorder. It's not in a class of drugs with addictive properties.

Millions of people use anti-depressant medications on an as needed basis and then successfully stop taking them. What's important is to work with your doctor and do this in a gradual, deliberate manner.
While I too have read isolated horror stories in the media and books about these drugs, I have known many real human beings whose lives have been improved because of these drugs and who've been able to use them to successfully treat major depressive disorders. Hope that helps! Pat