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Sir: Antidepressants have been noted to cause hallucinations, often with drug overdose, but also in rare instances as a side effect at therapeutic dose.1 Bupropion, tricyclics, and selective serotonin reuptake inhibitors (SSRIs) have most often been cited as the causative agents.1 We present a case of transient complex visual hallucinations following the initiation of venlafaxine for major depressive disorder.