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I use supermemo a lot and find it very good. You do need to spend a bit of time setting up the databases to begin with, and as tadeas said, you need to be prepared to invest time each day to do the repetitions. Also, it's effectiveness will depend on the quality of the Questions/Answers you use, but with time you will get better at writing these.
I find the best way to use it is to type out the Q&A using some text editor or word processor (make sure you follow the instructions to the letter) and then once you've completed the data base, import it into SuperMemo and go from there. I also prefer to have several smaller databases rather than one large one (ie instead of putting all the stuff from a book into one database, break it up into chapters, of if learning a lanquage, break it up into nouns, verbs etc)
Once you get used to how it works, it's well worth the money in my opinion
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