Avoid taking this medication if at all possible. The side effects and withdrawal symptoms are awful. If you miss a dose or two at any time you can count on a massive onslaught of some of the worst depression and crying episodes imaginable. My side effects and withdrawal symptoms include: inability to finish a sentence, long pauses while waiting for my brain to provide the word I'm searching for, dizziness, numbness in lips and hands, chirping in my ear (tinnitus), extreme depression and sadness when a dose is missed or when going through a withdrawal of the medication. I am currently going through the process of weening off it - it is an addictive drug that creates a physical dependency and INCREASES the intensity of depressive symptoms. There are better drugs out there - avoid this one and do your research. I wish I would have - this is absolutely awful. I can't believe it is on the market with all the side effects and withdrawal symptoms it has. The bad outweighs the good for me.View Thread