"holy doodles, this is by far the most insane med i have ever been on. my anxiety has been getting hard to handle so my dr prescribed me this to see if it would help. i started it monday morning and by today (thursday) i was so manic i thought i was losing my mind. it increased my anxiety tenfold, caused horrible insomnia, shakes...i basically thought id flown the coup!!!  be aware of changes after you start taking this!!!"