"i suffer from anxiety, depression and panic attacks. 9/10 because its working for me but it&#039;s only the second anti-depressant i&#039;ve used. i was prescribed cymbalta but had terribble nausea, body tremors, hot flashes and panic attacks.  with pristiq i had nausea for three days but it was bearable and i was really restless. i had so much energy i walked around the block 3 times a day or more in the first week. it did stir up my depression and i had suicidal thoughts which is quite controversial because i never want to die and know in myself i would never do that to my girlfriend and my family i had insomnia the on the second night after starting my pristiq but have had no insomnia ever since. all my side effects were gone after a week and then i was given a prescription for it. life changing stuff."