"began at 10 mg for 2 months with no improvement.  upped to 20mg for 1 month.  no improvement.  episodes of retching x2 with no vomiting; nausea daily; affect seem to be flat; ed worsened to point of complete inability to maintain an erection or achieve ejaculation.  will discuss with psychiatrist changing to something else.

expensive even with insurance - $60.00 monthly."