"i take 300mg of xr, have for about two years now: 150 before bed and 150 midday (300 before bed was suppressing rem sleep). it has managed symptoms such as severe suicidal impulses/ideation, however overall i find that it barely sedates me. so i also take 10mg of maximum strength melatonin which seems to work in conjunction with the medication to allow me to sleep.

overall it seems to be somewhat effective, although i would like to take a higher dose or switch to another medication, however my doctor wants to eventually taper me off of it completely. previously i have been unable to afford my medication and went without for 32 or so hours, the withdrawal was horrible, i felt sick then tried to sleep and couldn&#039;t due to severe spins/vertigo."