"i&#039;ve been on 50mg for about 3 months now. practically no side effects to begin with and immediate relief of anxiety. a litlle too sleepy to begin with. today i am feeling optimistic, less negative thinking and overall a lot better. with time the sexual side effects have turned stronger - i basically have very little sex drive and cannot orgasm. occasionally i have very mild anxiety as i have stayed on 50mg despite the doctor having told me to increase the dosage. but the overall result is very positive and i will only change it if the sexual issues become too uncomfortable."