"after battling insurance to finally cover this med, i can&#039;t say the improvements in depression are worth the 1,000 price tag. after trying numerous medications for over 17 years to help with depression, i was really hoping for more. i would say that as an add on to prozac, it is only somewhat effective. at first i was pleased by the lack of noticeable side effects compared to other antipsychotics. it didn&#039;t make me groggy during the day, nor did i experience any muscle twitches. however, at about the third month on 20 mg, i began getting severe akathesia shortly after ingesting. it manifested with inner restlessness (not normal for me), anxiety, and inability to stop moving. for me, this has gotten so unpleasant that i&#039;ve decided to stop it."