"i have been on this medicine at varying doses. i&#039;m taking 30 mg now. i&#039;ve suffered bouts of depression and anxiety for many years. when i started this medicine i did the starter pack and thought it was great until day 4 of the 40mg. had hallucinations while driving and luckily i was close to home. passed out at home and had vivid dreams in a semiconscious state for about 7 hours, called doctor and he said drop back down to 20. i have made a couple of attempts to move the dose up as it doesn&#039;t seem to be enough at 20. i&#039;ve been hospitalized once with serotonin syndrome on day 21 of the 40mg. brain zaps are the worst! heat on top of my head is bad. miss a dose even by a couple hours and anger and crying bad. i am not happy with it now and plan to get off it."