"a life changing medication!  i have tried almost every antidepressant out there, combinations, the works. i never realized how ineffective they were until now. i was on prozac alone and it wasn&#039;t doing anything but keeping me up at night. i was completely hopeless about two weeks ago. so hopeless i thought i needed to be committed. my psych doctor called this his &quot;nuclear weapon&quot;.  i didn&#039;t believe anything would help, but the difference is unbelievable.  it does increase appetite so i couldn&#039;t give it a 10, but this is one amazingly effective medication for me!"