"i&#039;m diagnosed with bipolar 1 disorder with psychotic features. when i first started this medication about 8 months ago, i would get extremely tired soon after i took it, also nauseous. i have to take it at night. the tiredness put me in a low mood but not depressed. after steadily taking it, my doctor put me on a stimulant and that cancels out the tiredness. honestly i&#039;m so happy at this point in time and i&#039;ve come so far. i have a job now and a 4.5 gpa and i volunteer. it really has changed my life. i also lost almost 40 pounds and i feel healthier and love life. if you take this medicine everyday and stick to it, it really works. if i skip i definitely feel very agitated and paranoid and angry. i take 40mg a night, sometimes i do still get nauseous."