"worked well for managing severe depression and some really nasty panic attacks. one really bad side effect: i gained 70 pounds in about 8 months. i was on 20mg. problem with this medication is it shuts down your metabolism. i was by no means a lazy person, but i still put on a huge amount of weight. i&#039;m off the drug now and learning to manage my panic attacks and depression in other ways, and i am doing great! use caution when starting this medicine because you will put on the weight!"