"have found this med effective. have been taking 20mg maintenance dosage for 2 months. nausea continues daily (morning is when take my dose) for a couple of hours - but the &quot;volume&quot; of the world around me is way down - as is the irrational rage/anger/frustration that follows when not on medication. sleeping through the nights. as effective as cymbalta, zoloft and others i&#039;ve taken - i hope this one continues to work - the others stopped after a while."