"i started this medication on a low, as needed, 5mg dose back in august after i started a new job with a high level of stress. taking it twice a day as needed worked for awhile with no major side effects. working this stressful job full time, classes, and being a newly wed young adult was taking it&#039;s toll and i finally had a nervous breakdown at work, uncontrollable sobbing, hyperventilating, the works. i went to the doctor and we&#039;ve upped it from 5mg bid prn to 15mg twice daily. i&#039;m currently taking 7.5mg twice daily to get used to the increased dose. the only side effects i&#039;m dealing with is nausea, but it goes away eventually."