"a lot of the reviews on here are scary, but i think it must be personal chemistry that decides if this medicine will work for you or not. i&#039;ve been on it for 2.5 years and i didn&#039;t really have any physical side effects. i maybe had some breast pain when i started it, but cutting down on caffeine cured that. i do have anxiety, but i don&#039;t think i can blame this pill for that, it&#039;s kind of just my personality. overall, this pill has just done it&#039;s job for me."