"i was put on this bc because it was what my insurance was covering. i was on it for about 9 months. prior to using orsythia i was on lutera. i am now back on lutera thank goodness! they supposedly have the same ingredients but orsythia really made me feel awful. here is what went on. every month was different, some months i was extremely emotional, other months my breasts would get very tender, all the way through the nipple, ouch! i would also get frequent headaches, like maybe 4 a week, there was more cramping too. i connected the dots and told my dr.  and she switched me back to lutera and put on the prescription that there should be no substitutions. i have been fine for the past 6 months since i changed back. orsythia sucks if you ask me."