"this medicine was a god send for the depression. shortly after beginning it i developed sores on my tongue.the next week my face began hurting and swelling, first at the jaw hinges, then up to my temples. the pain got so bad i couldn&#039;t open my mouth to eat. i realized i was grinding my teeth, clenching my jaws and flexing my facial muscles. long story short, i am off the meds and on a different antidepressant. the 2 weeks of being off my meds nearly killed me (suicidal alcoholic). i now know that other medical issues combined with the drug to cause the extreme reaction. please be careful with this medicine. my doctors can&#039;t say that the teeth grinding will go away, but the pain is getting better and i have hope again."