"although my doctor prescribed it mainly for bipolar depression, he will temporarily increase the dose in response to emerging manic symptoms especially racing thoughts, agitation, extreme irritability and dilusions.    

positive - significantly (80-90%) calms my thoughts. helps me fall and stay asleep.  keeps my depression in check. i am now compliant with all of my medications and trust my doctor.

negative - higher doses blunt my affect. i must take my dosage at bedtime because of tremendous sedation which is when the drug saturation is highest in my blood and brain. if i must get up during the night, for example bathroom, i&#039;m disoriented and dizzy. i could never take it during the day. weight gain from &quot;munchies.&quot; sex-related problems"