"i have taken this drug for two years.  first at 20 mg for one year, and now at 10 mg.  it worked starting in less than a week.  it did get to the point where i was blitzed (sleepy) way too much at 20mg.  it is a libido killer, that is true, sad to say.  and i got fat.  however, the antidote is to work out like crazy.  i ballooned from 207lb to 222lb, and today i am now at 205lb &amp; dropping.  the drug makes you want to eat; i don&#039;t think the drug directly makes you fat.  my depression went from a 9 out of 10 to a 1.  my anxiety went from an 8 out of 10 to a 3.  so, the drug is worth it.  no there is no perfect drug, but if you want to be well, well...consider what i say, and best wishes as you work towards remission."