"i have chronic headaches from a head injury and i am bi-polar.  i have a wonderful psych doc and a brilliant neurologist.  they have always worked in conjunction with one another.  i let them know that this was the last drug i would be trying as i feel i have done every drug and combination possible. 

as most of the reviews have stated, the nausea is significant and the itching intermittently.   i find it similar to cymbalta without the profuse sweating. it really helps with anxiety and doesn&#039;t seem to have sexual side affects (happy hubby).  because of the nausea and tummy trouble, i don&#039;t eat much and when i do it is because i am craving something.  for me, the stomach ache is worth it as it is keeping me stable and productive."