"used to be somewhat effective (hence it even getting a 3) but now is about as effective as placebo at best. the only things keeping me stable right now are seroquel xr, wellbutrin xl, and a lot of caffeine. i&#039;m still trying to even get an appointment scheduled with my psychiatrist so i can get off of this useless drug and on to something that might actually work, and it&#039;s probably not going to be an ssri, since i&#039;ve taken several of them before and none of them have worked except paxil, but that gave me too many side effects."