"i give it an 8. i&#039;ve been taking it for the last 6 to 8 years and it works so far. i have informed my doctor that i need to up my dosage and he agreed. so i take a half after about an hour after i take my regular dose and it works pretty good (that is the 10/325 mg). most times i only have to take that half once or twice daily and sometimes i don&#039;t have to take the other half."