"i took this drug for about a year and then had to quit when i lost my job and my new job didn&#039;t have very good health coverage. after being off the drug for about a year, my depression was worsening (would start sobbing over the smallest things) and i decided to restart the medication despite the cost. 

having been off the medication for a year now, i don&#039;t really remember if i initially had any side effects - though it&#039;s worth noting that i started at 5mg and worked my way up to 20mg, whereas this time i&#039;m just restarting the 20mg. i&#039;m almost a week into it and i&#039;m experiencing constipation and itchy skin. it&#039;s not pleasant but i&#039;m sure it&#039;ll go away soon. this med works really fast, i already feel my depression lifting."