"i suffered from depression and extreme mood swings since i was 13. after 6 years, i could not take it anymore. i went to a doctor and he prescribed me cipralex 10mg. nothing changed for 3 weeks... i was impatient, so i upped my dose to 20mg. and it worked, completely eliminating all my mood swings and depression. i reduced my dose to 10 mg, the medication still worked. i then tapered to 0.5mg and after 18 months, stopped. it&#039;s 8 months later and overall, my mood swings and depression are still at bay. it&#039;s great medication and personally experienced no side effects, although it was slightly rougher when i tapered off completely. just stick through it, and it will pass. my recommendation is to be patient for the medication to start working."