"i started at a 1/4 dose (2.5mg) and couldn&#039;t make it past day 6. i didn&#039;t have the vomiting that others report, but it destroyed my appetite. and then gave me diarrhea. fastest 5lbs i ever lost. but moreover, it felt like i&#039;d taken a bad amphetamine. it made me incredibly anxious; heart racing; waking at 5am in a panic. i&#039;ve taken ssri&#039;s before--this was something more/different. there were a few glimmers around day 5 when i felt my mood was better (kind of like the kick you get from a cup of coffee) but the rest was unmanageable."