"i was prescribed this for breakthrough pain, but it did not help it at all. i also got severely depressed the first day i started taking it, and it did not let up.  however, the one thing it did help with was my mav (migraine associated vertigo)!  immediately after taking it, i was no longer dizzy!  every day i took this, i wasn&#039;t dizzy and could actually function normally.  i would have stayed on it for this reason but the depression was too much.  my sleep specialist also almost prescribed this for my insomnia but i was already on other antidepressants at the time.  i&#039;m no longer on any of those (it was pmdd the entire time) but still this wouldn&#039;t have helped anyway (like every other sleep medicine i&#039;ve tried)."