"i have been on this medication for almost a full month now and i don&#039;t really feel any different. they keep wanting to increase the dosage because they think it will help me. i am on 40mg and it just makes me feel like i did before not happy but not sad. i have periods throughout the day where my mood drops so quickly and i stay depressed pretty much the rest of the day. i get extremely tired and it&#039;s not good especially going to school. it&#039;s a good medication but it doesn&#039;t work for me and my anxiety has been out the roof lately."