###Human: I am using Manasamitra vatakam for five years. Will it have any side effects? ###Assistant: Hello. Manasmitra vatkam is a good product and has no side effects in general. But it is always advised to take it under supervision only, so if tapering off the medication is required or dose adjustment is required only your physician can do that. Also only for anxiety bouts, it is not advisable for long periods. I advise you to visit your ayurvedic physician who prescribed you to take it and ask for the complete clinical psychological examination and then take it accordingly. I hope you understand my point.