I have been on this drug for almost 3 years. I have had headaches, very vivid and realistic dreams, dizziness (especially when I skip a dose), severe weight loss (66 lbs) followed by severe weight gain (70 lbs), paranoia, leaking nipples (I am male), and breathing difficulties. I am thankful that this medication got me through a very difficult time in my life, but now I am going to try to get off of it.