This drug works great for like one year. Then, it wears off and you feel on auto-pilot. I was on this for 3 years and at the end it does not work, you just function with no passion at all, always tired no matter how much sleep. With a physician's help, you can taper it down safely and get off of it. I felt so alive and awake once I got off. bottom line, if you need it short term for something like post partum depression, it is good to fight off anxiety, but long term, you are not enjoying life to its fullest....it is a drugged life experience.