my side effects were eye twitching,so my dr lowered the dosage,and gave me cogentin. it worked great. but by lowering the dosage, my anger came back just a little,my mood swings too. so i apt to go back to the higher strenght,rather than to put my kids thru hell, and i take the cogenting when needed. what people don't realize is that u have to give medicine time to get in your system and work, and then some of the side effects disappear. i love it. it is the best thing that has ever happened to me, and to my kids.