I take 24mg and when I started I had alot of the same side effects that are listed. I take it for depression and to "controll compulsion." I found that the more I ate (esp. a protien drink) before i took the meds the less noticable the side effects were. However, since i have been on this my menstrual flow has decreased to almost nothing. Since i started menstrating I have NEVER had anything out of the ordinary occur. No one can tell me if this is actually a side effect though.