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<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I would only recommend that suicidal people with absolutely NO HOPE whatsoever take this. The risks of such dangerous and hidden physiological side effects are in NO WAY worth the potential positive effects of so-called subjective "mental stability" which is merely illusory and masks the hidden danger. with this side effects: Be very careful with this - I took it for 3 months believe that its affect on the mind is indirectly linked to the immune system functioning - if you are an othewise phyically healthy human you may risk compromising the proper functioning of the T-cells which may have UKNOWN consequences, the worst being autoimmunce disease which will make you very sick with flu-like symptoms and unable to get better...please beware.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['very sick', 'flu-like symptoms ', 'physiological side effects']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I take citalopram which is genaric for lexapro. I started on 10mg and continued to have anxiety so the dosage was increased. I take it at night and have found that it helps me sleep. When I don't take it, (if I miss my dose) I have difficulty sleeping. I feel so tired all the time that I don't have the energy to do basic every day household tasks. Then I feel guilty for being lazy. I have to take a nap every day. I also have difficulty remembering things and feel scatterbrained. I will think of something that I need to do and less than a minute later I have forgotten what it was that I needed to do. I have a Dr.'s appt. soon and I will share this with my doctor. I would like to try a different antidepressant because the loss of motivation and being tired all the time is making me feel lazy, worthless, and almost as depressed as before I started taking it. with this side effects: Lack of motivation, VERY TIRED all the time, memory loss-feel scatter brained<|eot_id|><|start_header_id|>assistant<|end_header_id|>['Lack of motivation', 'VERY TIRED all the time', 'memory loss', 'feel scatter brained', "don't have the energy ", 'feel guilty', 'lazy', 'take a nap every day', 'difficulty remembering things', 'feel scatterbrained', 'less than a minute later I have forgotten', 'loss of motivation', 'being tired all the time ', 'feel lazy', 'worthless']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I've tried many other medications and this is the only one that has ever worked. The main issue I have is that over a period of several months, it loses its effectiveness. I often wonder whether these medications "pooping out" for about 30% of people is a clue to the underlying biological cause of depression. Ultimately, I'd like to find others that work so I can switch between them when one stops working. However, I'm yet to find another one that works. with this side effects: Mild constipation, difficulty maintaining an erection and delayed orgasm. Coping with these side effects is nothing compared to coping with severe depression.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['Mild constipation', 'difficulty maintaining an erection', 'delayed orgasm']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>lower doses helped me more than higher doses with this side effects: loss of appetite<|eot_id|><|start_header_id|>assistant<|end_header_id|>['loss of appetite']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>Cymbalta has changed my life. I didn't realize how bad my depression was until looking back on it--I wasn't motivated to do anything, had paranoid delusions, was always achy and unwell, and was just generally unhappy. I started Cymbalta after finally dragging myself to the doctor at my mother's insistence, beginning on 30mg for one week and moving up to 60mg. I noticed a difference within the first week. Now, it's an incredible change; I feel like I'm a *person* again. I have been experiencing insomnia due to it, but with 25mg of Trazodone, that's evened out wonderfully. I'm so happy with this medicine! with this side effects: Insomnia, decreased appetite (though that's a good thing in my case; the depression had me overeating).<|eot_id|><|start_header_id|>assistant<|end_header_id|>['insomnia', 'decreased appetite', 'insomnia']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I was on Wellbutrin prescribed by my PCP but she sent me to a psychiatrist because I was still very depressed. The psychiatrist prescribed Lexapro because I was also having severe mood swings and rage along with the depression, completely stressed out and unhappy. He started me on 10 mg per day, and I can honestly say that I feel better than I have ever felt in my life. Crises are quickly put into perspective, I feel hopeful and happy and content, the kids' antics don't wig me out like they used to. The fact that I am sleeping better, too, is a bonus, because I was having a terrible time sleeping more than three hours at a time and spent a couple of hours each night tossing and turning. Not anymore! I love it! I am so happy to have finally found something that is working for me. with this side effects: Bad: Nauseated and jittery for the first few days, like a sugar crash or a caffeine high. Good: I am sleeping like a baby for the first time in years. I wake up feeling refreshed and rested, almost instantly alert. If I am sleepy at all the next day, it is because I was unable (due to my schedule) to get a full eight hours' sleep, not because of the Lexapro. When I get eight hours, I have no sleepiness at all.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['Nauseated and jittery for the first few days', 'jittery for the first few days']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>10mg. I stopped after the 2nd day, but restarted on day 4 with half a pill (5mg). Day 6 I went to 10mg. The side effects were severe, but diminished as time passed, and have become tolerable within 2-3 months. For me it became a question of balance: Lexapro side effects vs. depression and its side effects. After 1 1/2 years on Lexapro, I believe that it has a very short shelf life, less than 30 days, and is extremely sensitive to temperature/humidity fluctuations & extremes. Every month, when I'm down to my last 3-8 pills of my supply, I notice that I get depressed often and have sudden mood swings. This is consistent every month. When I start a 'new' 30 day batch of pills, I go through minor side effects for a few days. I'm a stay-at-hme-dad of toddler & infant and am glad that I'm not depressed with anxiety while raising them. That said, I can't wait until I'm ready to stop. WEIGHT GAIN: 6.7% with this side effects: All these happened the day of my first pill: Light headed, Dizzy, Extreme tiredness, Diarrhea, Jaw muscles tightening & clenching, Stuffy nose, migraine, Foggy, Zoning/trancelike, Apathy, Cold & chills, Trouble focusing eyes, Confusion, Nausea, Jaw clenching, Sweaty palms, Time/space discontinuity, Cant catch my breath, Tiredness or energetic, Memory loss, Tremors & twitching, Yawning, disorientation, Convulsions<|eot_id|><|start_header_id|>assistant<|end_header_id|>['Jaw muscles tightening & clenching', 'Time/space discontinuity', 'Light headed', 'Dizzy', 'Extreme tiredness', 'Diarrhea', 'Jaw muscles tightening', 'Stuffy nose', 'migraine', 'Foggy', 'Zoning', 'trancelike', 'Apathy', 'Cold & chills', ' Trouble focusing eyes', 'Confusion', 'Nausea', 'Jaw clenching', 'Sweaty palms', 'space discontinuity', 'Cant catch my breath', 'Tiredness or energetic', ' Memory loss', 'Tremors', 'twitching', 'Yawning', 'disorientation', 'Convulsions', 'WEIGHT GAIN']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>When I first started Cymbalta, I didn't notice much of a difference. After a few months, I started to notice it was making me become somewhat bipolar - on it, I was annoyingly happy and jumpy, but after two hours of taking it, I felt the same, and after two more hours, I was extremely depressed. I had also noticed that it took more to hold my attention than it used to, and I couldn't remember things that happened or stuff people said five minutes before. A little after I began noticing this, I started stuttering, and my stutter got worse as I kept taking the medicine, as did all my other side effects. Sometimes when talking, I would stutter, and forget what I was saying. I decided I was going to stop taking it, so I did. Wow. My memory loss worsened, as did my stutter, attention span, and depression. One day, after a weekend of not having it, I couldn't get out of bed because I felt so bad. The whole day, I thought about dying. I began to have terrible nightmares which would keep me up with this side effects: Short-term memory loss, shortened attention span, depression, suicidal thoughts, developed a stutter, always tired, nightmares, paranoia, extreme moods.<|eot_id|><|start_header_id|>assistant<|end_header_id|>["couldn't remember things that happened or stuff people said five minutes before", 'Short-term memory loss', 'shortened attention span', 'depression', 'suicidal thoughts', 'stutter', 'always tired', 'nightmares', 'paranoia', 'extreme moods', 'somewhat bipolar', 'annoyingly happy and jumpy, but after two hours of taking it, I felt the same, and after two more hours, I was extremely depressed', 'took more to hold my attention ', "couldn't remember things that happened", 'stuttering', 'stutter', 'forget what I was saying']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I seem to have been born depressed. Unhappy, often suicidal throughout childhood and adolescence. Anti-depressants became available when I was in my twenties, and I was on and off them for years. The older types worked up to a point, but there was always an underlying feeling that depression would emerge, and sometimes it did. But since Zoloft, I've been able to live without that fear. It's totally changed my life. A wonderful drug. with this side effects: None whatsoever, except more and more confidence that my chronic depression will never return.<|eot_id|><|start_header_id|>assistant<|end_header_id|>[]<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>nan with this side effects: I feel like when i get upset it just makes it worse and i dont feel like myself<|eot_id|><|start_header_id|>assistant<|end_header_id|>['feel like when i get upset it just makes it worse', 'dont feel like myself ']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>nan with this side effects: nausea, tremor<|eot_id|><|start_header_id|>assistant<|end_header_id|>['nausea', 'tremor']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I ahve taken this medication for many years and I have gain weith (about 10 LBS)and the worst part is that despite that I work out 5 times per week I havenot being able to loose weight. Also, my sexual drive is very low, problem with erection. with this side effects: Gain weigth & low sexual drive<|eot_id|><|start_header_id|>assistant<|end_header_id|>['Gain weigth', 'low sexual drive', 'gain weith', 'havenot being able to loose weight', 'sexual drive is very low', 'problem with erection']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I started with 5mg a day and worked up to 10mg a day after a couple of weeks. with this side effects: I must say that this medication helped with depression. Right after i started it my crying spells stopped and suicidal thoughts were gone. In the beginning I felt rather numb not happier. I have goten much calmer and was able to to face day to day problems without huge anxiety and stress. So overall - it probably saved me. Side effects included: First month or so: going back and forth from being quite and calm to being extremaly anxious without a reason especially about two hours after taking the doze. Very vivid, weird dreams, occasional nightmares every night for about 2 months. Dialated pupils after a few weeks of taking, to the point of blurred vision. Gone after 2 weeks. Incredible sweet tooth - couldn't stop myself from eating sweets. Just eat cereal and fruit if you don't want to gain weight. This has subsided after a month or so. Constipation - didn't go away. I eat youghurts and this helps a little. The worst side effect that I still expirience are: Libido is nonexistan<|eot_id|><|start_header_id|>assistant<|end_header_id|>['Very vivid, weird dreams, occasional nightmares every night for about 2 months', 'In the beginning I felt rather numb ', 'extremaly anxious', 'occasional nightmares every night for about 2 months', 'Dialated pupils', 'blurred vision', 'Incredible sweet tooth', "couldn't stop myself from eating sweets", 'Constipation', 'Libido is nonexistan']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>The med was okay until side effects had negative impacts and it was extremely difficult to get off of. After becoming addicted to a second Lundbeck med I refuse to ever use one of its products gain. It might be worth use by others but it is very hard to stop taking it; not a plus. with this side effects: Reduced cognition, fatigue, addiction<|eot_id|><|start_header_id|>assistant<|end_header_id|>['Reduced cognition', 'fatigue', 'addiction']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>nan with this side effects: nan<|eot_id|><|start_header_id|>assistant<|end_header_id|>[]<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>Had knee surgery while on Cymbalta where it was discovered I have severe osteoarthritis. I was taken off Cymbalta 6 weeks ago (per my request) and placed on another more affordable medication. I have since discovered that I have osteoarthritis in my hands and every joint in my body hurts. I think Cymbalta eased my osteoarthritis pain a great deal. with this side effects: No initial side effects except dry mouth which went away after a while (4 weeks or so).<|eot_id|><|start_header_id|>assistant<|end_header_id|>['went away']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>Lexapro has given me my life back. Suffered from sporadic depression/anxiety for over 20 years, and had been in and out of counseling for about 18 years before trying lexapro. I had previously taken prozac and valium and had horrible experiences with both, so was hesitant about trying medication again. Life had literally gotten unbearable, so about two years ago, I decided to try counseling once again coupled with medication. I found a terrific counselor who prescribed me lexapro after informing her of my previous experiences with prozac and valium. I am now able to live a normal life. I had to give it time to work and find the correct dosage for it to be effective. I initially took 10mgs for one week...no effect, 20mgs second week...no effect, then 30mgs...worked and continues to work like a charm! with this side effects: Sometimes prolongs ability to go to sleep.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['Sometimes prolongs ability to go to sleep']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I had lots of side effects the first 2-3 days of being on the 30 mg tablet, but most went away. I was kicked up to 60 mg starting week 2. I felt much better, although not completely better. 4-5 weeks into 60 mg I started to have extreme numbness & tingling on my right hand, arm, side, shoulder blade. I continued having the listed side effects at week 5. Doctors are unable to explain the numbness and think it is not associated with cymbalta. Numbness diminished after stopping the medicine & starting a new anti-depressant. with this side effects: constant numbness on the right side of my body, tingling fingers, unexplained extreme yawning, trouble staying asleep, anxiety, accelerated heart rate in mornings, dry-mouth when working out, new sweating that continues hours after working out, constipation, loss of appetite/cravings<|eot_id|><|start_header_id|>assistant<|end_header_id|>['dry-mouth when working out', 'loss of appetite/cravings', 'extreme numbness & tingling on my right hand, arm, side, shoulder blade', 'tingling fingers', 'extreme numbness & tingling on my right hand, arm, side, shoulder blade', 'constant numbness on the right side of my body', 'tingling fingers', 'extreme yawning', 'trouble staying asleep', 'anxiety', 'accelerated heart rate ', 'sweating ', 'constipation', 'loss of appetite', 'extreme numbness', 'tingling on my right hand']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>nan with this side effects: I felt as if i am in hell, it was so scary that i 'd rather be depressed and anxious. I felt like as if i am watching my life from outside, unbearable pressure and headaches in the evening, non stop nausea, no appetite, hot flashes and shivering, clamsy hands, tingling on arms and legs,electric shocks, disorientated,loss of concious memory, nigtmares, fatigue, more depressed than ever,no sex drive,i felt like a zombie in hell. When i quit could not eat for days,nausea feeling sick. Dont ever take it,it is not worth it..<|eot_id|><|start_header_id|>assistant<|end_header_id|>['I felt like as if i am watching my life from outside', 'unbearable pressure and headaches', 'tingling on arms and legs', 'disorientated', 'nigtmares', 'unbearable pressure', 'non stop nausea', 'no appetite', 'hot flashes', 'shivering', 'clamsy hands', 'tingling on arms', 'electric shocks', 'loss of concious memory', 'fatigue', 'more depressed', 'no sex drive', 'felt like a zombie in hell']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I'm a nurse who works on nightshift. I've always had bouts of depression, I have a history of major anxiety to the point of it being physically painful, and developed OCD over time. When I switched to nights I became a complete mess. I could not even lift my head up because of how depressed I felt, and it scared me. I asked my PNP to give me zoloft, after thinking long and hard. I was extremely skeptical and afraid to take it, terrified to say the least, because I had a horrible reaction to a few other anti-Ds. After having it on my nightstand for about a week, I finally started taking the first weeks 25mg and then upped it to 50mg the following week, which I am on now. I must say that I noticed a dramatic difference- I'm always tired because of night shift, but I feel NO depression. I find myself able to fully concentrate, despite the slight dizziness and brainfog it gives. I stated I feel apathy, but I believe its because I feel apathy towards things that used to make me sad and depressed, and anxious. As far as my OCD, I have less trouble dealing with my intrusive thoughts and am not a nervous wreck following my episodes. Even though I feel slightly numbed out, I notice I'm more relaxed than I have ever been-the brainfog does not interefere with my patient care and safety. I have not had to take as much lorazepam 0.5mg PRN like before, that is an improvement. Honestly, I get nervous about feeling good on this medication and almost believe too-good-to-be-true, but I t with this side effects: Dizziness, dry mouth, mild sour stomach(no vomitting), slight insomnia, weight loss, mild apathy, decreased sex drive, and fatigue.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['Dizziness', 'dry mouth', 'mild sour stomach', 'slight insomnia', 'weight loss', 'mild apathy', 'decreased sex drive', 'fatigue', 'slight dizziness', 'brainfog', 'feel apathy', 'feel apathy', 'feel slightly numbed out', 'brainfog']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I have only taken cymbalta twice and am going to stop now before my symptoms get worse. I feel a lot worse than I did before taking it. I constantly feel as if I am on the verge of a panic attack, I feel like sleeping all day, but have difficulty sleeping for more than 1 hour at a time even during the night. I have aches and pains as if I have the flu. with this side effects: achiness, tiredness, restlessness, blurry vision, tingling in arms, legs and hands, increased anxiety, high blood pressure, belching, heartburn, loss of appetite, strange taste in mouth, alternating hot and cold spells, headaches, loss of feeling during sex<|eot_id|><|start_header_id|>assistant<|end_header_id|>['tingling in arms, legs and hands', 'tingling in arms, legs and hands', 'constantly feel as if I am on the verge of a panic attack', 'achiness', 'tiredness', 'restlessness', 'blurry vision', 'tingling in arms', 'increased anxiety', 'high blood pressure', 'belching', 'heartburn', 'loss of appetite', 'strange taste in mouth', 'alternating hot and cold spells', 'headaches', 'loss of feeling during sex', 'feel like sleeping all day', 'difficulty sleeping for more than 1 hour at a time', 'aches and pains as if I have the flu']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I have never been on any other antidepressant, and my doctor immediately put me on this. Let me tell you, _do your research first_. I didn't know anything about this kind of drug and dove into taking it as prescribed without a second thought, and I regret it, even after 2 days I'm hating it. The side effects alone make my previous bouts of depression seem pleasant. I'd rather have emotions. with this side effects: Erectile disfunction, delayed orgasm, lack of libido.Feel disconnected from my emotions, apathetic, no creativity or motivation, can't focus. Extremely tired, loss of appetite, slight twitching, agitated, slight abdominal pain.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['no creativity or motivation', 'Erectile disfunction', 'delayed orgasm', 'lack of libido', 'Feel disconnected from my emotions', 'apathetic', 'no creativity', "can't focus", 'Extremely tired', 'loss of appetite', 'slight twitching', 'agitated', 'slight abdominal pain']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>This is the 5th day of my trial with Cymbalta. I feel literally stoned! Dizzy, light headed, foggy brain, just stoned! Exausted too! I cant go on like this another day. Yes, it did take the anxiety away, but it's making mashed potatoes out of my brain. I cant take it...I am not going to take anymore. I'm stopping slowly today. I will have to try something else. I'm 54 years old and I have responsibilities. I cant stay home being stoned and exausted over this medicine. with this side effects: Dizzy, light headed, foggy brain, just stoned! Exausted too!<|eot_id|><|start_header_id|>assistant<|end_header_id|>['Dizzy', 'Dizzy', 'Exausted', 'making mashed potatoes out of my brain', 'light headed', 'foggy brain', 'stoned', 'exausted', 'Dizzy', 'light headed', 'foggy brain', 'stoned', 'light headed', 'foggy brain', 'just stoned', 'cant stay home being stoned', 'exausted']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>nan with this side effects: Total nightmare. This was arguably the worst period of time in my life. It made me so mentally ill I almost ended up in a psych ward. Stay away from this if you can!! I lost weight considerably and shook all the time. I had terrible anxiety the whole time, the worst kind of anxiety I've ever experienced. Also tardive diskenesia was becoming very prevalent. Tobacco cravings were rampant. I never felt at ease or comfortable, I was constantly on edge and wanted to cry. Please be careful if you are taking this.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['tardive diskenesia was becoming very prevalent', 'I never felt at ease or comfortable', 'so mentally ill', 'lost weight considerably', 'shook all the time', 'terrible anxiety the whole time', 'the worst kind of anxiety', 'Tobacco cravings were rampant', 'constantly on edge', 'wanted to cry']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>My experience with effexor has been a mess. I'd have days on 75 mg 1 a day that I'd wake up early and be n a cleaning jolly mood until someone else stepped n that space whether by phone or n person. Well except for my boyfriend. But by the end of the day I'd b tired and easliy irritated. I was also on 200 mg wellbutrin sr 2x day. My pshyc. Lowered my wellbutrin to 150 mg 2x day after one mth of the 400 mg my regular doc had prescribed and raised my effexor xr to 225 mg a day 3 75mg pills n the morning. Things ain't so good. Can't tolerate much. My man touching me, my child talking in a loud tone, or someone even just interrupting me with myself time which I want all the time it seems. Think I'm gonna call my pshyc. Monday before I hurt someone, myself, or just their feelings with this side effects: Shaking, Irritable, Energy, later fatigue, constipation, anxiousness, anxiety attacks, craving sweets, flu like symptoms, ear ache, weak, as if my heart was overly stressed if I done the least little thing<|eot_id|><|start_header_id|>assistant<|end_header_id|>['easliy irritated', 'Shaking', 'Irritable', 'Energy, later fatigue', 'constipation', 'anxiousness', 'anxiety attacks', 'craving sweets', 'flu like symptoms', 'ear ache', 'weak', 'tired']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>No one ever told me even as I was seeing my psych and psychologists weekly, and my physician, that what I was experiencing could be from the drug. They just said I was severely mentally ill and needed hospitalized and more and more medication. At my second involuntary hospitalization I refused all psych meds and miracle of all miracles I FINALLY GOT BETTER. 5 months drug free and no more hospitalizations ps both my psychiatrist and my psychologist dropped me during my last hospitalization. Said I was too severely ill for them to help me. NICE! But I've gotten better ever since. with this side effects: suicidal/homicidal hopeless thoughts, irrational broke a tooth grinding them incessantly, erratic menstrual periods, intense dreams that I could not tell from reality and could not wake from. Sleepiness and bouts of sleeplessness extreme lethargy developed diabetes type II high blood pressure and was hospitalized twice when trying to ween off of the drug.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['broke a tooth grinding them incessantly', 'suicidal', 'homicidal', 'hopeless thoughts', 'irrational', 'broke a tooth', 'erratic menstrual periods', 'intense dreams', 'Sleepiness', 'bouts of sleeplessness', 'extreme lethargy', 'diabetes type II', 'high blood pressure']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>Lexapro really helps with my anger problem, especially toward my kids and husband. I did go off for a month and the inappropriate anger came right back so now I'm thinking of switching to another SSRI that doesn't cause back pain, cysts and itching, not to mention wanting to sleep 13 hours a night. with this side effects: At first, all the usual (dry mouth, dry eyes, tight jaw, dizziness, stoned feeling, nausea) but they went away after a month. Then after a few months, more serious effects that I now believe were from the Lexapro started, like all-over itching and severe middle back pain, especially at night and upon waking in AM. When I reduced dose from 20 mg to 10, both completely went away. Now I have terrible acne and infected cysts under one arm and might go off it all together to see if connected.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['went away after a month', 'went away after a month', 'went away after a month', 'went away after a month', 'stoned feeling, went away after a month', 'went away after a month', 'all-over itching', 'severe middle back pain', 'terrible acne', 'infected cysts under one arm', 'back pain', 'cysts', 'itching', 'sleep 13 hours ']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>i started on 75mg and made my way up to 150. i may have gone too fast though becuase i got numb in my face and hands with tingles that sometimes would move up my arms and shoulders. i didnt think it was the drugs at the time. after i got used to it 150mg was great. I stoped hating myself, and depression subsided. Yet i had vivid nightmares that were really horrible and i started to get night sweats real bad. showering at night became useless. after a while though 150 started to lose its effectiveness and subsequently i got moved up to 225. now i feel like an emotional wall. i am happy though which has never been the case. It comes at a price though; nothing penetrates the surface, i don't care really about anyone for more then a minute. music doesn't sound as good. i still have anxiety; no panic attacks. NO libido, fo anything/anyone. nightmores have subsided. The real problem is the withdrawel. within a few hours of missing a dose i start to feel weird. within 24 its an all out acid t with this side effects: vivid nightmares, night sweats, loss of libido, other sexual dysfunctions, horrible withdrawel symptons, very little emotions regarding sinificant others, still have sleeping problems but i don't think effexor made it worse..<|eot_id|><|start_header_id|>assistant<|end_header_id|>['very little emotions regarding sinificant others', 'numb in my face and hands', 'vivid nightmares', 'night sweats', 'loss of libido', 'sexual dysfunction', 'numb in my face', 'face and hands with tingles ', 'vivid nightmares', 'night sweats real bad', 'emotional wall', 'NO libido']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>prescribed 30mg cymbalta feb07 which didnt do much,i ad bin really suicidal b4 taking this med & ad attempted suicide 2x b4 being put on cymbalta & it stopped me from wanting 2 kill myself but my mood wasnt any better so my dose was increased 2 60mg.i ad the side effects listed with the lower dose but they increased with the higher dose.i excercise ALOT & train really hard, sometimes 2x daily @ gym,i do dance & cheerleading also & im very active.since taking cymbalta i av gained 14lbs which i CANT loose no matter how hard i try,im also craving carbs & binge eating which iv neva done b4.i av also found that when training @ gym my joints r weaker & i av 2 wear supports.the emotional numbness as affected me most as im @ risk of losing my partner who as bin there 4me thru it all but i just av no feelings & i dont seem 2 care how much i hurt him,i also feel like ill lose my friends & family if im not careful.my grandad passed away recently & i barely with this side effects: vivid dreams, clenching of the jaw, dry mouth, night sweats, interupted sleep, needing the toilet in the night, insomnia, weight gain, craving carbs, binge eating,weak joints, muscle tiredness, emotional numbness- feeling of not caring about anything or anyone,loss of labido,itching,excessive yawning and tiredness, short attention span<|eot_id|><|start_header_id|>assistant<|end_header_id|>['feeling of not caring about anything or anyone', 'loss of labido', 'weak joints', 'vivid dreams', 'clenching of the jaw', 'dry mouth', 'night sweats', 'interupted sleep', 'insomnia', 'weight gain', 'craving carbs', 'binge eating', 'weak joints', 'muscle tiredness', 'emotional numbness', 'feeling of not caring about anything ', 'itching', 'excessive yawning ', 'tiredness', 'short attention span', 'gained 14lbs', 'craving carbs', 'binge eating', 'emotional numbness', '@ risk of losing my partner', 'no feelings', 'dont seem 2 care how much i hurt him', 'feel like ill lose my friends & family']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I took it before I went to bed. Days 1 & 2 were good- felt relaxed; Day 3 I was spacey, stoned; Day 4 I got severely sick: woke up at 3am sweating, diarrhea, heart racing, mind was racing (almost psychotic thoughts), had a panic attack because I was so scared, almost went to emergency room because I could not relax for 4 hours straight! with this side effects: nausea, diarrhea, sweating, head in the clouds, stoned feeling<|eot_id|><|start_header_id|>assistant<|end_header_id|>['nausea', 'diarrhea', 'sweating', 'head in the clouds', 'stoned feeling', 'spacey', 'stoned', 'severely sick', 'woke up at 3am sweating', 'diarrhea', 'heart racing', 'mind was racing', 'panic attack']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>Overall, Effexor did very well relieving my depression. It helped keep migraines at bay and I had tolerable, minimal side effects. But getting off of this drug is really nasty. I had to d/c my meds a few days before a neck myelogram and had a very bad reaction to the lack of Effexor in my system. My pain increased tremendously and I was a basket case emotionally with crying, etc. I had to go back on the Effexor and make an appointment with my prescriber to find something to cover me for when I have the myelogram. I had the "typical" brain zaps and odd brain feeling, dizziness, anxiety. I would love to d/c this drug forever once my neck problems have been taken care of. with this side effects: I was initially on Effexor and slowly got up to 100 mg a day. Was on this for several years, had back surgery and wanted to quit Effexor because I was no longer depressed or in pain. Withdrawal was very, very difficult as many here state. I ended up staying on a maintenance dose of half of a 37.5 mg tablet. After a year or so on this I had more spinal problems and related nerve pain. Upped the Effexor to 75 mg without much pain relief. I now switched to XR 150 mg for the past six months. I have lots of neck problems (DDD, herniation, stenosis, etc) so I thought the severe pain in my hands and arms was the result of that. HOwever, in thinking about when the pain increased, I realized that it coincided with my switch to a higher dose and XR. To compound the problem, I was put on Diovan 160 mg for high blood pressure at the same time. So I don't really know if the increase in pain is related only to the Effexor XR or Diovan also.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['neck problems (DDD, herniation, stenosis, etc)', 'severe pain in my hands and arms', 'severe pain in my hands and arms', 'more spinal problems', 'nerve pain', 'DDD', 'herniation', 'stenosis', 'brain zaps', 'odd brain feeling', 'dizziness', 'anxiety']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>I had spent approximately 15-16 years taking Prozac. I felt like it wasn't working well for me anymore so about 10 years ago, I was switched to Lexapro. Over the 10 years, it has done a great job at lowering my anxiety and evening me out. I worried less about things and was able to cope with issues and problems much better. Overall, I felt much better. But after 10 years of taking it, I feel like my brain has become dull and numb. It has become difficult to concentrate on anything or to get motivated to do anything. It has started to affect my job as there are days I just sit and stare at my computer and don't feel like doing anything and just can not think. I seem to be tired and unmotivated to do anything anymore. Even things at home that I used to find enjoyable before. Think maybe it is time for a change in meds. with this side effects: Low sex drive and trouble ejaculating. Increased craving for alcohol. Overall feelling of "numb brain" as I call it. Trouble concentrating. Poor short term memory. Low motivation.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['Overall feelling of "numb brain" as I call it', 'Low motivation', 'Low sex drive', 'trouble ejaculating', 'Increased craving for alcohol', 'Trouble concentrating', 'numb brain', 'Poor short term memory', 'Low motivation', 'brain has become dull', 'difficult to concentrate', 'affect my job', "don't feel like doing anything", 'can not think', 'tired ', 'unmotivated to do anything']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>... Basically I anise these tablets no end and take up to 800-1000mg hence all the side effects, but because I abused them so heavily at the start a normal dose now gives me withdrawal which gives all the above side effects. So they work just don't abuse them or get blinding drunk as trying to kill yourself happens. with this side effects: No appetite I went 3 days without eating and didn't realise until my partner was ramming a sandwich down me, now just a smaller appetite and still forget to eat. Blurred vision, diarrhoea, nausea, heart burn, hyper/wired can stay awake for 48hrs so have to take a sedative to sleep, insomnia, brain zaps/waves like vertigo but whilst sitting, speech problems and speech block, memory loss, suicidal thoughts with one attempt, dry mouth, involuntary movements like jerking. Reading through this yes the side effects have been awful and pretty persistent but I'll now explain below...<|eot_id|><|start_header_id|>assistant<|end_header_id|>['suicidal thoughts with one attempt', 'No appetite', 'a smaller appetite', 'still forget to eat', 'Blurred vision', 'diarrhoea', 'nausea', 'heart burn', 'hyper', 'wired', 'can stay awake for 48hr', 'have to take a sedative to sleep', 'insomnia', 'brain zaps', 'waves like vertigo but whilst sitting', 'speech problems', 'speech block', 'memory loss', 'suicidal thoughts', 'dry mouth', 'involuntary movements like jerking']<|eot_id|>

<|begin_of_text|><|start_header_id|>system<|end_header_id|>please extract ADRs from the comment below, be careful to extract all of them as well<|eot_id|><|start_header_id|>user<|end_header_id|>Before taking Lexapro, I was having panic attacks at least twice a week. I went along hoping against hope that the panic attack I had one day would be the last one. I would go along a few days without one and then be so disappointed to have another one. I was having a lot of these while driving and I was beginning to avoid driving to prevent them. It was getting quite debilitating because my work requires driving to different places at times. Now, for the 10 months I've been taking Lexapro, I've only had three instances where I could feel myself going into a panic attack - this is a huge decrease. This Lexapro treatment has at least allowed me to continue driving and going to work. Without it, I would be a mess right now. Most of the odd side effects went away the first few weeks after I started taking it. The remaining side effects - weight gain and sleepiness - I'm in the process right now of deciding whether or not I want to live with them. The alternative right now would be having the weekly panic attacks again which I am in no mood to continue. I also notice not worrying so much anymore about things - I used to worry about everything. Problems don't seem so overwhelming. I also have noticed that I don't get so upset and rattled by other people's rudeness or nasty comments anymore. I'm more likely to just shrug them off and go on my merry way. with this side effects: First two weeks but disappeared shortly afterwards - increase in anxiety, weird floating feeling, sweaty palms, nausea, heartburn, waking up in middle of night for no reason, sexual performance issues. Side effects after first four months - weight gain, yawning fits, daytime sleepiness.<|eot_id|><|start_header_id|>assistant<|end_header_id|>['increase in anxiety', 'weird floating feeling', 'sweaty palms', 'nausea', 'heartburn', 'waking up in middle of night ', 'sexual performance issues', 'weight gain', 'yawning', 'daytime sleepiness', 'weight gain', 'sleepiness']<|eot_id|>