I have been on it for over 4 years. The doctor switched me to 3 mg at bedtime in hopes to help me sleep. Since the increase it doesn't do anything for me. Doesn't help me to sleep, calm down, or anything. It feels as if it is doing the reverse. I was even on it for restless legs and that is why the high dose in the evening. I think it has run out of umph for me. Trying to find out from pdoc what to do and no luck getting any response from her. Don't see her until December and will have fits big time if I don't get anything different for anxiety and sleep. Sorry I can't help you with it.