Someone pointed out in another thread, and I've found it to be true myself, that the higher the dose, the less the side effects. They started me on 25 mg, 50, 100, 200, then 300 mg. On the doses 25 - 200 the side effects were awful, I was all set to tell my doc that there was no way I was going to continue with this med. Once I hit 300 It was peachy. He wanted to bump it up to 400, but I'm happy with the results and side effects (other than weight gain) on the current dose. This really is a wonder drug for me, my anxiety level is awesome.