Effectors side effects getting on it were so severe j had to stop. Same thing with lexepro. SSRI and SNRIs have never worked for me I can’t get on them. Every persons chemistry is different. But I think if other SSRIs or SNRI’s have worked for you in the past than this might too. I had extreme anxiety but recently found it was linked to my bipolar and when I started in lithium it calmed down a lot!