Thaks for ur reply. I thought after the first couple of weeks one shoud start seing minor improvement Now on first week of 40mg n not even an iota of change. Next week dr wants to add seroquel because I keep forgetting things. I researched seroquel n its schizo med n cost almost 500.00. I have high deductible coverage therefore I have to come out if packet for the first 2months. Is there a less expensive alternative.