Depression
"Began at 10 mg for 2 months with no improvement.  Upped to 20mg for 1 month.  No improvement.  Episodes of retching x2 with no vomiting; nausea daily; affect seem to be flat; ED worsened to point of complete inability to maintain an erection or achieve ejaculation.  Will discuss with Psychiatrist changing to something else.

Expensive even with insurance - $60.00 monthly."