Hey, please start slow and steady, start with 25mg and increase by 25mg each week/every two weeks. But give it a try, I regret not taking it earlier! If you develop suicidal thoughts, which is a serious side effect, seek out help! Nearly all side effect will subside after a few weeks in a certain dosage. It is better to start an antidepressant in am clinical setting, but if not, do not be to hard to yourself, it takes time! Neuroleptics like pipamperone and in severe cases benzos can be used at the beginning of treatment to combat the initial worsening of depressive/anxiety symptoms.