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I have a lot of experience with this medication and have heard that it is being considered by manufacturers to be released as an antidepressant. Relatedly, for those who cannot tolerate regular anti-depressants (they make me hyper like you would not believe), this is one med that can be helpful.
Now, you need to be careful with taking this if you are on any other anti-depressant. There may be other cautions. However, it is easy to tell if you are taking too much and may be approaching a seizure. If there is difficulty swallowing at all, stop taking it immediately and let it wear off. And DO NOT use alcohol with this drug as you will likely seizure.
Coming off... I heard it is recommended to use benzos, in particular klonopin. I think the folks who have a bad time with it are those who take a lot... I'd never recommend that. Better to come all the way off and then begin again if it helps you.
Anyway, I believe that the anti-depressant effects are much more effective than pain reliever. Check into this one... it may be coming onto the market in a new way before you know it. It may not be powerful, but it lifts your mood. PM me if you need more info... glad to help