I am on Lexapro (for the second time), and it just goes to show that we all handle medications SO differently. My experience has been wonderful-- no side effects that are noticeable, and my anxiety / emet is manageable for the first time in a long time. The only reason I got off of it before and switched to something else was that I had gone for YEARS without a panic attack, and it was like emet was in the background-- only noticeable if someone in my house was sick, etc. My best friend passed away from cancer a few years ago, and my panic attacks started again-- like, once a week. I thought maybe the Lexapro wasn't working anymore-- like my body / brain had gotten used to it? My biggest mistake was getting off the Lexapro and switching to an SNRI... my world turned upside down. I was panicking nearly every day-- sometimes multiple attacks a day-- and because pretty much agoraphobic. I was an unmanageable mess for several months. Finally figured out that the medication was causing my anxiety to be turned up SEVERAL notches. My friend takes that same SNRI and swears it saved her life! Everyone has different chemistry, I suppose. When I FINALLY withdrew from that medication and went back on Lexapro, my life has gotten so much better. It just seems to be a fit for me. I am still emet, and I still panic occasionally, but I am LIVING with it, you know? So... for me, it's great, but everyone is different. I am on 20 mg, btw. 1/2 of a 5 mg doesn't seem like much to me?