Tell Us About Your Side Effects And Proceed To The Discussion Forums

                       First Name:      Email: (optional)

                                  Age: (optional)

                     Medications, Dosage & How Long You Have Been Taking Them:

                               This Is A Current Medication I Am No Longer Taking This Medication  

                      What brought you to start taking this medication? (optional)

                      Describe your side effects "while starting" this medication (Initial 4 weeks):

                      Describe your side effects "while taking" this medication (After the initial 4 weeks):

                      Describe your side effects "while discontinuing" this medication (If applicable):

                       Describe your side effects "after discontinuing" this medication that still persist (If applicable)

                       In addition, please indicate how long it has been since discontinuing this medication:

                       Comments - What would you like to see on this site? (optional)