Brief Answer:
Mianserin (Tolvon) shows its effects in 4-6 weeks of continuous use !!!

Detailed Answer:
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I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.

Antidepressants take long time to start working and are taken for longer times even if there is improvement in symptoms so as to make sure that the betterment remains stable there.

TOLVON starts working and improves some of the symptoms in 1-2 weeks. But full blown resolution of symptoms may take 4-6 weeks.

SIDE EFFECTS:-
May cause allergic reactions.
Dizziness, weakness, lack of energy.
mouth dryness
tremors or shaking of hands.
headache
weight gain
constipation
ringing in ears.

Not all the side effects appear in all patients. Some may have some, others may not have them. It is all variable.

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Regards!
DR. HANIF
USA

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