***Savella works great.*** But... the first week of side effects while on the titration pack are a bit uncomfortable if you do not take it with food. After that, it's GREAT for energy, pain & brain fog, although it takes a couple months to see dramatic improvement. IGNORE any reviews from people who stopped taking it after the first week, because they most likely did not take it properly and just are not giving it a real chance to work. Savella is not a pain pill; it does not work instantly. People should be patient and not unrealistically expect immediate improvement. Very important to remember: **TAKE SAVELLA EARLY AND TAKE IT WITH FOOD**; always take it with food. I take the first dose at 5 a.m., and the second one at 2 p.m. - halfway through my meals to prevent nausea. As of June 15, I've been taking it 7 weeks now. Wow! Complete improvement of cognitive fog, memory problems, energy levels & fibro pain. If Savella users do not take it correctly, it will cause headaches & nausea. Please don't give up! Take it correctly and just give it at least two months to work. If you take the second dose too late in the day, it will interfere with sleep. So it is critical that you take the second dose before 2 p.m., or no more than 7 hours before bedtime. Unfortunately, doctors aren't telling patients how Savella should be taken. They also aren't telling patients that because Savella is an SNRI, it SHOULD NOT be taken w/ other antidepressants or it'll make you sick (serotonin syndrome). Take it properly & give it a chance - because Savella helps A LOT for fibro sufferers! Wonderful for pain, energy & fibro fog. It really bothers me to see negative reviews, because people who don't stop and think about how to take it correctly are discouraging others from experiencing the wonderful benefits of this medication. Savella is nothing like Lyrica. They're totally different types of medications. Don't let your bad experiences with Lyrica cloud your judgment and make you afraid of Savella. This is the first TRUE HOPE for people with fibromyalgia. JUST TAKE IT CORRECTLY - AND IT WILL HELP!