Yeah, 20 mg is a low dose. The highest they can go up to now is 40 mg because of the heart issues.

Those are both pretty rare side effects. The result of feeling more calm is much more likely and could help you a lot.

The suicidal thoughts usually only happen on starting meds to people who have been so depressed they can't move. Then when they start taking an anti-depressant, suddenly they get motivation to do something.... like kill themselves.

If you haven't had any before, and you're reasonably functional, you'll *probably* be okay. If you DO have any, just be sure to tell yourself "that's not real, that's my depression talking," and call 911 or go to the ER if you think you might actually hurt yourself.

And, of course, if you DO have either of these side effects, you can stop taking the meds right away and contact your doctor to get a different medication.