Good morning, I have been taking Dulsevia for 2 weeks after discontinuation of Velaxin, after a week my dose was increased from 30 to 60mg. Since then, I feel physically exhausted, after eating a meal my stomach hurts, my heart beats quickly and I do not have the strength even for a short walk. I'm kind of dark, just as my thoughts were usually swirling in my head, so now there is emptiness in me, as if I were only a phantom of a man. I wonder if it would be worth going to the doctor with a request to change medications, or is it a transitional period and it will pass? And if it passes, how long will I feel this way? I will add that I have a problem with swallowing medication and I wonder if this condition can be caused by the dissolution of the capsule in the mouth. However, as far as I know, there are no antidepressants taken in a form other than orally to eliminate this problem. I also smoke electronic cigarettes and I have heard that they can affect the effect of the drug, is this only the case with Dulsevia or other antidepressants?