It's a pretty uncommon antidepressant, you usually only get it because you have some other stuff going on that prevents using the more mundane ones, or your dep

It's a pretty uncommon antidepressant, you usually only get it because you have some other stuff going on that prevents using the more mundane ones, or your depression is so bad you need a second one you can take over top of the SSRI. It also gets a lot of use in PTSD treatment. Basically no one wants to be on this drug. By the time they're offering it to you it's probably in your best interest to consider it.