No doubt you will get more replies if you post to the 5-HT3 forum here on the BB, but I wanted to let you know that I took Lotronex the first time around (before the withdrawal from the market--and after, since I had a good supply at the time of the withdrawal) for 22 months with no adverse effects. Since the return to the market in late 2002, I have been on Lotronex for just over a year, again with no adverse effects. This second time around, some have found that the Lotronex is not as effective as it was the first time around, but I have not really experienced that, although I do need the full prescribed dose of 1 mg twice a day this time (when I was conserving supply during the non-availablity period I was down to half a mg daily). As I said in my FDA testimony in April 2002, the key to successful use of Lotronex without adverse effects is COMMUNICATION with one's physician, and knowledge of one's own body.