<s>[INST] Hello, I have been taking Nexito 10 Mg for my depression and I have been taking 2 tablets a day since a month. I noticed severe mood swing yesterday and also had high suicidal tendency and attempted to hang myself, fortunately the cloth tore apart and I fell down. I realized that I was unconscious for a while and when I gained my conscious I noticed pain in my hand and head as I hit the ground. After a while, I was weeping and had a push with in to end my life. I took 12 tablets of Nexito 10 mg and went to sleep as I was under the impression that this would make me to sleep sound and I may overcome the tendency. My question is that, while I am under medication and been taking Nexito 10 mg for a month, why do I still have these mood disorders? [/INST] Hi, I read your query and can understand what you are going through. You seem to be suffering from severe depressive episode and are having suicidal ideas as a result. Since you have attempted suicide, I would consider this as an emergency situation and would advise you to talk to your family members immediately and preferably get admitted in a residential care facility. Although you are taking antidepressant (next, 20 mg/day for a month), still you are having symptoms. This means that may be now, your medication needs a review and some other anti-depressant like venlafaxine can be tried. You must immediately contact your psychiatrist and talk to him about your suicidal attempt. Best wishes. </s>