I have been on Clomipramine for about one month now, 50 MG every night. While my panic attacks and ruminations have been slightly down (from debilitating), I've had side effects ranging from heartburn to loss of appetite to shaking (especially, constant state of tremors/upheaval). My doctor wants to increase my dosage, but I am skeptical because it has been a month and these side effects have not left.

For those of you who have tried this drug, have you had similar experiences? Do the side effects lessen when the drug is taken over a longer period of time or in higher dosages? The lightheadedness and reduction of ruminations are certainly moving in a positive direction, I just want to make sure the positives will outweigh the negatives.

Thank you!