Re: Going from 10mg to 20mg!
This is an intreaguing thread as the leaflet in my packet indicates that the normal doses are 10mg and 20mg and the normal maximum is 20mg. (Please note I could be wrong so please read the leaflet in your packet).
It seems odd to increase the dose if the patient does not feel the need. I did not get any nighttime benefit on 10mg once a day so the GP did increase it to 10mg twice a day. I take the late dose close to sleep time.
All I have read on reducing dosage of this and all SSRIs is to do it VERY slowly. It appears to be worth breaking tables into 5mg (they have a split line) and reducing by 5mg per day at a time. And maybe taking a week (or longer?) for each step. Your body will be used to a LOT of seratonin and will have to make its own and sort the mechanisms out. This has the potential to play fast & loose with your brain & emotions. I anticipate coming off the meds will be like fighting low-medium anxiety/depression all over again; although hopefully from a better start!
If you need the medication then the increase is fine - but you really should be the one to identify (or agree with) the need. These are not smarties.
I missed one of my doses the other morning and only noticed a lot later. I had had some very strong anxiety that lunchtime-afternoon so even a small blip in dosage can have an effect.
__________________
Kevin, Southend-on-Sea, Essex, UK
Probably GAD & Phobias. Anxiety and renewed Depression medicated (Venlafaxine). Trying to improve.