Posted by johnray on March 4, 2004, at 19:35:58
In reply to Lexapro Dosing Info--My Doctor's Opinion, posted by meow mary on October 14, 2002, at 19:03:40
> I saw my doctor today. He said he's been getting a lot of disappointed responses from his patients who have been at 10mgs, and thinks there is a certain amount of "hype" about that dosage being effective--especially in the case of OCD where a higher dosage is usually required. He doubled my dosage, although he said it would be fine to start with 15 at first.
Fellow Lexapro users may find this interesting. I started on 10 mg. of Lex for severe anxiety and after four and a half weeks I felt like the anxiety was just modestly improved while the nausea and sexual side effets were very noticable. I had the strange feeling of being sleepy and anxious at the same time. My pdr said to go to 20 because most people who can tolerate 10 have no problem with the higher dose. When I got home I took another 5 mgs. intending to go up to 15 first and then 20.
In about an hour and a half I had a major anxiety attack that lasted around six hours. What I ended up doing was making a solution of one 20 mg. Lex tablet in 20 ml distilled water or saline and slowly raised my dose 1/2 mg. every few days. Even this was a bit touchy. I found that at 12 mgs. the anxiety started to noticably improve. I'm now at 13 mgs. and am just about fine. So it looks like small differences in dose can trans late into big differences in effect. I plan to use the Lex as cover so I can transition back to Imipramine without the start-up anxiety with that drug and slowly eliminate the Lex. No sex is no fun and fairly small doses of Imipramine will keep anxiety at tolerable levels. I plan to try Pregabalin at the earliest opportunity and hopefully use this to replace my clonazapam.
poster:johnray
thread:109458
URL: http://www.dr-bob.org/babble/20040304/msgs/320329.html