Posted by schleprock on September 8, 2012, at 1:17:32
In reply to Re: THE MONSTER HAS AWAKENED... » Prefect, posted by phidippus on September 7, 2012, at 23:29:21
> I recommended a minimum of 100 mg of Luvox based on personal experience. I just seemed to reap more benefits at that dose. The reasoning for going overr your 50 mg dose is really just a matter of maximizing benefits.
>
> Numbness, or flattening of affect is a problem with Luvox at higher doses-200 to 300 mg. You don't have to worry about it at your low dose, even if you were at 100 mg.
>
> I have friends who have been on Luvox for years at high doses and have never experienced poop out.
> Tachyphylaxis is a phenomenonn that is not dose dependent-it can occur at any dose.
>
> Studies tend to show controlling anxiety during exposure therapy does not affect the success of the therapy. In fact, too much anxiety can impede learning during exposure therapy. I have OCD and have done a lot of ERP and on occasion took Ativan to help control my anxiety during sessions.
>
> EricI think you should be an the minimum effective dose of any med. If you were fine for seven years on that dose, there's really no reason to raise the threshold. (Of course, I've spent a long time on a med where a raise in plasma levels would supposedly impact it's efficacy; though before a certain "interference", I couldn't really imagine feeling any better than i did). And as you said, your only reason for lowering the dosage was a conscientousness of being "dependant" on the med. (I actually went through the same thing with my med, with semi-disasterous results. But everything returned to normal once I got back on the minimum effective dosage.)
But arguably the most important reason not to unnecessarily increase your dosage is because you DON'T want to be caught in an unbearable hardship should your current cirumstances change. There's always a strong possibility that you might have to pay out-of-pocket for this stuff, and doubling your dose would be doubling the price. You'll certainly be in dire straits if you get dependant on a higher dose and have to make due with less.
poster:schleprock
thread:1024636
URL: http://www.dr-bob.org/babble/20120830/msgs/1025109.html