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Am I a candidate for a Lexapro dosage increase?

Posted by Wildman on February 10, 2004, at 8:02:30

Here I am in week 9 of Lexapro. Went through the typical rough spots in the early weeks, had the "wanting to jump out of my skin" experience, etc. Also had many really good weeks of peace, and noticed some very positive changes in myself.
Also had a few mild bouts with insomnia.

Lately, though, I am hitting a rough patch. Tired, irritable, angry, defensive, acting out, are what I am noticing. These are some of the things that I got away from with the Lex, but they are coming back in spades. I am concerned that the Lex ain't cutting it anymore.

This morning I was particularly angry at everything, which I have not experienced in months. I can recognize and describe my anger as it is happening, which helps me to explain myself to my wife. (One thing I've learned that even if one is inexplicably feeling any negative emotion, it really helps to "warn" those around oneself of what is going on).

In fact, I was losing it so badly, I took 2mg of Ativan and am feeling the anger slowly subside as I sit here at work typing this.

I go to see my pdoc tonight, and I don't want to be in the habit of popping Ativans when I hit a rough day. They _do_ work, but I don't think the pdoc will allow me to go down that road, so I think I may ask for an increase of Lex (to 20mg/day).

So, here I am faced with a 5-way decision:

1. Stay at 10mg and hope that these feelings are just part of the roller coaster.

2. Move to 20mg and ride out the side effects of the increase (I figure it will be as fun as getting to 10mg/day was, NOT!)

3. Bail on the Lex and find something else.

4. Augment the Lex with _something_.

5. Quit all these stupid meds and just work harder at being "better".

I swear that option #5 has a certain appeal to me right now.

Help!


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poster:Wildman thread:311597
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