Posted by lil' jimi on September 27, 2003, at 3:58:24
In reply to Re: Starting Lex with low dose VS 10mg much better!, posted by vandy on September 26, 2003, at 8:18:43
hi Vandy,
> I think the side effects are well documented in the physician's information but the dossage is so patient specific that your suggestion might have unintended consequences. In my case, I started out with 20 mg. My only side effect was being tired and that disappeared. But even at 20 mg. it took a respectable period before I received benefits. Had I started out with a lower dose I would probably have quit for a different reason...lack of positive results. I shudder to think of that. I say prayers for Forest Labs and Lex. What should be happening is good counselling. Maybe they should give Dr. Bob's URL to all internet-enabled patients. >
point very well taken ...
i agree with you completely ...
we have seen here so many people in distress from not titrating up slowly enough ... that we tend to err (with our advice) on the side of caution ... thus we may overcompensate ...... indeed, the one thing we have learned here is that all bets are off in the face of individual variation ... ... there are no single set of rules that apply to everyone ...
so, to titrate or not to titrate becomes another one of those judgment calls ...
although i would suggest
that it appears to me
that
... folks with anxiety disorders need to titrate up ("start low and go slow") much more than those with depression-only ...
... ... my reading of the thread implies folks sensitive to anxieties can have much lower endurance for lexapro's adaptaion SEs ... if only because they can induce and/or exacerbate anxiety symptoms ...... you sound like it's working for you ... presuming you're okay, i am glad for you ... especially with the great fortune to have found a med that is working for you ... ...
... and for me too
thanks for your post ... i liked your message very much ... really good input there ... ... much appreciated ...
Take Care !
~ jim
poster:lil' jimi
thread:109458
URL: http://www.dr-bob.org/babble/20030923/msgs/263686.html