Should you start getting side effects, this means the dosing is too hot . If that occurs, we're going to back the dosing down to a level that you can tolerate. You can do this without calling my office. The only time you must call me is if you ever feel you need MORE than I'm prescribing. Sometimes, the only dose that will benefit you from a medication is the too hot one.
Patients remember down-home stories.
I hope that mastering this parable has been helpful to you. 20mg Paxil, etc. End of discussion. The use of Serzone or Effexor, at low to medium doses, superimposed onto a partial SSRI responder, works quite well. A common error in thought is that using two antidepressants together is somehow ill-conceived, indefensible, etc.