I recently went up from 20 to 40 and things are getting better for me. according to my doctor they can increase the dose up to 80mg safely. it's all about experimenting, finding the right dose that helps you. some people need only the one pill, others three or four. If you're taking the meds but not feeling the positive effects, then perhaps an increae in dosage is needed.
try the extra dose, if it doesn't agree with you then talk with your therapist and see what they recomend.
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