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re: 20 mg/day to START? » McPac

Posted by lil' jimi on June 30, 2003, at 20:58:47

In reply to Just Starting on Lexapro....20 mg/day to START????, posted by McPac on June 30, 2003, at 20:16:24

hi McPac,

what do you think your gp is thinking? ... SOP is to start 10mg , which as you mention is pretty steep for a lot of folks here, me included ... .. ... would your gp have a reason to believe your med resistant ... or something?

as you have probably read, starting off slow is believed (around here anyway) to lessen the impact of those potential lex start-up SEs ... .... ... my way of looking at it is your md's rx is a target, suggestion and we work our way up to it any way we can .... If we can ... .... Everybody is so different with this stuff; each of us has to just feel our way through .... some folks do best on 2 1/2 mg, a lot of folks like 5mg ..... i've been at 10 for 2 mos. now, and we can expect some people need 30 or 40mg ...
.... ... so how does a doc know before you try? ... ... they can't! ... ...

... and, yes siree, be prepared for the POSSIBILITY (probablity?) of lex-induced initial anxiety SE ... ... it can happen ... .... if you're prone to anxiety, the standard treatment is to use benzo supplementation to get you over the adaptaion SEs ... heh! ... like i know what the heck "standard" treatment is! ... ....let's try: "i have read about this often here" ... (that's more like it!)

and i read all of the old posts debating the celexa-to-lex equivalency .... i seem to remember the pharm rep post that 10 to 40 exchange rate .. never had any AD other than lex ...

so what happened with your zoloft?

i have read some of your posts, but i can't recall your dx / sx / history / story / other meds?

TAKE CARE !!! ! ! !!!!! (hey! to wayne o' the 'vettes!)
~ jim

> I'm trying to switch from Zoloft to Lexapro.....my GP has instructed me to START OUT on the Lexapro at 20 mg/day........from reading a few posts on the Babble board, THAT dosage sounds too high!!!! I've read a few posts saying to start out slowly, like 5 mg/day.........also, reading about these crummy panic-type feelings that many get makes me leary....okay, question please, what is the equivalent Lexapro-to-Celexa dose? (Is it 10 mg of Lexapro = 40 mg of Celexa??)........I took ONE Celexa pill (20 mg, it was one of my mom's) about a week ago just to see what kind of reaction I might get from Celexa; it made me a little tired, if anything...is THAT any indication of what Lexapro may be like also for me, since Lex is really the same thing as Celexa? THANK YOU to any and all that responds!!!!!!!!!!


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poster:lil' jimi thread:109458
URL: http://www.dr-bob.org/babble/20030624/msgs/238266.html