Posted by yxibow on December 15, 2007, at 22:04:09
In reply to Re: Is 20mg Lexapro really the max?, posted by Phillipa on December 9, 2007, at 12:19:18
> Seems like a lot of pdocs go over the max as mine tried with cymbalta. I think I'll start a thread on why. Phillipa
Because for some particularly hard cases, and hopefully a skilled doctor, there can be justification for exceeding a standardized range on a particular item, such as an SSRI. Now Cymbalta is different, I actually requested it and though I did get results at 120, in the end, Lilly's internal notes noted that they had seen no improvement between 60 and 120.
Yes, sometimes its a bit too routine -- its how cautious a doctor is and how they predict you will respond. I do agree that sometimes the envelope is pushed a bit too far, but then its done at your consent ultimately. You don't have to take it and you have a right to input in your treatment.
Its known though in psychological circles that certain drugs have a wider range of lack of toxicity so that is why as a DEA/FDA licensed prescriber they are free to prescribe a particular dose or even change the reason for it.
For myself, 20mg lexapro was nauseating but then again I had other agents in my system.
poster:yxibow
thread:799666
URL: http://www.dr-bob.org/babble/20071213/msgs/801068.html