Don't be afraid of higher dosages. It's very hard to find the right cocktail. I'm on 200 Zoloft, 300 Welbutrin, and Xanax as needed. This would be too much for some but works for me. Don't get discouraged trying to find the right mix. It takes time. Good luck to you. If you ever want to chat pm me.
I just checked in to this thread so haven't read all the posts ...
Teddy, have you ever been tested for Mitral Valve Prolapse Syndrome and Dysautonomia (a central nervous system disorder)? They sometimes go together, and both can cause anxiety and panic attacks.
Just a thought ...
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Often these meds will lose effectiveness. Check with your Dr. for either a different one or a higher dose of this one. But do not do your own doctoring. See you Dr. who prescribed this medication and have him make the decision of what to do. That is his job. Often these meds need adjusting. Wish you the best.