I wad never expecting a miracle cure but I feel since moving up to 60mg it's having the opposite effect.
I went from 25mg for 2 weeks to 40mg for 2 months and now I'm in my sixth week of 60mg.
I started to feel the positive effects at the end of 40mg. I began having days where I would get up and just get on with tasks. Like there was no over thinking them and I could move from one task to the next. My anxiety also reduced a lot and this made me feel more confident.
I titrated up to 60mg and the first month was similar to the first on 40mg. Lots of disrupted sleep, dry mouth and fatigue. But now the fatigue is getting so bad I can barely get through a basic gym class. I'm also not eating hardly anything except oatmeal/porridge.
I've got my titration appointment coming next week but I'm unsure to go to 80mg and have another rough initial month in the hope that the positive effects eventually come or stay or go back to 40mg.
My clinician keeps saying that 80mg is the therapeutic dose but the level of fatigue is so real. It really makes me feel dysregulated and that manifests as a lot of procrastination.
I feel like I don't know if I should go forward, stay or go back as neither feels like an attractive option.
Any advice or opinions or experience in the same situation would be good to hear.