They say that everyone needs a different dose and if it does not work that means it must be raised till they find the optimum dose. It kills me, but my daughter does not listen. She starts crying when I speak to her about this. She does not read anything that is value to her health. I am going to see her this coming weekend. I do not even know where I am going to start. My plan is to tell her like it is, nicely and read as many articles on these drugs I can that I have compiled.