I have been taking this medication for years. I started at 75 mg and then about a year in had terrible obsessive thoughts and ended up going to 150mg. The thoughts calmed and I felt better so in the two years being on it I was tapering off and ended up below 75 mg because I was opening the capsule and weighing the contents so I would say I was just under 75 mg. the obsessive thoughts have always been there but not strong. Then a week ago I had the thoughts of having to pee. I upped myself to 150mg because I had a panic attack and since then I have major anxiety and no relief in my thoughts?! Can someone tell me what I should do?! I have spoken with my doctor but they want you to stay on the dose for 4 weeks. I just don't remember it doing this the first time around?!