I wish I had better news for you. I was on 30mg of Lexapro and .75.mg of lorazapam and it controlled my anxiety for over 6 years. I had no anxiety at all. I drank alcohol (primarily beer and wine), and also had caffeine no problems. The biggest problem was it significantly reduced my libido. Then last October I started a new job and on the 4th day I had a panic/anxiety attack and the anxiety returned. My doctor raised the dosage to 40mg of Lexapro and 4mg of lorazapam, but it didn;'t work. My doctor told me that after a long period of time using an antidepressant some stop working for some people and they don't know why. I researched this on the Mayo Clinic website and found the following information:

http://www.mayoclinic.org/diseases-conditions/depression/expert-answers/antidepressants/faq-20057938

My doctor since has tried 2 new antidepressants Brintellix and Fetzima combining them with either lorazapam or clonazepam and none of it has worked.

I am now trying a new treatment that many have not heard of it's called TMS which stands for Transcranial Magnetic Stimulaton. I have posted the link below which contains 4 videos explaining TMS. You may want to look at it for information.

http://www.contemporarytms.com/

My doctor has told me that it really is a trial and error finding the right meds that will work for you. But don't give up there are tremendous amounts of antidepressants out there, it's just a matter of finding the right one for you. Hugs and good luck.

I'm on 20mg of lexapro right now and have thought about asking to increase to 30. When I switched from 10 to 20 it wasn't a problem or anything so I don't think it would be a problem increasing again but I'm not sure.

Wow. Ok thank you for the reply. I guess I will see how it.goes on the 30. She did say if that didn't work I would have to try something else. What's crazy is today I asked her about TMS. I am familiar with this treatment because I am in the medical field (non clinical) and that is a treatment one of the physicians at one of our hospitals performs but I thought it was only for depression. Have you already started this treatment? I am very interested in how that is working for you. I have heard that it has done wonders for depression. I love that it is non invasive. Were you able to get this covered by your insurance? I know for a while it was a struggle to get this treatment covered.
Please let me know.

Kenzonel thank you for the reply. I also didn't have issues switching from 10 to 20 so I hope it is the same. It's my nature to worry...about everything!

I just started TMS this week tomorrow Wednesday will be my 3rd treatment, so it is too early to tell. Actually right now my anxiety is even higher than when I started the TMS on Monday. It is hard to get it covered by insurance, my insurance required me to fail 4 antidepressants before they will cover TMS. I have tried Paxil, Lexapro, Brintellix and Fetzima so that qualified me. Right now I am back on 40mg of Lexapro along with doing the TMS. The reason he put me back on the Lexapro is because that was the antidepressant that worked the best for me in the past. I have been off of it for about 7 weeks and maybe that is enough time to make it start working again. If you go to this link:

http://www.contemporarycare.net/transcranialmagneticstimulation/

You'll see the below as the 2nd bullet item:
"TMS is also effective in a variety of other conditions (Please see Other Applications)"

Click on Other Applications and you'll see General Anxiety Disorder listed, which is what I've been diagnosed with. There also are many more listed there.

Hugs and good luck.

Sorry the link got truncated, try this one:

http://www.contemporarycare.net/neurostarTMSTherapy/other-applications-tms.php

Sorry, it looks like the link is truncated but it will work when you click on it.