You really need to discuss this with your doctor. Everyone is different but your doctor knows YOU. Never ever change your dosage of an SSRI without a doctor's supervision.
Chronic pain, Depression, Fibromyalgia, Tennis Elbow (both arms), Arthritis, Diabetes. Ruptured disk L4-L5, Severe degenerative damage L5-S1, L5 Nerve root displacement, ACDF C5-C6