If you miss a dose...
It is not necessary to make it up. Skip the missed dose and continue with your next scheduled dose. Do not take 2 doses at once.
Over the past weekend I cut down on one of my meds as I was out of town and did not have enough to take the prescribed dose. On the third day I was knocked right off my feet, woke up feeling down and tearful. So IMHO yes your level may drop and break through sx could appear.
We are talking two different meds.
Moderator Anxiety ~ Panic Disorders
*~* Not a mental health professional at all *~*
Dx: Anxiety/Panic, Depression
"If you doubt you can accomplish something, then you can’t accomplish it. You have to have confidence in your ability, and then be tough enough to follow through.”