Depression Initially 20 mg once daily, may be increased to 40 mg or max 60 mg daily. PD 10 mg daily for the 1st wk, before increasing to 20 mg daily, max 60 mg daily. OCD Initially 20 mg daily, max 60 mg daily. Elderly ½ dose, max 40 mg daily.
Paradoxical anxiety, seizures, mania, diabetes, hyponatraemia, haemorrhage, w/drawal reactions, suicidal tendencies. Pregnancy & lactation. Not to be used for patients <18 yr.