Spoke to my Pharm today. He said that if I wanted to increase it, I'd likely need to go down to 10mg of the cip and up the luvox to 75mg. I've read on a few other forums that Luvox is one of those typical SSRI's that can cause increased agitation and anxiety when first taking it. I'm wondering if this is what is happening to me. Hard to tell because of the combo with the cip. Hopefully things settle down in the next few days. I'm going to try and push through this one and use ativan sparingly as required. When I started cipralex I felt something similar for the first week or so, this is very reminiscent. Maybe its a good sign. I think I'll stick with the dose as prescribed until the 1st unless things get really out of hand....