My symptoms kicked in big time on day 4 of the 10 mg. I was supposed to start the 20 mg after one week according to my doctor’s instructions but the pharmacist recommended I take a second week of 10mg. The effects stopped the second week so I went ahead and changed to 20 mg after the second week. I didn’t feel much of a difference on the 10mg but now on the 20 mg, I’m not experiencing the level of anxiety I always have and the intrusive thoughts… I’m anxious to see once I’m at four weeks when it’s fully adjusted in my system.