glad to hear you're a bit better.

unfortunately it is not a common practice for all to start in small dose and wwork your way up. But to myknowledge, it is the common practice of all the doctors in the best teaching hospitals, especially in neurology Dept. what are the medications you're taking + the ones you suppose to take? and what are the dosage?

I think what you can do first is to ask the pharmacist what is the smallest dose of a tablet. For example, if your doctor prescribe 100mg three times a day, you could ask if they could give you in 20mg tablet, so it doesn't really matter that the prescription call for a higher dosage. if they refuse, then the only way is to ask for a different prescription from your doctor.

But of course, work your way up. the standard is to go up the dose every one or two weeks. don't expect you won't get any side effect at all, although it could very well be the case. Also, even after you reach the full therapeutic dose, it will take a month or two to get the full effects due to synaptic plasticity. So don't assume that it doesn't work if you don't feel better right away.

hope you'l;l feel better soon!