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Hi Tim,
My anxiety is worst first thing in the mornings, and it almost always includes trembling and shaking. (And it can be quite scary!) Several months ago, I started taking Lexapro and Ativan. I take an Ativan immediately upon waking up and am then able to function through my morning, without all the ugly anxiety symptoms. Also, when my dosage of Lexapro was increased about 2 months ago, this too made a big difference. Even now, when I get the morning anxiety breakthrough, it's not nearly as crippling as it was on the lower dosage. And again, the Ativan seems to take care of the rest.

I'd suspect your recent increase in Zoloft WILL start to help. Until then, you could try a couple of things with the Ativan that I've tried: You could try taking it at night, just as you're going to sleep, and you should have some residual drug left in your body by morning to maybe keep you from having the shaking. (You'd probably sleep really well on that too!) Or, you might just take the Ativan first thing in the morning, and change up your dosage and/or schedule for taking this throughout the day.

Good luck!:)

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