i have been put on 40 before and yea it helps but then im bad with meds and decided that was too much and i didnt want an increase ... promptly crashed ... did the same with prozac ...

now im mean to be on 20mg and i havent really taken it much of late. yea i suck.

my advice would be to ask the doctor about 30mg to start with. it doesn't need to be 40.

good luck.