not a complience issue directly but as an issue seems to "get better" I sometimes try to cut back doseage ... if it works ok ... I ask my pdoc if I can cut back , without telling him I have already ... I do this so I can go up or down before letting my rx be reduced and then not being able to go back up ... make sense ... in short I do what I feel is best for me ... then tell pdoc after the fact ... is that an complience ??? IDK ... but I will admit there have been a few panic calls to pdoc for help ... but all and all this has worked for me ... but again I am not a professional anything so take what I say with a grain of salt ....