Hi, The best way ahead would be a detailed clinical interview to understand the symptoms and get your comprehensive medical history. For a personalized management plan,  you can connect over the app using instant consultation. WhatsApp available on nine four one five three nine four three seven nine Kind Regards, Dr Abhinav Tewari Consultant Neuro-Psychiatrist MBBS (A.I.I.M.S., New Delhi) MD (Psychiatry) (A.I.I.M.S., New Delhi) DNB (NBEMS)

Depression has its root in poor gut health even if you don't have  gut issues. Need to increase dosage of medication clearly indicates worsening of the underlying cause.

Need few more details Kindly consult

Connect please

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Effect on liver and kidney is rare with antidepressants SSRIs/SNRIs: Nausea, vomiting, diarrhea, constipation, and abdominal discomfort

Please do a USG(whole abdomen) LFT, urea, creatinine to check the state of organs

Kindly connect.

According to your query and sign and  know about the disease and cause and it's best Treatment as you have mentioned as above . Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow any medicine or advise after consultation only from a good doctor. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods • take home made food only and do exercise regularly with yoga and meditation  and please keep positive  attitude to fight any disease and any problem of your