you will be fine, need to hike dosage.
The complaint of sedation might or might not be related to upcoming depression
1. Sedation due to nefazodone
can be related to its own side effect ( can be seen in upto 25% patients).
2. And this may be related to acute increase in anxiety or depression.
Most likely it is due to depression( if along eith sedation there is decreased interest in previous works) and there is sadness coming up.
You have been keeping well on 50mg of the drug but that is quite low compared to the normal strating dose of nefazodone i.e. 200mg daily. so, please donot panic at all..this can.be solved easily. In my opinion you should go for increase in doasge upto at least 200-300mg daily. I think that should make you well.
Do not go for direct increase in dose but gradually increase it.
Reducing the dosage ( as you did) will not help , but may make things worse.
3. Please get liver
tests done as they too can cause sedation if disturbed.
Hope this helps you
Please feel free to ask more questions for clarification
Dr. Manisha Gopal