Karin,

I would continue to modify the dose further before changing the remedy. I have to admit I used to think 2 succussions, 6 succussion, 10 succussions - what the heck difference could it possibly make??? Well, when you have made a good remedy choice, it makes all the difference. You never really understand the potential of our remedies until you see the simillimum act. That is, right remedy, right potency, right dosage.

If you overdose from the beginning you are continually on the back foot trying to figure out what this means, what happened there, if only I hadn't made that change here.....etc, etc.

If this lady is improving that means your remedy is working. If the dosage causes an initial aggravation which then goes away, and she continues to improve, that's a sign of the right remedy, wrong dosage.

I go up the scale step by step, I don't jump potencies anymore. You can move up quickly if you need to. It takes forever and a day to unravel a badly mismanaged case.

Boenninghausen and Hahnemann were expert zigzag prescribers. They had a limited materia medica to work with and found that a lot of their patients suffered from accessary symptoms. So they zigzagged their way through the treatment trying to avoid aggravations. We all choose partial simillimums a lot of the time through inexperience mostly. So it is important to know the Concordances and how to use remedy relationships effectively. In the 1840's Hahnemann was doing less and less of this zigzig prescribing because he had by this time developed the LM potency scale and could modify the dose to prevent aggravations rather than changing to a completely different, but related, remedy. Boenninghausen on the other hand continued to practise in the other way.