I had the same problem with upping my dosage and my psychiatrist recommended splitting it – 20mg at 6am, then 20mg more at 11am if I’m working…..or leaving it out altogether if I have a day off. I find that works well for the heart racing problem and panic of a sudden onset of a full dose.
As for acid reflux……… I often take mine with milk, or, when it was really bad, mixed the powder into yoghurt.
Well done on your job, btw! It’s a lovely feeling to finally be able to actually do something, isn’t it!? Just look after yourself.
Love and luck to you 😊