End of week 9 should I increase

Posted , 4 users are following.

Been on sert 50mg for 9 Weeks i think anxiety has come down a bit but not much if it has also feel really depressed no energy appetite or motivation Still.also take 15mg Mirtazapine at night feel really tired in morning could sleep all day thinking should i try to stop the mirt and increase the sertraline?

1 like, 11 replies

11 Replies

  • Posted

    Hello Mate!

    I think you remember the user review/time line I have shared in another comment. I have found another one I will share it here as well. I would not increase yet. Did you speak to your doc? If so what did he/she say?

    Week 1: This week can go either way, Some find almost immediate improvement while other see the side effects (see weeks 2-3) after the first

    day.

    Weeks 2,3: These are almost always the most difficult. Anxiety and depression can get worse than before the medication. Side effects kick in,

    these can include sleeplessness, nightmares, diarrhea, nausea, hot flashes, excessive sweating (especially at night), dry mouth, muscle

    twitches, overall muscle weakness and pain, zero appetite, and very negative mental outlook. My advice is, take these one day at a time and try

    not to get discouraged, not every day will be bad and better times are ahead!

    Weeks 4,5: Some improvement. The side effects lessen to some point, and there are moments when you start to feel normal. Typically

    evenings are the best and mornings the worst. Many start playing around with dosage at this point because they are told that the ssri should

    be working, my advice: hold the course!

    weeks 6, 7: More improvement. Maybe 50% to 70% better than before starting. There are often blips where you feel just terrible for a few

    days, but not usually over a week. Some side effects lessen, but also you may get new side effects. Hang in there, you are getting ready to turn

    a cornert

    Weeks 8-10: Even more improvement. There still are blips, but they are less severe and shorter, maybe 1-2 days. Not normal yet, but getting

    better day by day. The side effects are usually 75% or so gone. Light at the end of the tunnel!

    Weeks 10-12: Maybe this is wishful thinking for me (I'm not here yet), but this is where most see the best results. Some quotes from this time

    period: "best in months, "Amazing", Feel good", "brilliant". Again, this is for the people for whom the ssri did work, not everyone, and for

    those who stuck to their original dosage. For some, this happens at 7 weeks, for some, 3-4 months. But, from what I have read, 10-12 weeks is

    the payoff time

    • Posted

      I really hope I keep improving until week 12, it has helped so much already, but my life is not back yet as the energy and mood still kind of sucks. Great anxiety medication though so far.

    • Posted

      How long have you been on the same dose? Do you feel depressed/ no motivation as well?

    • Posted

      9 full weeks on 50mg be going into week 10 tomorrow or friday yeah zero motivation whatsoever just basically getting on with it no enjoyment in anything dont think im as anxious just a dont care no more kind of feeling.How are you getting on with this crap medicine?

    • Posted

      Thats no good man 😦 I was hoping that I could be fine for the 10th week.. I am still depressed too at 7th week (6 on 50mg)

    • Posted

      Hello mate! Are you feeling any better?

    • Posted

      No not really just really unmotivated depressed cant feel happiness kind of feeling if i ever feel happy again i will be so grateful.Just same s**t different day sorry for the depressing response.How u getting on with it?

    • Posted

      Same as you mate. As you wrote If.I feel ever happy again I will be so so grateful too 😦

  • Posted

    If no improvements since the 6th week, I would call my doctor to increase dose.

  • Posted

    If no improvements since the 6th week, I would call my doctor to increase dose.

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