1. Community
  2. Mental health
  3. Sertraline

Go back to 25mg?

Posted , 5 users are following.

ren123
ren123

 I have been on sertraline for  3,5 weeks now for panic attacks/ Anxiety. The first two weeks I took 25 Mg and my panic attacks started to decrease after the first week. Then after two weeks I increased the dose to 50 Mg and after three days I started to feel worse again and have worse/ full on panic attacks again. Besides worse panic attacks and increased Anxiety, I also have increased side effects on 50mg such as a tensed neck and jaws and a runny nose. I also woke up really anxious and nauseous the first week on 50mg but that has subsided.

Can it be that 25mg could be more effective for me than 50mg or does it take time to adjust? I’m now on day eleven with 50mg.

I am quite worried about it, because my panic attacks mostly consist of pelvic Floor tension and urge to urinate. This prevents me from leading a normal life at the moment and is really getting to me. 

0 likes, 11 replies

11 Replies

  • trishtrash80
    trishtrash80 ren123

    Posted

    It might be your body just adjusting but for me I started on 25mg for anxiety n panic and have continued on that dose, it’s been 8 months and it’s taken the edge off enough to feel like myself again. 

    I’ve still got anxiety but not to the extreme 

    Good luck with it all

    • ren123
      ren123 trishtrash80

      Posted

      My psych told me to continue for at least another week on 50 mg to see how it goes
  • tania35477
    tania35477 ren123

    Posted

    Hi. It does take a couple of weeks for your body to adjust and it does get worse before it gets better. I am on 3 weeks of reducing from 50mg to 25mg and it’s been a tough ride with the withdrawal . Stick with it, it does get better. I’m only coming off then as the meds do not agree with my stomach, constant running to the loo for 12 weeks! Hang in there!
    • trishtrash80
      trishtrash80 tania35477

      Posted

      Hi Tanya

      I’m having issues with my stomach

      I’m lactose n fructose intolerant so not sure it’s that making me live in my toilet. Doctor think been such a low dose not but I’m having a gastroscope and colonoscopy next week to rule out anything serious then next step is looking into if it’s the sertraline doing it! The only way to know if it’s the meds is to go off them... I’m hoping not as it’s really helped me in the last rough 8 months! 

    • Hoopz
      Hoopz trishtrash80

      Posted

      I had to have a colonoscopy because of the bad bum. Came back clear and it was no where near as horrid as I thought it was going to be lol. Don't know about a gastroscope though. Im on 150mg sert and it has saved my life. Except I still have the diorrhea.

      Marginally better than it was though. I sympathise with you cos it's no fun and leaves you dehydrated and drained ( pardon the pun)

      Good luck with the tests. Eat light for a few days before. The worst bit for me was the stuff I had to drink the day before. If you have to do that mix it in jugs and put in fridge. I put a bit of orange in it and ice cubes!

      Keep on trucking

      🦄🦄🦄🦄🦄🦄🦄

    • trishtrash80
      trishtrash80 Hoopz

      Posted

      Thanks for your post

      I’ve had one a while ago and yes I’m not looking forward to the horrid litres of that drink 😩 

  • Cinderella81
    Cinderella81 ren123

    Posted

    I’ve always been on 25 mg abs worked very well for me. Also used it for anxiety and panic.
    • trishtrash80
      trishtrash80 ren123

      Posted

      Yes really does take the edge off but it takes a while to kick in, at least a couple of months hang in there
  • tania35477
    tania35477 ren123

    Posted

    Hi, since I reduced to 25mg no more toilet issues! So I know that it was the sertraline with me! I also had a scan and apparently my large bowel, small bowel and stomach were going into spasm which I think is the anxiety as apparently anxiety plays havoc with the gut . I’m trying a lot of self help with relaxation tapes, books and waiting for appt with a self help group with other anxiety sufferers. Hope everything works out for you x
    • trishtrash80
      trishtrash80 tania35477

      Posted

      Thanks for your post

      I’ve always have had a bad stomach and anxiety doesn’t help and I’m getting more anxious about results but doing my best to keep reminding myself that it is what it is.. I to try meditate and use a lot of essential oils and magnesium oil morning n night!!

      U take care 😉

Back to top

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.