Having a blip after 4 weeks on 50mg

Posted , 5 users are following.

This is my first time writing on the forum but have had support from reading this. I was prescribed sertraline which was titrated from 25 to 50mg. I've been on this dose for 4 weeks and was lucky in that side effects were minimal and felt I was turning a corner but had a blip about a week ago and although not back to where I started I feel my anxieties have increased and just feel so sad and my sleep is really poor. My gp wants me to remain at this dose a bit longer in case it is just a blip due to other stresses and I understand that. Just don't know how to get past this stage.

1 like, 11 replies

11 Replies

  • Posted

    hi there lin01,

    i was the same on 50mg, i started on 50mg for 4-6 weeks i think it was, then was increased to 75mg and then 100mg, i settled for about 3-4 weeks on 100mg and a then i had another blip relapse, so i'm upto 150mg since september and i've been fine ever since. think you just need to find the right dosage for you as a person really.  i've been on sertraline for over a year now, i have anxiety also but it's not as bad as my depression, that is alot worse. sertraline has given me a new lease of life. stick with it and i'm 100% sure you will reap the benefits, its working for me and no other AD has worked this well for me before. keep in touch :-)


    • Posted

      Thanks for responding. Guess I'll just have to see how I go and if no improvement go and ask for an increase. I'm probably being impatient but just want this to pass!!
    • Posted

      i know exactly where you are coming from, i was afraid to wake up in the morning because i wasn't sure what mood i'd be in, it was awful. i really feel for you. the other advice i can offer is make sure you take your meds at the same time every day and keep active and healthy. you will get there, it's just a time thing :-)


    • Posted

      Hi Gingermac,

      Your ahead of me thankfully, as I worked up to 100mg of which I've been on for 2mths. Got over Xmas/N.Year o.k. Have had a few blips since. Feel like I need to up them. Mine is severe depression,mood..etc. Due to see G.P.so see what she thinks. Feel like a junky needing more. Thankfully, as I've said your ahead of me as I'm 5mths down the line.

      Thanks Claire.

  • Posted

    Hi, I am 5 weeks 3 days  on 50 mg and I had a blip around week 4 and it's only the last 2 days that I have felt less anxious. It's still very early days for both of us, so I would suggest just treat it as a blip as u were starting to feel better before this. It means it's working and just has to level out now which can take up to week 12, so hold tight for abit longer as if u increase now u might get some sued effects again which will throw u off again, so give it til at least week 6 on the 50mg dose before upping if u can x
    • Posted

      Thanks. Have made a follow up appointment for 3 weeks so will try and hang on till then.
    • Posted

      yeah really important you keep going back to the docs, and if you're not feeling it, insist they do something about it, they are very quick to send you away to wait another week or longer, they aren't the ones suffering, you are, make sure you're firm with them if you're not feeling right :-)


  • Posted

    I think it seems as though there becomes a leviling period and although you are not returning to the beginning you feel like you are not moving forward. It's normal with medication like this this. I would ask your doctor if he would up the dose if you still feel like you do when you next seem him. I had a period where I went through this, and I just felt as though I was getting no where. I am now on 200mg and it does seem to be helping with my moods and the feeling of self destruct. The only side effects I have noticed is tiredness, but I'm willing to put up with that if it means I feel sane. Best of luck to you. 
    • Posted


      You too,self destructive behavior has began to occur again on 100mg. Just feel you need more Sertraline. Which makes me feel sad. As it's more to come off. However I've come this far,if I need the dosage upped so be it..GPs next week.

      How long have you been on Sertraline Mark.??? Ta ta for now.

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.