Increasing the dose/side effects
Posted , 3 users are following.
My doctor has advised me to increase my sertraline from 50 to 75 mg. Today marks 4 weeks since I started at 25, then 50 four days later. I was feeling great last week, and then came crashing down with a panic attack on Saturday morning and I've been dealing with insomnia, nausea, and anxiety ever since. My doctor said she thinks I might not have such bad side effects increasing the dose since its already in my system. Basically I need some reassurance that the side effects won't be as bad. It was really rough the first two weeks. Please comment if when you increased it wasn't as bad! Also, did anyone else have a honeymoon period and then come crashing down?
0 likes, 6 replies
sparrow01 anniem7802
Posted
hey, that's a nice, slow, sensibly timed and low increase (from 50mg up to 75mg), and sounds like a good plan if it turns out that the 50mg has proven to not be enough to tackle your depression/anxiety (after the initial honeymoon period, which is very common).
i agree that any new side effects (which you might not get anyway), will not be intense, as you are going up in dose slowly and leaving a reasonable amount of time inbetween the increases.
try 75mg for 2-4 weeks, see how it goes. if it proves to still not be enough, then go to 100mg, which is a very common effective dose to be taking, and is not classed as a high dose (100mg is classed as a middle dose)
anniem7802 sparrow01
Posted
Thank you so much. I really just need some reassurance that I'm increasing at the right time. The honeymoon period was so nice. I felt so normal. And then bam, right back to panic attacks.
sparrow01 anniem7802
Posted
don't worry, you are right on track, and that good feeling will come back; you almost got there early on with the honeymoon period, but now need a bit more time again for the meds to do their work and settle on the correct dose, which is what u are currently doing.
try not to worry if u have the odd crap day, that depression and anxiety will be sent packing in no time ok, so sit back and think forward when life will be good again for you, which will happen soon ok
LordSean anniem7802
Posted
Hey Ann basically i started of on 50mg Sertraline and the first moth was horrendous Due to commenting on this forum for a few weeks now and asking a question upon arrival its same to say, Ive made a pie chart and the data received is infact that Sertraline at any dose during the first 4-8 weeks MOSTLY 4 weeks as our bodys can adjust in just a few days, However after the first month it is recommended by the doctor and my self to up the dose so i went from 50mg to 100mg you're leap is not that high? i would for sure recommended asking for 100mg, The first day i took my 100mg along with my 80mg Propranolol i felt amazing.. I new that i would be fine and i could feel it i felt an assurance inside, Because before any of these medications, I'm 25 coming up 26 this September on my 25th birthday i had what i thought was a heart attack i couldn't breath or move i was i such shock i could not move i flung my self to the ground and just cried curled up in a ball 8 hours later and it was still happening i called 999 and ws rushed to hospital they done a full body scan took all my bloods the full works to tell me.. There is nothing wrong with you i was like wt da fk.. He said i can tell you're in alot of pain i can see the pain its real but there is nothing more i can do so he asked me to go to the Doctor, The NHS treated me like i was a crazy person.. And it happened the next day and the next day and the next day test after test my doctor said it was all in my head and give me anti depressants which done nothing at all to me .. So i took matters into my own hands, i looked and looked and written my own notes in case i just suddenly died about how i was treat and how i felt no one could cure me and maybe i was crazy? Finally Kylie Jenner posted a video on her App and she talked about Anxiety, And how she cant breath and she bursts into tears she shots her self to the ground and thinks shes having a heart attack she said everything i was going through and i felt good i smiled for the first time in weeks and i felt a weight lift on my shoulders.. So i could finally get out my head and focus on my problem what was constant panic attacks.. So i finally looked up my self and found Sertraline & Propranolol I reaised i was not depressed no wonder they never worked.. I had serve Anxiety & Panic Attacks, So i felt fine however i still did not leave the doctors, i demanded Night time sedatives what join in with my morning tablets, He offered me Mirtazapine 15mg and omg i slept i did not just sleep but i slept i was so comfy i was so content i felt normal and the best thing is its not just one night its every night because these night time sedatives coincide with the morning tablets, So i take 100mg Sertraline 80proponol, and at night i take 45mg Mirtazapineor 50mg Amitriptyline, obviously he upped my dose as time went on from 15mg to the highest 45mg because like all things as moths go on your body adapts and you need higher amounts from taken it i am asleep within the hour and as always amazing sleep, However you do have bizarre dreams every night and the funny thing is you remember them as you are waking up haha, And i asked my doctor for something els to try so he give me Amitriptyline as they are not as strong and take a little longer to put me to sleep so i normally take one at 8.30 50mg and then another one 10.30 50mg and im asleep for 12:00 and can relax and watch a movie or read a book play a game etc.. As the 45mg Mertrazapine is basically and instant effect which i use for night i may feel panicky.. So ask your doctor for one or the other as you can only start with one and you cant mix them either its one or the other at night never both... Its been almost a year as its my bday this September i have not lowered any of my night time tablets however ive halfed my propranolol from 80mg to 40mg and eventually to the lowest dose i hope one day and then just stick with Sertraline due to propranolol is a huge impact and you feel amazing but you can gain or lose weight with them and sadly i gained weight and i snap my 100mg tablet up and take half im just trying to adjust to small does one a week i could double it, Its just how your body works. I hope you can get a blissful sleep ASAP just ask your doctor for any of the night time tablets and take into consideration about the morning i think 100mg will best suite you..
Enjoy.
anniem7802 LordSean
Posted
LordSean anniem7802
Posted
Yeah PMT AND PMA are very helpful in these cases find something what takes your mind away and do some side reaserch for other tabets it always helps to be ready