My experience of coming off sertraline
Posted , 240 users are following.
I have found this site very helpful during the period that I was taking sertraline and felt I should share my experiences of coming off the drug, in the hope that they may be of help to others.
I was diagnosed with depression last year and have been on 200mg of sertraline for approx 10 months. I also had some therapy during this period and recently took the decision (with my doctor's support) to come off the medication. Wary of repeating the experiences some other posters on this site have had I resolved to reduce my dosage gradually over a period of about a month (more gradually than suggested by my doctor).
Each week I reduced the dosage by 50mg a day. So week one I went down to 150mg a day, week 2 100mg a day etc. The first two weeks were fine with no real changes. By the end of week 3 I began to feel a bit light headed, with hot sweats and dry-mouth also returning. As a result I remained on this dose another week instead of stopping altogether in week 4.
I have now been 5 days with no sertraline and have found the experience of quitting surprisingly easy. I still feel a little light-headed now and again, but other side effects I suffered during the full dose (yawning, tiredness, sexual dysfunction) have all but gone, and although I kind of miss the 'wrapped in cotton wool' feeling I am glad to be back to life without medication.
For what its worth I would suggest that gradual reduction of dosage is the most effective way to avoid the worse of the side-effects experienced when coming off sertraline and that the good news (for me anyway) has been the speed at which the side-effects disappeared.
31 likes, 450 replies
Loopy_Lynny
Posted
I really, really appreciate you taking the time for me. It makes such a difference talking to someone who has been through this stuff.
Speak soon, i will message you here in about a week and let you know how i'm doing if that's ok?
Thanks sweetie, take care :-)
Lynn xx
P.S. don't know how to get the smiley icon on here !! x
mel17
Posted
PS Smileys are on the tab called 'formatting options' at the top right of the reply box.
jenb28
Posted
Really interesting to read everyone's posts on here and really encouraging too!
I've been on sertraline for 7 months now at 75mg, then came down to 50mg 4 weeks ago. I'm thinking of
going down to 25mg for 4 weeks then hopefully off altogether.
I'm feeling fine now and my depression was very circumstantial.
My main concern is weight gain - I've gained just over a stone since being on sertraline (definately due to the meds!!) and I'm heavier than I've ever been. I am wondering if the weight will come back off again when I sto the meds or is it a permanent change in my metabolism?! What are people's experiences of weight whilst on sertraline?
Thanks
ashmarie
Posted
mel17
Posted
sam123
Posted
So glad I found this forum - I have just stopped Sertraline completely. Mel, my dose and dose reduction was almost exactly like yours. I was on 50mg for about 15 months, I felt confident about coming off them and my doc advised halving the dose for 7-14 days then stopping it completely. I did 10 days at half dose then just decided that I felt fine and not to do the last few days and come off it. First 3 days were ok then felt like I had vertigo and the 3 days since have been quite hazy and I have definitely had the brain snaps/electric shocks that others have mentioned. I've found them rather uncomfortable and very frustrating as I just want to feel normal.
Mentally I think I do feel normal but physically just a bit off due to these effects. I have tried to stay very aware of how I am feeling and have been writing an occasional journal so that when I've felt strange or upset I can offload to the page. This has helped a little, as has telling my boyfriend and one or two close friends how I'm feeling, especially when I feel odd. It has also been helpful to take note of my moods and go 'hang on, why did I get so angry - is that me or the withdrawal?'
I'm hoping these notes will be useful to take to a psych (once I organise that - it's only been 15 months after all!!)
My doc said I should expect the drug to stay in my system for 4-6 weeks which makes sense though I really hope I don't have to have this shock sensation hanging around that long. I'm mostly focusing on relaxing, doing things like listening to relaxing music, watching comedy and trying to stay aware of my mind and to step back and go 'hang on' when I feel moody or upset. Hoping to see someone to discuss the underlying issues of my depression/anxiety which really did ease when I was on the drug. My only feeling when I was on it was "everything's gonna be fine!!"
Great to read everyone's stories - lot's of very strong, level-headed people posting on here and I feel a lot less as if I'm going this alone.
Thanks, Sam. xx
londoner
Posted
It is great to read your posts and it gives me an idea of what I might expect when coming off the drug. I'll be starting the gradual reduction from tomorrow (only taking a tablet every other day). My doctor didn't mention these side effects - but at least I'll know what's happening and if anything feels too bad I'll be straight back to see him.
I agree with Sam, it really helps to feel that you aren't alone in this...
good1
Posted
gina333
Posted
And off every 4 months so wanted to come off. I cut my tablets in 1/2 for a few days but b/c I really couldn't find any real reason to not go cold turkey, I went for it. First 5 days seemed perfectly fine but now I am having light headedness/out of body type of feelings that had me panicked to the point of doing a in depth google search. This has lead me here. It's such a relief to see that my physical symptoms are a normal response to the withdrawal!
I just left a message with my doctor and took 1/4 of a tablet as I await a return call.
Does it get any better? Will my feeling of "flightiness" /light headedness/not sure I should be driving a car b/c my response time seems impaired go away? I'm also feeling severe muscle fatigue. Why doesn't anyone tell you this could happen? Has anyone been 100% successful going off?
Thanks!
sam123
Posted
Since posting on here I feel like the drug has left my system in the 4-6 weeks the doctor said it would take for the drug to leave completely. From my own experience the symptoms did subside gradually. The first 2 weeks without any were the worst and I felt tired, dizzy and though I don't drive I felt unsteady just walking a lot of the time in those 2 weeks!
I was on half the dose you were for a lot shorter time so I would imagine that you would be doing it tougher right now. I can only suggest that my own experience has shown me that the feelings do subside. I took it really easy over those early weeks when I realised what was going on but it was so frustrating and uncomfortable.
I agree, the doctors don't give you enough information about this but I guess if you haven't done it you don't know. I hope your doctor can give you some helpful advice and that you feel better soon!
sam123
Posted
Since posting on here I feel like the drug has left my system in the 4-6 weeks the doctor said it would take for the drug to leave completely. From my own experience the symptoms did subside gradually. The first 2 weeks without any were the worst and I felt tired, dizzy and though I don't drive I felt unsteady just walking a lot of the time in those 2 weeks!
I was on half the dose you were for a lot shorter time so I would imagine that you would be doing it tougher right now. I can only suggest that my own experience has shown me that the feelings do subside. I took it really easy over those early weeks when I realised what was going on but it was so frustrating and uncomfortable.
I agree, the doctors don't give you enough information about this but I guess if you haven't done it you don't know. I hope your doctor can give you some helpful advice and that you feel better soon!
hilary_1
Posted
Ive been on setraline now for 4 weeks and the withdrawal effects that you all describe are the side effects that i have at the moment. I have diarrhea, very dry mouth/hair/skin/eyes, itching scalp, insomnia, shakes, night sweats, and mild heart palpitations / weakness. I also feel quite dull and not able to cope at work - even though I am no longer super emotional and crying etc, I feel that my energy and mental capacity are very reduced.
So, I did some googling and discovered that there is a thing called Serotonin Syndrome which can be fatal!! Its scary to read but a lot of our symptoms fall into the range of dangerous. Eek.
So now I am considering coming off them. Emotionally things may get messy but I will have my mind and energy back perhaps.
But I am very afraid of returning to how I felt before - suicidal and very depressed. Not sure what to do.
Just a side note - I have lost quite a lot of weight since taking them !! My appetite has reduced and I am also no longer comfort eating. The mild nausea probably also had something to do with it. Id consider staying on them just for the weight loss :-)
hans82434 hilary_1
Posted
Recently I went to my gp regarding feeling horrible and during the visit my doctor mentioned an iteraction between sertraline and trazadone which I was taking in place of remeron because I wanted to get off that drug. He never explained this interaction and dismissed it. After a couple days of feeling horrible I went to a symptom checker site and found the seratonin syndrome you mentioned. It fit how I felt to a T and was listed for the two drugs I was taking. As soon as I went back to mirtazapine I started feeling better. I thought things were OK but then I started feeling bad again. Seratonin syndrome can also occur when taking sertraline and mirtazapine. As soon as I stopped taking the sertraline the symptoms of seratonin syndrome went away, but now I have to deal with sertraline withdrawals which are not as bad as seratonin syndrome but difficult with the brain zap and such. I hope I can do it this time as I have tried before and was unsuccessful. I really dont have much of a choice as the alternative is potentially deadly.
?If you are taking multiple meds, go to a symptom checker site and if you find seratonin syndrome as an interaction, do a short experiment to see if symptoms go away. I'd see your doc as well. Not sure seratonin syndrome occurs when taking only one antidepressant
deb36
Posted
Well it's not been that easy...... On non drug days I have strange headaches and weepiness. I can't manage every three days. It's been three weeks now.
I am so pleased to come across this site. I was feeling a failure at coming off the tabs, and now realise others are finding it difficult too.
maz14
Posted
I was on citralopram when I first started two years ago, and felt they really worked I was on 50 mg, then after a year I felt they stopped working, but now I don't know if that's because I was going through a shitty time.
My changed me to 100 mg sertraline never really know if it worked well or not.
I suffer from panic anxiety, and fear of going to the toilet for number two in public, use to have a fear of traffic, but that's gone, now I'm scared to go travelling and everything is slowly creeping up, and not sure if that's because I have gone down to 50mg. I know the dr said that I should wait it out, but I can't cope I'm scared and I feel maybe citralopram was better for me and not sure should I go and swap over again? Apparently the 50 mg is like the 50mg sertraline!! Plus I have put on like 2 stone on sertraline.
I know I have hormone problems as well, but I'm 28 and I can't remember what it use to be like to not feel like this, does anyone have any thoughts? Xxxx