sertraline and anxiety

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I am on 62.5 mg of sertraline. I have titrated up to that very slowly and although it has not been easy I do think it has helped me start to feel better with my anxiety. My question is....has anyone been on a good therapeutic dose and then something happen in your life where your anxiety just comes back???? I may or may not be at the dose that is truly therapeutic yet but I have recently had some family issues that have "triggered" me to feel very anxious! I was hoping after a day or so it would Burn itself out....but today is day 5 and I'm still feeling it! YUCK! Any advice WELCOME!!! thankssmile


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4 Replies

  • Posted

    Very difficult to say what is therapeutic dosage wise as everyone is different. I am currently on 75g but i am taking for depression caused by OCD. I started on 50g then upped in 25g increments. Should be going up to a 100mg on next appointment, i also have started to feel better but OCD dosages are normally higher apparently. What is the cause of your anxiety?
    • Posted

      hi Cuffy

      thanks for writing. at my last appointment my doctor did NOT think I was at the correct dose yet. He advised going up and it was up to me how to do it....12.5 or 25mg. I am sensitive to medicines and all my other increases were 12.5 so thats what I did. My anxiety was triggered a year ago by a health scare. Now that the dragon is out other things trigger it. As I mentioned, my son has been having some behavior problems and tantrums that I have not been able to control. they have been upsetting and I do think that is what is making me feel anxious again. I do know the triggers of his tantrums and I do feel like we can get it resolved, I just hate I feel like I have slipped back so much b/c of this!!!!

  • Posted

    Hi Renee.  After being on a high dose for years my doctor put me on something different and I weaned down to 25 mg of sertraline.  That pretty much held off the anxiety attacks.  I have been fine on that for about six years.  Then I got into my mid forties and started having lots of issues with anxiety and obsessive worrying (thinking perimenopause related). I also titrated up to 62.5 mg.  I was doing good again for a few months then got a refill of a different brand  of generic and went into a tailspin again.  Finally got my regular brand back, but I can't get back to that "feel good" place again.  It's really frustrating.  I don't want to bump up again because I know sometimes it gets worse before it gets better and I don't know if I can handle that right now.  We are building a house which is causing more stress than usual because I am having to run around a lot more and make lots of decisions I'm not used to.  

    So, having said all that, I do think that certain situations can cause it to be worse and I usually take an anti anxiety to get through those days (short term only.  They are addictive). Maybe try to ride it out for another week..  I hope you get to feeling better.  My husband always says we can't pick our family.

    • Posted


      good morning. thank you for your comment. i feel so alone in all this. I do have my mom and sister to talk to but their anxiety doesn't seem to manifest the same as mine. I just want to get back to my "feel good" place too! I just don't know if I will on my own or more meds are needed. I almost took an ativan yesterday to get through the day.....this morning I feel like my nervous system is a little better but my head is still heavy and foggy feeling. UGH. Good luck to you! and thanks againsmile

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