Today all of a sudden I feel terrible Was feeling great 2 weeks and now back in bed. Grrrrrr. Help

Hi Ship , so sorry to hear that you are having such a hard time. I can only say what I went through with this med in the beginning. Unlike you I started with 50 for 4 months and then went to 75 for a week and then 100. My first 2 to 3 weeks wasn't bad, and i even laughed which hasn't happened in a long time. Around week 4 the crap hit the fan, anxiety attacks the worse that I have ever had. By week 8 or 9 it was like a light bulb turned on. I increased because my anxiety was still there some and the doctor said to increase. This med is a slow acting med. It is not a benzo that kicks in really fast. I used ativan when the times got really tough. I also got dizzy, headaches, sore muscles, dry mouth and other things . You should talk to your doctor about your experiences that you are having, let him or her decide if you need alittle help until it fully kicks in. Hope this helped alittle. 😎

I have no idea why some Drs up people’s dosages of sertraline so fast! I started on 25mg for about 2 weeks then 50mg ever since. I’ve been on 50 for almost 9 weeks now with very little side effects and my anxiety is improving everyday! Maybe instead of being at such a high mg so soon you need to be on a lower one?? Just sayin. 

hello,

?I totally understand you, it takes about 2 months for each dose to adjust. maybe you should just give it time for each dose to settle and if the dose is not making you feel better after 2months go up. but during the side effects get into therapy and support groups it helps. what meds are you on? I'm on Zoloft. this medtakes along time to ajust in order to feel better . it took about a year to feel better . 2 weeks ago I had it really bad after a whole year on meds I thought I was getting better but than it took a turn I had severe depression and anxiety for 5 days and than I started my period. after my period it got better I figured it was just a embalance so I have to keep taking meds and have to get on birth control so that I can balance out. it sucks dealing with it but eating right, excersing and getting help and support helps!!!!! better days are ahead or you you are not alone, so many people go through this !!! keep fighting !!!! you are strong!!!!

In studies I've read you will get symptom relief faster by increasing sooner. Delaying titration will increase the time to reach efficacy.

Here's a few things I found. There is a lot more info out there. I would discuss your options with your doctor, or even better, a psychiatrist.

SSRIs or SNRIs can induce transitory side effects in the first phases of treatment which can be reduced with up-titration (https://www.tandfonline.com/doi/full/10.1517/14740338.2012.712683)

From the Zoloft info sheet...

? If inadequate response to starting dosage, titrate in 25-50 mg per day

increments once weekly in MDD, OCD, PD, PTSD, and SAD (2.1)

Hey again Ship, to answer your question earlier about what side effects I had, my side effects were heightened anxiety in the beginning that was probably the worst for me. Then I had quite a few minor ones like stomach issues, body tremors, headaches, lack of appetite, hot flashes on my skin, muscle aches, and probably a few others but I can’t remember all. Anyway I agree with Brenda as far as always speak with your Dr before lowering or raising your dose, there are way to many people that will tell you to raise your dosage because it worked for them! Well everyone is different just because something worked for one doesn’t mean it works for all. Take me for example I’m on 50mg and have been for almost 9 weeks and my anxiety is almost gone and I feel 90% better now then when I started. Good luck with everything. 

Hi ship...I think your increasing to quickly, you could persevere or cut back to 100/125 for a while. Funnily enough I am having the same side effects at 150mg after a brand change from activis to accord and I've been on this dose for a few years....very odd? Mine are for depression not anxiety.