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Hi All. Thanks for everyone's amazing responses and support the last few weeks. I am currently mid week 7 of full dose (20mg). I was started on 5mg for 4 days then I was on 10mg for 2 weeks, but I am not counting those weeks now. Should I be?
My psychiatrist has been seeing me weekly because I have had such a crazy time with side effects, but she is away now and I only see her again on the 19th.
Worst side effects are severe increase in anxiety (although I can manage a panic attack before it happens better now than before), jitteriness, especially in the morning and during the day, insomnia (no problem falling asleep but still waking up most mornings at 4:30 despite taking ambien 10mg) and worse depression. But I think that the depression is just because I was finally diagnosed and accepted it, so perhaps more the illness than the medication.
My depression was caused by years of untreated anxiety, thats my own two cents. Also struggling with obsessional thoughts and mind racing which is like torture.
Yesterday I had an awful day, very anxious and jittery all day, and I can usually calm down at night but last night I couldnt and I took 0.25 of Alzam which sorted me out.
Most days have been severe low mood and anxiety at the same time, and new side effects include an upset tummy (why now?) and my appetite has gone down slightly.
But I must say, the day before yesterday I had an ok day, and today I am having an ok day. I feel a bit flat but not too panicked and bad.
I guess my question is, is 8.5 weeks on 20mg (that is where I will be when I see my psychiatrist) long enough to see the full benefits or should I just bite the bullet and try to get to 12 weeks?
I am terrified to either up my dose to 40mg (that is what my doc will do first, before considering changing to Sertraline).
But I would rather go through another 4 weeks of this than have the potential of having to start on a new drug or double my dose which I think will make my anxiety much worse.
Has anyone had a good effect on their anxiety once upping the dose from 20 to 40mg? I am not off work so I need to be functional.
Hope everyone else is doing well and that those that have been on the meds for longer than 6 months can give some positive input.
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