Sertraline Dosage for anxiety and depression
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- Опубликовано: 1 окт 2024
- What is the normal sertraline dose. What happens when you change your sertraline dosage? What if you want to stop taking sertraline? These are common questions, and I hope this video answers them all!
Sertraline (zoloft) is used to treat many types of mental illness such as depression, general anxiety disorder, PTSD and OCD. Therefore it is a common medication for people - in other words don’t worry that you are different. The most common dose of sertraline is 50mg but many people take 25mg, 100mg, 150mg or even 200mg which is the maximum dose.
I made a video on how SSRIs work: • How Does Sertraline Wo...
The majority of people start with 50mg per day although for some anxiety-based disorders your GP may prefer to start with a base 25mg and monitor changes. Lots of people find that the majority of their anxiety or depression symptoms can be managed with a 25-50mg dose but if you have not seen improvement in the second month it is possible your GP may suggest an incremental increase in dose to 100mg and possibly further. We are all wired differently and respond differently so please don’t worry if you are on a higher dose of sertraline; this doesn’t mean you are unusual, it just means there is more opportunity to help with increased medication.
So what happens when you change dose?
Your Dr may suggest an increase or decrease in sertraline dose. Please don’t make the decision yourself or double-dose on rough days. Seek medical expertise. Dosage can be increased fairly quickly over a series of weeks so regular contact with you Dr is very useful.
Increases in dose might see a return to some of the physical and mental side effects you will remember from the first couple of weeks. I would say that you will likely recover from these quicker than before as your body is familiar with the chemical change. This might mean an upset stomach, dry mouth, headaches, etc. but this should pass quickly.
What about stopping/decreasing dose?
Decreases in sertraline dose should be carefully managed by your Dr. As tempting as it is to want to become “less reliant” on antidepressants you have created an environment in your brain where the SSRI plays an important role. When I have ‘gone cold turkey’ it has hit me like a ton of bricks. Speak to your GP if you want to reduce your sertraline dose - particularly at higher dosages as they will likely want a slow/steady scale back over a series of weeks.
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I don't get anxiety a lot , mostly when i drive or go somewhere new/travel. Or sometimes wake up anxious. I am starting w 25mg , just took my first pill today .
Howd that go? Im on 25 mg. 3rd week.
How are you guys feeling on 25mg ? Im on my 2nd week on 25mg. Got moderate anxiety and ptsd. I once tried lexapro for 6 weeks but felt nothing really was told i needed to wait longer but i quit it. Impressed on the sertraline 25mg only 2nd week and im feeling less anxious and more calm.
@@georget1356 i didn't take them, because i didn't want to be dependent on them. I saw a therapist and joined a cognitive behavior therapy group. Now i only take lorazepam 0.5mg aka ativan , as needed.
I have been on 200mg for nearly one week now and yes I do feel the 200mg is starting to work as I was on 150mg before and wasn't working well it was just keeping me on the water line but not above. I do feel more relaxed and calmer than before and less stressed out but I do feel my brain is a little numb and not thinking that much as before is this common as some other people on the 200mg dose as feel the same one said to me they felt like a zombie.
Good question, from my experience any dosage change can result in brain fog but this is usually (hopefully) temporary. I would carefully monitor these feelings and if they persist, speak to your Dr about it.
How do you know if to up the dose exactly?? I’ve been on 50mg for 2 months now. My mood has definitely improved, hardly no negative thoughts which is good and much more rational thoughts/thinking which is great, but I feel like the meds have only taken the edge of my social anxiety… I no longer get very anxious and my heart palpitations seem to have stopped which is good, but still have like a mild social anxiety.. Does this mean my 50mg dose is working well?? Or should I increase it to 75mg or 100mg? Basically what I’m asking, is sertraline supposed to COMPLETELY get rid of anxiety or just take the edge off? 🤔
I felt great at 50 for 3 weeks now I'm on 75 doctor's orders. this is the seventh day and it's been horrible you think I should go back down to 50? need your advice please. What's your facebook group name??
I've been on 50mg for the last 7 weeks, I have seen a big difference in how I deal with social situations and overall mood, just the general sense of wellbeing is amazing! however I still felt a sense of doom just before doing a social task, but I still persevere and once I'm in that social situation I am tip top and normal! so I asked to increase it to 75mg, the doctor wanted me to raise it to 100mg but I really don't want to get demotivated or fatigued in my day to day life (apparently ssri's tend to do that at higher doses?) so I started 75mg.
my question to everyone is I'm thinking of taking L-tyrosin and L-theanine (which is found in green tea) but in pill form, for increasing concentration and motivation. I checked medical guidelines (am a healthcare prof) and there isn't any interactions, I wanted to know if anyone has tried those supplement whilst on sertraline?
I have been taking high strength multivitamins (alpha men by myvitamin + 4000iu +omega 3) alongside sertraline and I don't know this intense feeling of wellbeing may be due to that or sertraline alone.
L- theanine and tyrosine gave me anxiety
25mg has been helping my sleep and energy levels for sure (2 months now) and I'm less shy about making conversation. But it hasn't helped my depression much. I just started 50mg today.
Me too just did 25mg for 5 weeks felt good for a little bit now started 50 mg yesterday praying for the best
@@BJJ_Richie me too just started 50 mg today. How do you find 50 mg??
@@BJJ_Richie I was in 25 mg for 4 weeks
I just start 50 mg after 6 weeks of 25 mg I took at night … I see my anxiety it’s going up big like I was in 2 weeks in 25 mg … it’s ok this side effects … they will go away …?
I find your insight fascinating. I was just prescribed Sertraline last week when I was in an inpatient Psychiatric Hospital. My first day I started on 50mg. During my second day I was bumped up to 100mg. Now that I am Discharged from the Hospital. I'll be taking 100mg for a week, 150mg the next, and 200mg thereafter. I haven't noticed any side effects yet. Definitely glad I am on this medication. Gotta love grippy sock vacations.
Hope you are doing good.
I'm on 100mg at the moment, which is a low dosage for OCD and I feel much better. I might go up to 150mg, but already it's like night and day, when it comes to my OCD. I had pretty bad side effects though, but it was worth pushing through. Now I only have insomnia, but that's nothing in comparison to full blown OCD.
Yo! Thank you mate.
I am starting it. Would not try without you mate.
I start in 3 days! And I just want it to be 2-3 months from now! Where I’m all happy and better! (Anxiety and depression)
Remember that anxiety is likely to always be a part of your life. It will just be manageable in the future. It's human nature to experience elements of anxiety and it helps keep us safe in dangerous situations; it's just the crippling anxiety we need to shed! Make sure you find some good therapy too otherwise you might not notice much of a change!
Im on 50mg for stress anxiety and depression have been on them for around 6 weeks and they are making a massive difference in calming my mind down (was going a million miles a minute)
Great news! Glad things are going well for you! Bear with it if you have a couple of dips and keep your Dr up to date with how you’re feeling!
My entire family is on sertraline, for years now. After a major panic attack, they prescribed me buspirone and it did nothing so went to 50ng of sertraline and then 100 and it’s been a few months, it’s helped but I feel my depression getting more intense, super low self esteem and motivation, feeling very lost and hopeless, so I’m on 150mg now as of the last three days, so no affect yet obviously. My sister is on 200mg a day and my mom is on 150 a day and my dad is on 200 a day as well. We are about to lose our home we’ve lived in for 25 years and we all just have serious depression and some of us also have bipolar disorder as well as very unhealthy addictive personalities. Hoping 150mg will work??? I have noticed it makes me sleep faster when I take it at night with my 50mg diphenhydramine that I’ve been taking for years. I woke up with a wicked headache today tho.
I hope you feel better.
Prayers 🙏
Hello. I started taking Sertraline 3 years ago due to having a Depressive episode and anxiety. I had never had any mental health issues before that. So I started at 25mg and then went up to 50mg about a week later. After about 2 weeks on 50mg I felt much better and stayed on 50mg for about 2 years with great results. I asked my doctor if I could come back down to 25mg and felt just as fine. I stayed on 25mg for the past year and about 2.5 weeks ago, I started to feel anxiety and depression come back. I think it is due to the pandemic. I was worrying a lot about my family and myself catching the virus. I spoke with my doctor and she raised me back up to 50mg. I have been on 50mg for the past 2 weeks with no positive results. Do you think that the Sertraline will work again for me? Should I stick it out or have my dosage raise again?
I think probably it will work but you are right about context being important. Generally I feel better but the current pandemic is causing me anxiety and I know certain things have worsened due to that. Did you manage to get some therapy during those good years?
Thanks for responding. I did not get therapy because I was back to normal. I thought I was good and that it was behind me.
I think maintain the dose at 50mg, is it possible to find some therapy over the next few weeks? You can join the Facebook group in the meantime if you want, loads of great people on there sharing advice. Link is in the description.
Im been taking it for 9 days only but I want to stop because I want to therapy first can i just stop cold turkey is 25mg or how should I stop
I was on 50mg for 9 weeks. My doctor upped it to 100mg because he knew the pandemic would affect me...
Hey! Good to hear from you! Have you been coping OK?
Hey I've been on 100mg for 2 weeks now. Not much difference just yet. A bit weepy. Saw your comment about your birthday, glad you had a good time! We are in an unnatural situation right now with the self isolation so I'm just gonna keep an eye on it
Just upd my dose to 100 mg today. You free to chat?
@@amandaborn84 hey Amanda. I'm here! Talk to me...
@@NieceyWeesey how are you healing with sertaline ? Do you hv severe anxiety? Just looking for like stories for positive inspiration
I'm on the maximum dose, which is 200, and self medicating myself with extra 50mg since last month by some excess stacks. Gotta Love'm 250 mg
How is that going? Seems high. Things ok?
@@AlexRobbMentalHealth And last week was my 1 year anniversary of me being on Sertraline.
Congrats. 😊@@neutroisking101
I was on 12.5 mg for 4 days then 25 mg for 1 week then 37.5 mg for 1 week. I started taking 50 mg and have taken it for 9 days. 4 days ago I started having more anxiety, negative thoughts and chest tightness. I believe it’s because I upped the dosage, I had not had any side effects before but was still experiencing anxiety but it was less, however my doctor wanted me to try 50 mg...how long will it take for symptoms to subside? I’m worried that the medication isn’t working. Thanks for the video!
It looks like that (in total) you have been taking Sertraline for just over 3 weeks. This is quite early to feel any benefit unfortunately. You've also changed dose regularly so the side effects you are feeling now are probably a sign that the dose is at a level your body is noticing something! As you have just moved to 50mg I would expect you to give it 2 weeks in total before all side effects settle but you will probably find them subside within the next few days.
The medication won't necessarily work until week 6 so I would imagine you will start to feel some benefit by the end of April. This might seem like a while away and things might improve sooner but you are on the right path. Side Effects will settle soon and then you just have to be consistent in taking it every day!
A Happy Change - Adventures in Mental Health thank you so much for your reply! I’ll continue taking it :) happy Easter!
A Happy Change - Adventures in Mental Health please I feel so week since I have been taking my, is this common? I have been on day 8 and I am on 25mg I feel so weak to the point I can’t even do my daily routine anymore.
I was on setraline 50 mg for 3 months and my doc increased my dose to 75 mg and i felt like i kind of relapsed because i was feeling down and exhausted as i was in the beginning but seeing your video helped me a lot and made me relaxed thank you🖤
So glad I could reassure you! I hope things continue to improve. Join the Facebook group if you want some community support!
Hi im on setraline and just had my dose increased from 100mg to 125mg from last week my mood gone bad just wanted to know if you had the same.I originally started with lose dose to wean off another med.22 years ago i had setraline then i was taken off it now back on it as escitalopram stopped working after 8years i was furious nobody told me its not a lifetime long med and can cause relapse.Im struggling.
ive been on 50mg for 4 weeks now and while im calmer, i no motivation or energy at all. I can barely work is this normal?
No
Never been on antidepressants before and my doctor just gave me 50mg... I dont know whether to ask for a smaller dose or just try out 50mg
If they've prescribed 50mg I'd go with that. Some people prefer to slowly build up but I found starting at 50 to be the best solution.
hahahaha I always went bye, 50mg is like a must and can still get off, 100 is more severe emotionally but good luck with sex. I wouldn't even attempt sex over 100mg
What a great & balanced review my friend. As I know I started on 50 for 1 week then upped to 100. Side effects included dry mouth, nausea and loss of appetite. They stopped after about 3 days. Been on 100 now for 6 months. Last month went up to 150 which no return of side effects but helped quash the panic of the virus before isolation in preparation. Working like a charm. I’ll join the fb group now buddy. Thanks!
I don't have depression, but i do have anxiety and panic. I feel that therapy and coping strategies are far more important than medicine for moderate anxiety and panic. Do you agree that it will always be hard to stop meds if you don't work on yourself and engage in therapy, particularly CBT?
I was put on 25mg of zoloft for 5 days by my gp after suffering a panic attack and not knowing anything about panic attacks. I then had a therapy session about my panic attack and made the decision to stop before I really started the zoloft. After five days at 25mg they still wanted me to taper off. Once I learned more about anxiety and panic, I've been able to handle it and everything is getting better, daily. Just my experience.
I think therapy is vital and particularly prior to taking yourself off medication. Personally, I don't worry too much about the length of time I need to take Sertraline but understand other's will.
Understanding how anxiety works is a crucial stage of improvement and I always advise people to get access to some sort of talking therapy.
It also depends on the severity of mental illness - right now I require Sertraline to get through things and appreciate the impact it is having on my life!
@@AlexRobbMentalHealth have to do what works, anything that makes an improvement.
I have the same issue. Should I seek therapy before medicine?
Ive been on Sertraline for about 7 years. And recently increased from 50mg to 100mg. Feeling a little flat and anxious. Quitting smoking prolly doesnt help with the anxiety.
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How does sertraline and caffeine mix? I drink coffee every morning, and some days when I work out I drink a pre-workout powder that has caffeine in it as well. Would that cause my brain to go haywire?
Good question.
Be mindful antidepressants can take a good 2 months before they kick in.
I started 1 week ago with 25mg and i'm feeling HORRIBLE i need to stop taking them but i dom't know how. Should i gradually stop like skippimg a day or lowering the dosage? Or should only stop
I have a question, As a man, do you experience having orgasm whenever you want to urinate? Is this pro or con?
My 14 year old has been on 75mg of sertraline for 6 months now. We have slowly increased her from 12.5 to the 75 over the past year. For the last 2 months, she has had no energy, isn’t completing her school work and has been overall pretty down. We have dropped her down to 50mg and she is interested in tapering off completely. Has anyone had this experience a year into the medication? Is this a side effect of too much?
I've started taking it almost three weeks ago 50mg .. had side effects the first week then started to feel better and no panic attacks anymore. However I still get tinnitus which is stressing me out and I'm thinking to increase to 100 mg already .. is it too early ?
What if you're doctor doesn't have a clue or care about you
Sorry to hear that! It’s really difficult. You have the right to seek advice from another GP. If you are getting brushed off cite the NICE guidelines.
@@AlexRobbMentalHealth hi Rob thanks for your reply.A lot of GP s just make me feel like I'm wasting their time.Im on 10mg olanzapine and 50 mg sertraline so I have a lot of side effects.I try to reduce them but feel bad when I do,I don't know if it's withdrawal symptoms or me.Cheers Ben
By the way, did you have a good birthday?
Ah, it was amazing! Had a fantastic date with my GF and got absolutely roasted by a stand-up comedian. Feeling good right now!
@@AlexRobbMentalHealth Hello am glad to have found your channel, this video has helped me with a few thoughts I was having. Please I need some advice, I've been on 50mg for about 6 months now, felt better and for about 5 days now I've started to feel drained and anxious. My iron level is low so I don't know if that can affect a person's mood but I've heard it can. Anyway I've forgotten to take my medication sometimes, do you think that can make a person spiral down?
Congratulation that's your Chantal has ads already dear #Love #Charity #Shepherd #Perfect #Thanksgiving in precious sacred name of Jesus Christ amen.
I actually have 150mg for my anxiety
Wow you are gorgeous!
Great video!
I took 25mg for about 10 weeks and switched to 50mg and have been on it for a long time now but still have seen no change in mood at all. Idk what to do.
It could be it isn't the medication for you? Your Dr will be able to advise. Do you take for anxiety?
@@AlexRobbMentalHealth I take it for both anxiety and depression
@@milomoores If you have taken it for more than 8 weeks at 50mg and haven't seen a change I would speak to your Doctor when you get a chance and see if you should go to 100mg or try a different drug.
I would also say - if not already in place - therapy!
@@AlexRobbMentalHealth I will speak to my doctor then thank you for the advice. Already doing therapy man so hopefully things will improve soon.
Milo Moores how did things go for you?
I did 25mg for 2 weeks and then just this past week I upped it to 50mg. Tuesday will be a week I've done 50mg.
I haven't been able to sleep a full night's sleep for weeks now. My doctor recommended taking the pill in the morning instead of before bed. And it hasn't seemed to help. I'll sleep for 3-4 hours and then I'll be awake off and on the rest of the night just tossing and turning. Is this something you experienced as well?
Also the other major side effect I've had is not being able to have an orgasm. I still have my sex drive and I can still get an erection. I just can't have an orgasm.. Is this something you have experienced?
I don't want to just give up on the drug since it's only been 3 weeks but obviously sleeping and orgasms are a very important part of life. I'm just hoping these symptoms go away soon because I'm getting pretty discouraged
Hi Brian!
Orgasms - I had an issue with this and managed to get through it fairly quickly. It effects some people for longer unfortunately. Did you mention this to your Dr too? I wonder if they might suggest a different drug. It could be that there is an element of anxiety surrounding orgasm now? My issue was amplified once I 'decided' it was going to be hard to orgasm and I had to really reprogram myself to go with the flow.
Sleep - A real tough one. I had serious sleeping issues as a teen and early 20-something. During these years I struggled to sleep more than a few hours a night and would spend countless hours lying awake. I happened to listen to a audiobook about IBS which had a significant amount of detail regarding self-hypnosis for sleep and mindfulness so I ended up with a load of relaxation techniques. I would suggest getting Headspace and listening to it before bed and if you wake up (headphones if you share a bed!). I would also change mindset and not worry about lack of sleep. It's kind of strange but when I used to worry about volume of sleep, I struggled to sleep because I was always anxious I wasn't asleep yet - now I just accept sleep will happen, I fall asleep quicker. I'm not sure that made sense but shedding a fear of being over-tired can often result in better sleep.
Did it end up working 4 u
@@cayondaspires2593 No I stopped taking the drug entirely.