Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Will sertraline work? When?!

158 replies

Pelvicpaininthebum · 11/10/2025 10:08

I've been having anxiety attacks and panic attacks.

I started Sertraline 11 days ago at 25mg and then went up to 50mg 4 days ago.

I feel my anxiety is worse if anything. I've got constant low level anxiety and am so worn out from it. I'm waking early and feeling panicky.

Will the sertraline end up working? I feel so desperate for it to.

OP posts:
JudgeBread · 13/10/2025 14:37

Didn't for me, gave it 8 months, anxiety and side effects were too much.

Got put on Mirtazapine which has far less side effects and it's been a miracle for me. Still cross with my doctor for throwing the big guns at it straight away without trying the less side effect heavy meds first.

CharlotteCChapel · 13/10/2025 14:35

I'm on sertraline and I remember being told it can take a month for it to work fully.

Pelvicpaininthebum · 13/10/2025 14:28

Thanks @Blueuggboots I take it at night but haven't had heartburn luckily.

OP posts:
Pelvicpaininthebum · 13/10/2025 14:26

Beautifulhaiku · 13/10/2025 13:54

I clearly remember sitting on the side of the bed wide awake and frozen in anxiety while my husband snored away next to me. When you've already been anxious for so long and then do something to try to feel better and then it makes you feel even worse, it's so tough. I was really white-knuckling it at some points and trying to cling onto hope that it would get better. I remember repeatedly googling for stories of people in similar situations where it had then improved, which is why I want to reply to you now! Obviously we're all different, but what you're experiencing is common for starting SSRIs and a lot of people do find they work if you stick with them.

Thank you, that's exactly it..I started the sertraline as I was at the end of my tether with it and felt I couldn't go on, and now I'm feeling worse and hopeless.

I am repeatedly googling stories too!

You got better?

OP posts:
Blueuggboots · 13/10/2025 14:25

I went from 50mg to 100mg but didn’t like how I felt - I couldn’t cry!!! So went back down to 50mg.

Blueuggboots · 13/10/2025 14:25

Try and eat before you take it, to ease heartburn. I also find it better to take it at night.

Pelvicpaininthebum · 13/10/2025 14:24

TheWonderhorse · 13/10/2025 13:49

Hi all, I'm on Sertraline and it works, and it also makes me feel like me, and not a zombie, I think it's brilliant.

In the meantime have a look at the DARE app and book, there's a YouTube channel, and Claire Weekes is good too. It completely changed the way I thought about anxiety and panic and it's taken the panic attacks when they happen, down a notch. There's a Dare support group on Facebook and it just makes sense.

Good luck! I know how shit it feels but you can and very likely will feel better soon.

Thank you.

OP posts:
Beautifulhaiku · 13/10/2025 13:54

Pelvicpaininthebum · 13/10/2025 13:46

Thank you so much, that's encouraging to hear.

I'm trying to hold on.

I clearly remember sitting on the side of the bed wide awake and frozen in anxiety while my husband snored away next to me. When you've already been anxious for so long and then do something to try to feel better and then it makes you feel even worse, it's so tough. I was really white-knuckling it at some points and trying to cling onto hope that it would get better. I remember repeatedly googling for stories of people in similar situations where it had then improved, which is why I want to reply to you now! Obviously we're all different, but what you're experiencing is common for starting SSRIs and a lot of people do find they work if you stick with them.

TheWonderhorse · 13/10/2025 13:49

Hi all, I'm on Sertraline and it works, and it also makes me feel like me, and not a zombie, I think it's brilliant.

In the meantime have a look at the DARE app and book, there's a YouTube channel, and Claire Weekes is good too. It completely changed the way I thought about anxiety and panic and it's taken the panic attacks when they happen, down a notch. There's a Dare support group on Facebook and it just makes sense.

Good luck! I know how shit it feels but you can and very likely will feel better soon.

Pelvicpaininthebum · 13/10/2025 13:46

Beautifulhaiku · 13/10/2025 13:40

I've been on and off SSRIs many times, including sertraline. I also take them for anxiety, and they always make me feel worse before I feel better. I would say I feel more anxious/unable to sleep well for about a month, and then usually notice improvements (as in feeling better than before I was taking them) within about 2 months. That first month or two can be really tough, especially with the worry that they won't work. Hang in there!

Thank you so much, that's encouraging to hear.

I'm trying to hold on.

OP posts:
Pelvicpaininthebum · 13/10/2025 13:44

@boringdad & @PaisleyGilmourStreet sorry it didn't work for you. My anxiety was already quite extreme and I already wasn't sleeping.

@GoldfinchFeather sorry that happened to you, sounds awful!

OP posts:
Beautifulhaiku · 13/10/2025 13:40

Pelvicpaininthebum · 11/10/2025 10:08

I've been having anxiety attacks and panic attacks.

I started Sertraline 11 days ago at 25mg and then went up to 50mg 4 days ago.

I feel my anxiety is worse if anything. I've got constant low level anxiety and am so worn out from it. I'm waking early and feeling panicky.

Will the sertraline end up working? I feel so desperate for it to.

I've been on and off SSRIs many times, including sertraline. I also take them for anxiety, and they always make me feel worse before I feel better. I would say I feel more anxious/unable to sleep well for about a month, and then usually notice improvements (as in feeling better than before I was taking them) within about 2 months. That first month or two can be really tough, especially with the worry that they won't work. Hang in there!

GoldfinchFeather · 13/10/2025 13:35

If it's any consolation, you're all doing a lot better than me!

My GP prescribed me 50mg, and on the first day I took it, I ended up passing out in the bathroom a couple of hours later after suddenly feeling very dizzy and peculiar.

It's rather put me off trying it again, and I'm now hoping alternatives to medication like CBT work better for me!

PaisleyGilmourStreet · 13/10/2025 13:29

I was given sertraline for general anxiety about 10/15 years ago. The side effects took my anxiety from mild to extreme, and I suffered it for about 6 weeks before seeing a GP who knew me (the GP who'd prescribed them had advised me to taper off, even though I'd only been taking them 6 weeks) who told me to stop taking them immediately (she was horrified at the change in me).

The 'cure' for my anxiety was self help. I say 'cure' because there isn't a cure, it's about learning to manage it. Not easy to learn and practice the techniques, but I'm glad I persevered with the behavioural stuff - I very rarely notice any anxiety now.

I hope you find something that works, anxiety is awful, as are panic attacks.

boringdad · 13/10/2025 13:16

I gave up after about five weeks. It was just making my sleep worse and worse, and that made everything else worse. Didn't have a sleep problem before taking it. Have to say, the few days after stopping taking it were fantastic. Best single step I've made so far, life was a lot easier and slept so much better!

That doesn't mean it's the wrong choice for you though. It helps many people, and it may help you. I'm proceeding by trying different options, and keeping the things that work. If something doesn't work for you then try something else. But give it long enough that you can really say it didn't work for you, don't give up early and leave yourself with doubts.

Pelvicpaininthebum · 13/10/2025 13:13

tigerlady14 · 13/10/2025 13:08

i was on sertraline for about 8 years, i remember it feeling a lot worse at first for maybe a month or two and after that a lot better! :)

Thank you!

OP posts:
tigerlady14 · 13/10/2025 13:08

i was on sertraline for about 8 years, i remember it feeling a lot worse at first for maybe a month or two and after that a lot better! :)

Pelvicpaininthebum · 13/10/2025 13:06

HourlyTime · 13/10/2025 12:58

Day 4 for me - feeling horrendous!

Yesterday I just felt so anxious & low.

Today I have no appetite, anxiety is through the roof, I just want to hide away.

I'm sorry you're not feeling better this morning, I hoped you were through the worst!

I'm sorry you're feeling so bad, but at the same time it's quite comforting knowing I'm not alone.

My anxiety was terrible all day on day 4 but calmed down a bit day 5, apart from it being very high first thing.

I have no appetite either, just trying to force down some crisps.

I have no motivation.

Are you working? I'm signed off and just can't envisage a time I'll be well enough to go back 😭

OP posts:
HourlyTime · 13/10/2025 12:58

Pelvicpaininthebum · 13/10/2025 11:35

Is anyone around? I had terrible anxiety this morning. Even threw up. And now it's switched to feeling very depressed.

Struggling.

Day 4 for me - feeling horrendous!

Yesterday I just felt so anxious & low.

Today I have no appetite, anxiety is through the roof, I just want to hide away.

I'm sorry you're not feeling better this morning, I hoped you were through the worst!

Olderbutt · 13/10/2025 12:39

Pelvicpaininthebum · 13/10/2025 12:25

Thank you.

I'm sorry you went through all of that. Are you ok now?

I am, thank you for asking x

MadeofCheeese · 13/10/2025 12:30

I've been on Sertalene for two years now. I'm weaning down from 150mg but I'm really keen (so is my therapist) to keep at 50mg it 25mg. The anti anxiety effect is really helping me. I'm even nearly finished learning to drive in a city after years of being terrified! Try and stick with it a bit longer. Fingers crossed for you x

Pelvicpaininthebum · 13/10/2025 12:25

Olderbutt · 13/10/2025 12:09

Absolutely yes. It took at least a month tbh. The history was this.......I had been on Citalopram for years. I weaned myself off this as my life got easier (very long story....too long to share). Another reason for weaning off was because I wanted to try Amitriptylene for the pain from my spinal stenosis. This worked well for my pain and also enough of an anti anxiety in my dose to keep my mood stable. I then had a heart attack out of the blue and the first thing the cardiologist did was to take me off Amitryptaline. I survived for about a year then felt anxious etc again. So the GP put me on Sertraline, which took 5 to 6 weeks to kick in properly. It did feel worse before it got better. Good luck x

Thank you.

I'm sorry you went through all of that. Are you ok now?

OP posts:
Olderbutt · 13/10/2025 12:09

Pelvicpaininthebum · 13/10/2025 11:46

Thanks! You felt worse before better?

Absolutely yes. It took at least a month tbh. The history was this.......I had been on Citalopram for years. I weaned myself off this as my life got easier (very long story....too long to share). Another reason for weaning off was because I wanted to try Amitriptylene for the pain from my spinal stenosis. This worked well for my pain and also enough of an anti anxiety in my dose to keep my mood stable. I then had a heart attack out of the blue and the first thing the cardiologist did was to take me off Amitryptaline. I survived for about a year then felt anxious etc again. So the GP put me on Sertraline, which took 5 to 6 weeks to kick in properly. It did feel worse before it got better. Good luck x

Pelvicpaininthebum · 13/10/2025 11:46

Olderbutt · 13/10/2025 11:43

Absolutely 💯 this

Thanks! You felt worse before better?

OP posts:
Olderbutt · 13/10/2025 11:43

ZenithAndQuasar · 11/10/2025 10:20

From my experience and from the advice of my GP in the past, you can sometimes feel worse temporarily before you start to feel better. But obviously this will vary from person to person.
Once it was in my system, I felt a lot better.
Maybe have a chat with your GP for some advice.
Sending you lots of love, and hope you feel better soon. Look after yourself xxx

Absolutely 💯 this

Swipe left for the next trending thread