Sertraline

[QueenVictoria]

Has anyone here had any experience of sertraline - particularly whilst b/feeding.

Please can you tell me what you think of it/if it worked etc.

TIA

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50 mg

I have taken Sertraline about 10 years ago, and found it extremely helpful. It took a few weeks to start kicking in, and a couple of months for it to make a significant improvement. Only problem with side effects I remember was being too sleepy when they upped my dose, so they put it back down again to the original dose. I was on 50 mg originally, put up to 100 mg, then went down again to 50 mg. Haven't taken Sertraline whilst bfing but did take Prozac whilst bfing.

I think 50 mg is the usual starting dose.

is prozac an ssri too?

yes, prozac also an SSRI. Prozac was the first SSRI - been around about 20 years. Sertraline/Lustral must have been around at least 10 years.

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im not worried about me as such. its the b/feeding aspect.

Sorry to sound a less enthusiastic note, but I posted this on another thread earlier when someone was asking about sideeffects of ADs in general.
I was prescribed Lustral while b/feeding for PND.
I was on 25 mg.
Had an instant bad reaction to Sertaline. Anxiety levels rocketed and I started having panic attacks. Much worse than I had been with 'mere' PND. That was on top of the usual AD stuff like dry mouth, upset stomach, loss of appetite, sleep disturbances, which are meant to sort themselves out quite quickly. Came off sertraline on day 4, by which point I was a zombie.
No side effects at all with my oldstyle tricyclic AD, dosulepin/dothiepin. Had to steel myself to take the first tablet, but very glad I did. (This was also recommended as safe while b/feeding)

QV, I wondered if that might be the case and was literally just about to post on your thread with this link:

Breastfeeding Network Drugline

The info from the site about the drug says this:

"Sertraline (Lustral) -has a half life of 26-65 hours and reaches a peak after 7-8 hours. The long half-life metabolite is only marginally active, unlike that in fluoxetine and hence is unlikely to cause accumulation in the baby. There are published studies on more than 30 infants with no untoward effects noted. In almost all cases none of the drug has been detected in the infant plasma. Reported but anecdotal, evaluation of an infant exposed to 100mg daily was that the child reached normal developmental milestones and weight at 3 months. There is one report of an infant developing benign neonatal sleep at 4 months, which resolved at 6 months, It is unclear whether this bears any relationship with the maternal use of sertraline."

Sounds good to me, but do give them a call if you are still worried x x x

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Thanks for the link hm

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I was prescribed Lustral, for PND after having my DD. It worked brilliantly, and had to detrimental effect on me breastfeeding- although I did worry ! I found it took a good fortnight to begin to work, and for the first few days I felt a bit dizzy. I took it for 7 months and made a full recovery. Good Luck !

I have just taken my second one. Have felt a bit fuzzy dizzy today but i dont think i could honestly say that was the pills doing it. But i slept ok last night - went straight off to sleep i think. And snored like a buzz saw apparently

Doc said it takes about 10 days to work.

i used sertraline qv! it was about my 5th ad... and the only one i found that actually worked.. and worked well!

what is a SSRI pls?

selective seratonin reuptake inhibitor

can you do me a link as havent got a clue whats that mean?

what is the first ADS tabs that docs usually prescribed to people who are depressed? as i was offered prozac 3 yrs ago but didnt took them.

I'm taking sertraline (100mg) and I am breastfeeding DD (10 weeks). Have been taking it since March. Haven't found any problems with the breastfeeding.

thank you everyone. Am slowly feeling better about taking these.

biglips... it depends on the type of depression you have and your symptoms (ie if you're anxious, nervous, tense, apathetic etc)

selective seratonin reuptake inhibitors basically do the following:

it is believed that people suffering from depression have difficulty in uptaking seratonin which imprioves your mood.
so the drugs slow this process down so that the cells in your brain have longer to process it and can re-uptake the seratonin... increasing the levels that gets processed..

does that make sense? not a very good description

I found it took at least a couple of weeks to start feeling a bit better, and felt sick quite a lot of that time. But in my case, worth sticking at.

oh right... ill find out once i get mine from my docs..

thanks

(sorry for hjjacking SQV!)

and i always maintain that you are much better getting ad's prescribe from your pyschiatrist (if you have one) as they seem to have a much better knowledge of the best ones to prescribe for your particular condition