sertraline - morning or night?

[darjeelingdarling]

I'm starting to wonder if I'm in too much sertraline or need to take it in the evening.

When I was on 50, I felt pepped up in the day and slept well at night. moved to 100 and haven't really felt with it since , though I've had a run of illnesses too. on 150 throxine too but that's pretty high for me - but I'm puzzled as to why I'm so dozy? would taking in the evening make a difference?

tia

thanks under, that's good to know.

any idea if I'll have issues dropping from 100 to 75 straight or should I try alternative days?

Shouldn't be a problem as relatively small reduction :) Always worth checking with GP tho for reassurance!

thanks under - a few days on 75 and I'm feeling a lot better! still dreaming a bit but not as bad as before.

my eyes aren't as fuzzy either...

I've just started taking Sertraline. The nausea and jitters are driving me insane, it's so hard to work - it's like I'm pregnant! Will they ease?
Sorry to hijack but you all seem to be having the same side effects!

Also I've had a headache for nearly 2 days. It dulls with pain killers but it's still there.

personally if you're going to cut down i'd do a month of 75mg then down to 50mg if you still want to. there is no rush and slow and steady is best. you might also find 75 is perfect.

as for day or night you have to experiment with what works for you. people have different experiences.

throughgritted - yes they'll ease. how is your digestive system?

thanks numpty, I was thinking the same, a month or so at 75 to see how I go.

I know Dr Google isn't good for your health but I did find a small research study on thyroxine and sert - that the thyroxine could be slightly affected by the sert (and my experience would correlate ) and I'll need to leave it a good 6 weeks to see if there's any affect there.
the side affects were tricky at first, but did abate after 10 days. certainly after a few weeks. I'd started on 50 though - what have you started on?

throughgritted - I got night sweats too and my tummy was funny for a while.

dr google is your friend if your brain remains switched on. same applies as anywhere, assess the source, etc.

there is nothing wrong with researching your own health issues and the interlinks between them and the medications taken for them. ime it is also useful to peruse the anecdotal in terms of long term health issues and medication. absolutely keep your rational, critical hat on but it's those taking these meds and experiencing symptoms that know really and are governed by experience rather than funded medical trials.

for example a hell of a lot of people knew and warned that stopping ADs could create a dangerous and very distressing cessation syndrome long before any drug company would have allowed such things to be printed and have acknowledged their validity.

tbh i don't like this, 'oh you've looked on google'. sure a neurotic person with no discernment, academic background etc might not be well served from reading google but a person well able to critically evaluate their sources and compare and contrast findings etc should in no way be discouraged from researching their conditions and guiding their treatment with a cooperative GP or specialist. any doc who says otherwise i'm inclined to think is of the insecure, hide behind the god complex type.

and intelligent, engaged, proactive approach to managing our health problems and a doctor secure in facilitating that is the key to managing them imo.

the internet is just a search tool really - you can read the british medical journal or a site that advocates drinking your own urine to cure schizophrenia. the tool is neutral - same as a library.

I'm on 100mg- and I've also noticed my sleep has got much worse since going up from 50mg. As for the dreams, I dream so so vividly about anything and everything, can have several dreams a night and often have a really vivid one just before waking up. Sometimes think of things later in the day and then remember they were part of a dream! I take mine at night before going to bed, I've been thinking of changing to morning too and seeing how I get on. It's nice to hear I'm not the only one having these experiences!

worth bearing in mind that increased rem is supposedly connected to depression and that one of the theorised ways ads work is by reducing rem time and increasing the deep rest phase of the sleep cycle. so a) you might have had an increase due to depression symptoms and they haven't been tackled yet or b) the same areas/neurotransmitters/etc that create the symptom are also effected by treating the symptom so worse before better stuff maybe?

in the same way as anxiety, agititation etc can get worse before better

Well, day 3 has seen vast improvement! No nausea or jitters and my headache has gone.
My stomach has been fine and I've had no trouble sleeping either. Fingers crossed it carries on, but I'm going to take today as a win!

thanks numpty, very wise posts

as I said, what Dr Google said correlated with my experience; I had to adjust my thyroxine slightly when I went up to 50 and again when I went to 100. only by half a 25 tablet each time! (25 every other day that is)

that's great news through!

actually I remember thinking day 3 was the worse after which it started to get better. sleep got better (though I may add I have a very non sleeping baby!) over the following weeks and I felt so much clearer in my mind.

the main reason I took them was due to just not being able to cope with the depressive fog which occurs when my thyroid wobbles, it had in pregnancy and then very slightly after but I think I'd been missing tablets too which had an impact. over xmas I was very ill with bronchitis which I think knocked me and my thyroid levels slightly. however it doesn't take much - and possibly then why dreams escalated numpty.

I know thyroid levels (or rather the thyroid medication levels) are better now (I can literally feel it in my bones!! - muscles get better, ankles don't swell, back loosen up, brain gets brainier and I don't suffer with constipation - sorry if tmi!) and ... dreams are better/less prominent. The study I found indicated that sert makes the thyroxine clear more quickly from the liver (I think!)

*worst