Please or to access all these features

Mental health

Mumsnet hasn't checked the qualifications of anyone posting here. If you have medical concerns, please seek medical attention.

How long does sertraline take to work?

3 replies

prestonpans · 01/11/2020 16:27

My mum has been taking Sertraline for around nine weeks now, for extreme anxiety. She's moved from 50mg to 100, 150 and now 200 for the last week. But aside from initially getting worse we are yet to see any improvement in her condition. Is it possible that it can take this long or longer for it to work?

Her symptoms are akin to a constant panic attack, catastrophising everything, pacing around the house wringing her hands and unable to stop fretting about every little tiny thing. She's had one afternoon in the last three weeks where she suddenly felt much better, was able to go out and enjoy a cup of tea at a garden centre, could hold a normal conversation and actually talk about the prospect of recovery. But then she noticed a tiny spot on her nose and decided it must be skin cancer, so it was back to the fretting and hand wringing, and that's how it's stayed ever since. We're astonished that there's been no change in all this time. My dad is beginning to despair and I would like to give him some hope that all is not yet lost, and that there's still time for the medication to kick in.

OP posts:
GeraldgeeGum · 01/11/2020 16:31

Hi OP - hugs to your mum. It must be really difficult and frustrating for you all if the medication isn't working. It should usually take 2-3 weeks to 'kick in' with a period of feeling worse within that time. 9 weeks I would say is really unusual. Is she taking them religiously every day? As if you miss one you can undo all the good work you've built up and go back to square one. If she's taking them at the same time every day and not missing any with no improvement I'd be inclined to ask for a change of medication (there's plenty of SSRIs out there to not be stuck on sertraline). Alternatively I know medication works best alongside therapy, although you didn't state if your mum had been to any or not. If not it might be worth looking into some CBT alongside.
Hope this helps xx

ChocoholicMama · 01/11/2020 16:37

Personally it was 6 months to properly settle onto them but there were improvements during that time. Also she's been on them for 9 week but not on the full dose for that time if she's just moved to 200mg so you definitely need to give it longer. She must take them everyday too... It doesn't take many missed ones to notice you've missed them. I also take mine for health anxiety and it does take a while before the spot on the nose isn't immediately assumed to be cancer. The fact that she was doing better before her latest health concern is a good sign she's having improvements on the meds. Having said that, everyone's different and there are alternatives if this one doesn't work for her. But I would try to get nearer the six month mark before making a decision.

prestonpans · 01/11/2020 16:40

Thanks @GeraldgeeGum - she has been taking them religiously so it's not that. She's refusing to have any therapy at the moment but we're trying to talk her round. Might be worth adding that she regularly says she doesn't actually want to get better because 'all the problems will still be there'. So maybe state of mind could have something to do with it?

OP posts:
New posts on this thread. Refresh page