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Mental health

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Sertraline - how to know whether to increase dose

8 replies

hopegone · 26/03/2021 20:42

On 50mg sertraline, not the first time. I was having terrible physical symptoms prior to starting which have now stopped almost entirely. My doctor asked about increasing dose. How on earth do you know? I have no idea what normal feels like as I've lived with anxiety all my life. I'm also autistic so it's probably par for the course? I wouldn't say I'm not anxious.. could I feel better? I don't know? How did you know whether to increase?

OP posts:
colouringindoors · 26/03/2021 20:47

I'm on 100mg and my understanding is that 100mg is the typical therapeutic dose. It's definitely helped my depression and anxiety significantly.

hopegone · 27/03/2021 21:14

Thank you. Any other thoughts anybody?

OP posts:
hopegone · 27/03/2021 22:47

Any experiences of increasing?

OP posts:
colouringindoors · 27/03/2021 22:49

bump

hopegone · 30/03/2021 17:44

So now the symptoms are creeping back and feel on edge and off balance. So frustrating as I had the opportunity to speak to the doctor last week. Nightmare to get hold of. Should I try upping the dose to 100 while I try to get hold of my doctor? It seems a bit extreme but then I can't stand the idea of losing control again.

OP posts:
hopegone · 27/07/2021 22:47

So if anyone is still reading this.. I increased to 100 pretty much just after I posted. Which has been much better for me.
I was told to refer myself to iapt or whatever it is on my first appointment and of course didn't want to disappoint so I tried. It asked all these questions. I was honest so obviously they freaked out, I freaked out, I cancelled my appointment and haven't spoken to my doctor since.
Today when renewing my prescription it was a different doctor so he asked if I'm ok.
This is why I end up running away from reviews etc and stopping my medication, I find it so stressful and intrusive.
Does anyone relate.
I hope this is the end of the questions

OP posts:
needjhelp · 27/07/2021 22:55

The joke of it is I wouldn't tell them how I generally feel because they wouldn't understand and I don't think they have anything helpful in their belts.
Poor GPs. I get it. They're not MH services and those are too overstretched

GreenTeaBlackCoffeeAndRedWine · 28/07/2021 00:37

Yes I really do relate, I have a review tomorrow and I'm worried about it too. It's understandable I think.

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