Hi All,
hope you dont mind me joining and sharing my experience so far.
I'm on day 32 of sertraline at 25mg per day, taken with breakfast. I was having depressive episodes interspersed with rage for last year getting worse and worse - the last 3 months were unbearable - I had various mini stress related breakdowns where I couldnt control my tears, rage, anxiety for hours on end - horrible! . I strongly suspect PMDD. My doc prescribed 50mg but I halved it and have stayed on 25mg to see how it goes.
Here's my diary so far:
Week 1- within 2 hours of 1st tablet I felt relief from severe irritability- I felt a bit spaced out and quite serene for the 1st week. Tired, clenched jaw, nauseous, no appetite. No libido. Waking ups
a couple of times each night (I'm usually a verygoodsleeper).
Week2 - the serene feeling left and anxiety slowly crept in this week. By day 9 my anxiety was huge - this slowly reduced each day 10/11/12. Extreme tiredness by lunchtime.every day. Appetite still very low. Waking once or twice in the night but sleeping ok. No libido. Yawning all the time! Lack of motivation. Very difficult to work this week but I am wfh so very lucky in that respect. This was the most exhausting week.
Week 3: appetite coming back. Anxiety only for an hour on waking, pretty much every day - not very nice at all. Slowly getting energy back but still spending a lot of time on settee whenever possible. Very reduced irritability, dont feel down, dont feel ecstatic- just 'level' - it's a relief and a rest after a year of severe mood swings tbh. Libido slowly reappearing! Still yawning a lot. Motivation a little better. Feel a bit 'meh'.
Week 4 (I'm in the middle of week 4 now): energy levels almost back to normal. Motivation coming back. Appetite back. Libido back! Anxiety for 20 mins only on 2 mornings so far this week - none today or yesterday. Still yawning a little. Still resting as much as I can. I feel level, I feel calm, I feel mentally stronger. Massive, massive improvement since a couple of weeks ago.
I'm going to stay on 25mg for now as I feel ok on that.
I'll let you know how I'm getting on in week 5!
Good luck - rest lots and eat avocados, bananas, peanut butter to help that serotonin production!