[sewerrats]

I am at the moment on 100mg of sertraline an 4 mg of ativan, ativan down from a 12 mg a day addiction. The problem is 100mg sertraline is my theraputic dose but its starting to fail , but if i go t to 150mg all hell breakes loose with side effects..If the 100mg is failing would it be cool to go down to 50mg as a test run. Im fast running out of ssri,s an sertraline has been the best. The problem is i dont no if its to much now or not enough. If its not enough i an nuked as i carnt go into side effects an no results. Snri,s are the kiss of death for me. Lexapro is the only ssri i havent tried an in england its not generic so they give you celexa an that kills my sex life. Do you think a drop in the sertraline may work or not. an is it worth a try.

[jilliebeanmn]

I'd check with your PDoc.

[sewerrats]

Originally Posted by jilliebeanmn

I'd check with your PDoc.

i live in england, i know more than them. If i was to ring the hospital they would say do you want to go up or down.?????????????

[sundog]

Hi sewerrats. Welcome! I totally agree with Jill that you should check with your psychiatrist. I also take 100 mg of Zoloft (sertraline). Like you, I have also tried to increase the dose but found it made my anxiety/agitation worse. I don't know if it would have worked itself out in the end if I'd persevered with the increase. I do feel I need to take a higher dose than this and my pdoc also wants me to try and increase. Sertraline also comes in splittable 25mg tablets. So it is possible to increase very gradually, say, by 12.5 mg at a time. Having said that, I even found that difficult. So I'm kind of stuck at 100 mg at the moment........

I hope you're able to get an appointment with your psychiatrist soon and that he/she can advise you on where to go from here with your dosage. Let us know how you get on !

[sewerrats]

i saw a young shrink monday fresh out of med school , you see in england you dont have your own shrink you see whoever is on duty. All they have is the NHS book of meds , if it anit in that you dont get it, an most are generic.Your gp is cooler than the p doc,s, at least he has 20 minutes with you not 10 like the mental unit. Im not going up on the med as i wont get any benifit only more side effects, i just wondered if anyone has gone lower an not relapsed. This is a 30 year illness an i no all the meds an been on most, % 70 is the most you gain, on any if you hit that stick with it. You carnt even tapper meds in england they want you to wash out from ssri to ssri so i just keep some back an straight tapper myself no side effects or start up prob,s. So the is no point asking a p doc , thats why i thought someone may have tried a lower dose ,an leveled out.

[cardi]

Originally Posted by sewerrats

i live in england, i know more than them. If i was to ring the hospital they would say do you want to go up or down.?????????????

`whereabout in england do you live

[sewerrats]

Originally Posted by cardi

`whereabout in england do you live

mansfield nottinghamshire

Originally Posted by cardi

`whereabout in england do you live

Yes I'm interested too. I've been treated in both England & Wales and not had any experience like yours Sewerrats.

Originally Posted by sewerrats

i live in england, i know more than them. If i was to ring the hospital they would say do you want to go up or down.?????????????

It's good that they ask you what you want. It can be all too easy to forget that it's our lives and to tell us what to do without consideration for our feelings.

Originally Posted by sewerrats

i saw a young shrink monday fresh out of med school , you see in england you dont have your own shrink you see whoever is on duty. All they have is the NHS book of meds , if it anit in that you dont get it, an most are generic.Your gp is cooler than the p doc,s, at least he has 20 minutes with you not 10 like the mental unit. Im not going up on the med as i wont get any benifit only more side effects, i just wondered if anyone has gone lower an not relapsed. This is a 30 year illness an i no all the meds an been on most, % 70 is the most you gain, on any if you hit that stick with it. You carnt even tapper meds in england they want you to wash out from ssri to ssri so i just keep some back an straight tapper myself no side effects or start up prob,s. So the is no point asking a p doc , thats why i thought someone may have tried a lower dose ,an leveled out.

Personally I don't understand why reducing your dose would help with your depression if you already feel like it's not working any more - surely with less medication in your blood it would work less effectively?! I can certainly understand your aversion to increasing the sertraline if it gives you intolerable side effects, but maybe a pdoc can suggest another med for you?

Were you inpatient?? Is that why you don't have an allocated pdoc? I'm very confused because my GP has always referred me to a community mental health team (cmht) and I've seen a specific pdoc each time I've gone, which has allowed a relationship to develop and they get to know how your body responds to the different meds, since everyone is different. And I've always had 20-30 min appts with pdocs following the initial 1hr assessment. Perhaps you could go to your gp and ask to be referred to a CMHT and see the same pdoc??

*Willow*

[sewerrats]

I was an in patient 3 years ago for 1 week. I have on paper a p doc ie dr Middleton, but my checkups are six monthly so its not a close relationship . My original dr i tried to take to court ,which i will tell you about in a while, first dr middltone an his fellow docs have new young p docs to train so you get one of them if he is busy There not theropist just p docs who give out meds just like your gp.to them you are a name on a file among thousands. When the p doc saw,me , i didnt look ill an i didnt want to change meds as i have tried them all bar anti phsch meds , it was just a case of see you in six months time.As for going down on sertraline if the med is failing then why would i not want to go down, i have tried going up so why not try going down as it may be at the moment to much.Meds are weird things, now my last p doc ??? I was close to a breakdown , my 4 th an worst, my p doc left as he was a locom an chaseing the money. I had a 10 week wait for a new appoinment has they had no docs, i was self medding on 12 ativan an a litre of brandy a day.the new 3rd world pdoc stopped both dead. Now anyone with half a brain knows how long 12 ativan takes to dtox an i was stopped cold. Put on 225 effexor a med that if looked on my med records says not suited to.Within 4 days i had overdosed through madness of dtox an put in mental hospital. there is a lot more to this an its not pretty so p docs to me are the pitts.

[sewerrats]

Originally Posted by sewerrats

I was an in patient 3 years ago for 1 week. I have on paper a p doc ie dr Middleton, but my checkups are six monthly so its not a close relationship . My original dr i tried to take to court ,which i will tell you about in a while, first dr middltone an his fellow docs have new young p docs to train so you get one of them if he is busy There not theropist just p docs who give out meds just like your gp.to them you are a name on a file among thousands. When the p doc saw,me , i didnt look ill an i didnt want to change meds as i have tried them all bar anti phsch meds , it was just a case of see you in six months time.As for going down on sertraline if the med is failing then why would i not want to go down, i have tried going up so why not try going down as it may be at the moment to much.Meds are weird things, now my last p doc ??? I was close to a breakdown , my 4 th an worst, my p doc left as he was a locom an chaseing the money. I had a 10 week wait for a new appoinment has they had no docs, i was self medding on 12 ativan an a litre of brandy a day.the new 3rd world pdoc stopped both dead. Now anyone with half a brain knows how long 12 ativan takes to dtox an i was stopped cold. Put on 225 effexor a med that if looked on my med records says not suited to.Within 4 days i had overdosed through madness of dtox an put in mental hospital. there is a lot more to this an its not pretty so p docs to me are the pitts.

This seems to have stunned the replies

[sewerrats]

i have a prob, my 100mg of sertraline my theraputic dose is failing . The tell tale sign,s of anxierty an mood swings, i have gone to 150mg in the last week, But i have to wait to see if i will improve, or if the med is pooping out an im adding more grief. Its a major blow to me as 100mg worked cool for a year an the side effects were bearable. I had the usual orgasm probs , but nothing major. Now i no 150 mg is going to nuke the sex side, an give more side effects,But i have no choise as i have tried to ride out the down feelings for weeks. i could change meds but to what, in my life i have been on most, an sertraline is about the best all round med.So have any of you guys gone up from 100 to 150 an had a cool result. If so how long before the extra 50mg kicked in. You would think adding the extra 50 mg would work straight away , but it dont work like that, at the moment im worse for taking the extra but i have to see it out. anyone out there done the same as im doing , an how long before results kicked in or not as the case may be.An are you glad you upped the dose./////////// FEED BACK WOULD BE COOL

[kikki27]

Originally Posted by sewerrats

i have a prob, my 100mg of sertraline my theraputic dose is failing . The tell tale sign,s of anxierty an mood swings, i have gone to 150mg in the last week, But i have to wait to see if i will improve, or if the med is pooping out an im adding more grief. Its a major blow to me as 100mg worked cool for a year an the side effects were bearable. I had the usual orgasm probs , but nothing major. Now i no 150 mg is going to nuke the sex side, an give more side effects,But i have no choise as i have tried to ride out the down feelings for weeks. i could change meds but to what, in my life i have been on most, an sertraline is about the best all round med.So have any of you guys gone up from 100 to 150 an had a cool result. If so how long before the extra 50mg kicked in. You would think adding the extra 50 mg would work straight away , but it dont work like that, at the moment im worse for taking the extra but i have to see it out. anyone out there done the same as im doing , an how long before results kicked in or not as the case may be.An are you glad you upped the dose./////////// FEED BACK WOULD BE COOL

Hi I was on zoloft the brand med and I was on a dosage to 200mg and that work for a little while and doctor lower it to 50mg and that worked a little while .I was on this too years now and doctor stop letting me take this because he said that zoloft is not meant to last after long periods on it huggs

[sewerrats]

Originally Posted by kikki27

Hi I was on zoloft the brand med and I was on a dosage to 200mg and that work for a little while and doctor lower it to 50mg and that worked a little while .I was on this too years now and doctor stop letting me take this because he said that zoloft is not meant to last after long periods on it huggs

Yes i dont think the 150 is any better than the 100mg i may just abort the 150 an go back to my 100mg as not much fun with more side effects an no benifit , thanks xxx

[kikki27]

Originally Posted by sewerrats

Yes i dont think the 150 is any better than the 100mg i may just abort the 150 an go back to my 100mg as not much fun with more side effects an no benifit , thanks xxx

You welcome did you tried luvox thats also a good mild med