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Sertraline day 8 mumsnet?
Prime Day See all Prime Day deals. Jun 15, 2024 · Sertraline was undetectable (<5 mcg/L) in the milk of 1 woman taking 50 mg daily. THEN gradually things improved. Sertraline 25 mg Film-coated Tablets - Patient Information Leaflet (PIL) by Zentiva. 200 mg capsules: Hard shell capsules, with "ALM" printed axially on the opaque yellowish green cap and "672" printed axially on the opaque white body. I feel sick, especially in the mornings (I take them at 11pm before bed). I took sleeping pills for around two weeks and then started worrying that I was becoming … Sertraline, a selective serotonin reuptake inhibitor (SSRI), is one of the most common drugs used to treat symptoms of depression and anxiety. Just looking for some reassurance. Sertraline 25 mg Film-coated Tablets - Patient Information Leaflet (PIL) by Zentiva. Is this normal? :( the. Sexual side effects can occur with sertraline. Currently having CBT for my anxiety. Talk with the doctor. Buspirone consumers should also follow the 5-day minimum to avoid the same events. Just started fluexitine 3rd day, really don't like it, hard to sleep, mind racing at night, felt nausea. Since my DS was 8 weeks old it's all gone tits. Hi. Following once-daily administration of 50 to 200 mg for two weeks, the mean peak plasma concentrations (Cmax) of sertraline occurred between 44 hours after administration, and measured at 20 to 55 μg/L. by 50 mg/day w/ each menstrual cycle; Max: 150 mg/day; Info: taper dose gradually to D/C; do not open cap. I also had the most horrendous headaches with dizziness and palpitations. Medications for anxiety are usually anti-depressants. I've suffered from anxiety since my daughter was born 7 years ago. Mirtazapine shows peak efficacy at 30 mg, whereas venlafaxine displays increasing efficacy up to 375 mg. The dose can be increased gradually up to 200 mg a day if necessary. You need to be prepared for the side effects over the first couple of weeks - I had severe nausea, jitteryness, jaw clenching and worsening of my anxiety - but once these passed, I felt so much better in myself. Positive Sertraline. We would like to show you a description here but the site won't allow us. Following once-daily administration of 50 to 200 mg for two weeks, the mean peak plasma concentrations (Cmax) of sertraline occurred between 44 hours after administration, and measured at 20 to 55 μg/L. I've had a horrendous day but I now know that it isn't side effects, it's my anxiety causing me so much distress. 27 replies. You need to stick with it longer. I started on 50mg of Sertraline in October 2015, shortly after the birth of my twins at 30 weeks. Sertraline is the generic name for this drug. Summary. Methods: We used data from all randomized, double-blind, flexible-dose trials comparing fluoxetine or paroxetine as standard drugs with any other active antidepressants as monotherapy in the acute phase treatment of unipolar depression. Try to take your doses at the same time of day each day. Glitterinthegrey · 13/01/2021 20:22. Hi Wonder if anyone can offer some reassurance. Now a healthy happy nearly 3 year old. Call your healthcare provider right away if you have any of the following symptoms, or call 911 if there is an emergency 8. The recommendations in this table are based on clinical experience, product information, empirical evidence and recommendations from other guidelines. Should I try and carry on with them or switch … Sertraline can take up to 10 weeks to feel the full benefits. Steady-state, therefore, was achieved after 2 to 3 weeks in older patients. Olemis · 10/01/2021 11:51. Results: Of 42 ingestions reported, two were adverse reactions to normal doses and 40 were overdoses. With over 10 million monthly visits, it has become a thr. "In adults, slow metabolizers have more problems with. Analysis of these samples led the study authors to estimate that an exclusively breastfed infant would. I'm on 50mg sertraline day 5. Prime Day See all Prime Day deals. 5mgs every other day for a few days. Yes, I had sweats with sertraline - especially overnight. Below are answers to some frequently asked questions about sertraline and cost. Aug 2, 2018 · Hi, I been taking Sertraline for 2 weeks and 2 days now. Sertraline (Zoloft) belongs to a class of antidepressants known as selective serotonin reuptake inhibitors (SSRIs). "It's like feeling amped up or restless, like you need to move, or like you're unable to calm down. For long-term use, the dosage may end up being 50 - 200 mg per day to treat social anxiety disorder. A lower dose may help reduce your symptoms. Common side effects. Some people who take sertraline for panic attacks find their anxiety gets worse during the first few weeks of treatment. Mumsnet hasn't checked the qualifications of anyone posting here I was on 50mg for 4 weeks, upped it to 100mg for 6 days but felt awful on that. Zoloft (sertraline) may be taken safely in the morning or evening with no difference in effectiveness. Antidepressants are used to alter the concentration of neurotransmitters in the brain that is responsible for the depressed affect (feelings in response to the environment, whether positive and pleasant or negative and unpleasant). Thant's quite interesting. The first week I had headaches and nausea but fine after that. In 2006, Rapuri et al 1 list sertraline and oxaprozin as causing false-positive screening results for benzodiazepines. Sertraline is the generic name for this drug. Summary. Day 5 - 60 mg - tomorrow they are upping me to 90 mg. Waking up throughout the night shivering and having anxiety rushes. The nausea was just unbearable, and constant day and night for the past 2 days. Find out how sertraline treats depression and other mental health conditions, and how to take it Who can and cannot take it. I came off it when ttc and currently pregnant and really really missing it and can tell I feel significantly lower and more anxious. In an in vitro model of the blood-brain barrier using rodent cells, lipophilic sertraline molecules easily crossed the barrier []. It takes about 5 days for most of sertraline (Zoloft) to leave your body after a single dose. Get sertraline for as low as $9. +44 (0)844 8793 188 WWW. unusual bleeding or bruising; a seizure; vision changes, eye pain, redness, or swelling; low blood sodium --headache, confusion, problems with. Absorption. Zoloft isn't the type of medication that will start working on the first day, so you'll need a little patience while waiting for it to start relieving your symptoms. Take sertraline exactly as your doctor tells you to - it is taken once daily. I've been taking sertraline for over a year and I am going to soon be trying to come off it with the ok from my GP. It is used to treat mood problems caused by monthly periods. It's best to try to take your Zoloft dose at the same time each day to ensure you maintain steady blood levels in your body. Oftentimes, a dose of around 50 mg per day is commonly prescribed to help treat depression and anxiety disorders, but many patients need higher doses. Adults and teenagers—At first, 50 milligrams (mg) once a day, taken either in the morning or evening. Everyone experiences bad days. Under normal conditions, they provide hydration and cleansing of the nasal cavity, nasopharynx, and paranasal sinuses from inhaled substances. Sertraline, which goes by the brand name Zoloft, is a common antidepressant. Sertraline plasma clearance in a group of 16 (8 male, 8 female) elderly patients treated with 100 mg/day of ZOLOFT for 14 days was approximately 40% lower than in a similarly studied group of younger (25 to 32 year old) individuals. Waking up throughout the night shivering and having anxiety rushes. What does Sertraline hydrochloride look like? Dose: 50-150 mg PO qd; Start: 50 mg PO qd, may incr. I'm considering going back to citalopram tbh, but a higher dose. I fed DD while on it too and took 200mg at my worst point. However, the dose is usually not more than 200 mg per day. How and when to take it Pregnancy, breastfeeding and fertility. It is in the SSRI class of medications. spypoint link micro firmware update Because sometimes you just want to watch it all at once. I'm so tired all of the time, have no energy, everything is a chore, even brushing my teeth. Expert Advice On Imp. I think they have had some effect as an anti-depressant, but it is like my body has just stopped trying to respond to them and given up. I wake up with a feeling of pressure/tension on top of my head and across my forehead. Note: Multiple pictures are displayed for those medicines available in different strengths, marketed under different brand names and for medicines manufactured by different pharmaceutical companies. Nevertheless, antidepressants such as Zoloft are often prescribed for long-term use when healthcare providers believe their. Interesting and following-I am also having issues relating to bowels 12 days after starting sertraline. Feeling hopeless or useless. If you are taking any drugs that can cause a certain type of heartbeat that is not normal (prolonged QT interval). I have been on 50mg of sertraline for 4 weeks now for anxiety. Sertraline is usually taken one time per day with or without food. If fatigue is affecting your day-to-day life, talk to your healthcare provider. It may take between six and eight weeks for you to notice improvement in emotional symptoms (like depressed mood, apathy. 200 mg sertraline - not working Jooshfutterman · 22/02/2021 14:54. canberra times court news Certain selective serotonin reuptake inhibitors (SSRIs). The prescribing information for Zoloft states the following: "Zoloft should be administered once daily, either in the morning or evening. Exposure to Selective Serotonin Reuptake Inhibitors in Early Pregnancy and the Risk of Miscarriage. My 12 year old started on Sertraline 15 days ago and is still suffering from anxiety, intrusive thoughts, suicidal feelings etc Over the last year I've had terrible health. Mean patient age was 35. Medical Practitioners (30), Nurse Practitioners (30) Mumsnet doesn't verify the qualifications of users. With so much happening around us, it can be challenging to keep up with the latest news and trends MedlinePlus states that taking sertraline can cause unexpected changes in mental health. Dd has done well on sertraline 50mgs but still has some struggles. Zoloft isn't the type of medication that will start working on the first day, so you'll need a little patience while waiting for it to start relieving your symptoms. If you have liver problems, your doctor might give you a lower dose. Sertraline - day 1 - feeling awful Mummytotwonow · 14/02/2022 04:39. If you have medical concerns, please seek medical attention. Currently I'm having muscle twitches all over my body and convinced myself it's MND or something like that. View complete list of side effects Bottom Line. It didn't mess with her sleep the way that other meds had. Sertraline- and mirtazapine-induced severe neutropenia. It takes about one week for levels of Zoloft to build to a steady level in your body, and then about 3 to 6 more weeks for a full therapeutic effect for most uses. I was on those for about 3 years then gradually came off & haven't had to go back on them since. Take sertraline at around the same time every day. These patients received a dose that ranged from 25 to 150 mg/day (final dose average: 75 ± 39 Results revealed that patients presented an improvement in their depressed mood and decreased levels of self-reported anger and aggression after 8 weeks of treatment with sertraline [ 25 ]. Answer. escort near me Bupropion Max: 150 mg/day Max: 150 mg/day Max: 150 mg/day Max: 150 mg/day • Risk of accumulation of toxic metabolites causing dysrhythmia (wide QRS complex) • Caution in seizure disorders Mirtazapine No adjustment 15 mg/day 15 mg/day 15 mg/day • Also used for pruritus • Good choice for concomitant insomnia (dose: 7. Document any effects you experience. Does anyone know if anxiety gets worse on these tablets before it gets better? I'm so much more anxious at the moment and not sure if it's the tablets or the fact my partner has gone away for the weekend which has caused extra anxiety? Thanks Women should not stop taking sertraline without first speaking to their midwife, GP or specialist. Dec 14, 2023 · Very low sodium levels can be life-threatening, leading to seizures, passing out, trouble breathing, or death. Most doctors recommend that it is taken either in the morning or in the evening. Your doctor may adjust your dose as needed. I realised that I had been living with anxiety for a long time, and I actually felt 'normal'. We would like to show you a description here but the site won't allow us. Another thing is my eyes. Published online 2016 Jun 118773/austprescr039 PMID: 27346915. Hoping everything settles down but very reluctant to restart. It is used to treat post-traumatic stress. Zoloft (sertraline) is a prescription oral tablet and oral solution used for depression, OCD, and other conditions. After one week, the dose should be increased to 50 mg once daily. Instead I woke up in tears, then closed my eyes again wishing the day away. It is used to treat social anxiety problems. Chwaraeteg · 16/03/2019 09:35. Jump to Amazon is delaying Prime Day, its annual shopping extravaganza,. Upon arrival at the ED, she had agitation, visual hallucinations and paranoid behavior, excessive sweating, and uncontrollable shakiness. It is especially common if you stopped taking Zoloft "cold turkey Cramps: It is very common to get cramps - especially in the abdominal area. Combining alcohol with sertraline can worsen side effects.
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I haven't had a drink since March 11 as I've been pregnant and breast feeding and now on sertraline. Therapy for panic disorder, PTSD and social phobia should be initiated at 25 mg/day. However, for secondary outcomes, we found evidence that sertraline led to reduced anxiety symptoms, better mental (but not physical) health-related quality of life. If your doctor or health visitor says your baby is healthy, it is OK to take sertraline while breastfeeding. Missing a dose of antidepressants, like Zoloft, can have various implications. I was started on 50mg but the side effects were unbearable so doctor advised to drop to 25mg until. However, for secondary outcomes, we found evidence that sertraline led to reduced anxiety symptoms, better mental (but not physical) health-related quality of. Prime Day is finally here and it's going to be bigger and better than ever. These patients (n=295) were randomized to continuation on double-blind sertraline 50 to 200 mg/day or placebo for 44 weeks. I Was was on Evorel Sequi for 8 months but felt really poorly with them so stopped taken them as advised by doctors but within a few weeks the hot flushes, headaches and all the rest of the symptoms that come with going through the menopause. Additional drugs that may help include sildenafil, mirtazapine and nefazodone. With over 10 million monthly visits, it has become a thr. Aching so much too! Sertraline is unlikely to reduce depressive symptoms within 6 weeks in primary care but we observed improvements in anxiety, quality of life, and self-rated mental health, which are likely to be clinically important. I feel so much calmer compared to how I was before and can barely believe the difference. javeguru But nothing I can't manage. Mean patient age was 35. The most common sexual side effects are ejaculation problems, low sex drive (libido), and erectile dysfunction. In tablet form, the sertaline dosage range is usually 25mg, 50mg and 100mg. Glitterinthegrey · 13/01/2021 20:22. Hi, I recently started sertraline after trying to self manage anxiety and panic attacks. Generalized anxiety disorder (GAD) (off-label use): Oral: Initial: 25 mg once daily; may increase dose based on response and tolerability in increments of 25 to 50 mg at intervals ≥1 to 2 weeks. I've heard of it for depression but not anxiety. But anyway today I took my first 50mg dose of sertraline for anxiety. Sexual problems, specifically decreased desire and difficulty reaching orgasm Dizziness. It’s no surprise that people are feeling more stressed, anxious, lonely and depressed during the COVID-19 pa It’s no surprise that people are feeling more stressed, anxious, lonely. Keep track and talk to your doctor if you develop any of these symptoms. Shirleynott1 · 05/02/2024 11:15. Children 6 to 12 years of age—At first, 25 mg once a day, taken either in the morning or evening. thompson Additionally, Prozac is approved for the eating disorder bulimia nervosa. Find out how sertraline treats depression and other mental health conditions, and how to take it Who can and cannot take it. This is just my experience Thanks I'd query it with the doctor. Zoloft isn't the type of medication that will start working on the first day, so you'll need a little patience while waiting for it to start relieving your symptoms. I know she always will But wondered if a higher dose may help her. Learn about Children's Day crafts here. Do not abruptly stop this medication. It was already skyhigh before taking sertraline, but since taking it, my anxiety has rocketed, almost feeling like I'm having a panic attack. We would like to show you a description here but the site won't allow us. It is unbearable, painful, constant nausea. A couple of days ago I woke up feeling almost normal again after years of feeling like was living under a black cloud. So, with these, symptoms can start days or even weeks after stopping or reducing your dose. 7,21 Bioavailability has been. 6. Sexual side effects. When he went to primary school he just started doing it and now he's almost 8 and I don't worry at all about it I think he was just a little bit late developing. I'm taking 50mg from the off with evening meal. You can find detailed information about this drug in the official Patient Information Leaflet (PIL). Four treatment- refractory patients who presented to the authors for clinical care are described, in which the combination of bupropion and sertraline was effective for a major depressive episode. doublelist ann arbor I think they have had some effect as an anti-depressant, but it is like my body has just stopped trying to respond to them and given up. I transitioned off slowly over the course of about 3 months and it has been 3-4 days completely wit. Sertraline is an anti depressant and alcohol is a depressant. @olivebranch31 thanks. Sertraline- and mirtazapine-induced severe neutropenia. Planetmarss · 13/03/2022 22:01. I take it at 8pm and then from 3am onwards I have sickness and diarrhoea until about 8am. In people younger than 18 years of age, prescribe an SSRI only on the advice of a specialist. For social anxiety disorder in adults: 25 mg of Zoloft each day, upped to 50 mg after 1 week. Researchers at University College London. the last 14 days. It was very difficult fot that first few weeks. o feeling agitated, restless, angry or irritable o trouble sleeping. I have been on 150mg sertraline for the last three months, 50 mg daily for three years prior to that (had a big blip). With most ADs you should give them about 8 weeks to work fully. SNRI's include: I have been on Sertraline for 18 months. Sertraline is a medication that has been used to treat depression, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, premenstrual dysphoric disorder (a severe form of premenstrual syndrome), and social phobia. However I don't have the anxiety part mainly just low mood. Here's what to expect and how to avoid them. Buspirone consumers should also follow the 5-day minimum to avoid the same events. You need to stick with it longer. In a study comparing prothrombin time AUC (0-120 hr) following dosing with warfarin (0.
It just doesn't seem to be lifting. Should I try and carry on with them or switch … Sertraline can take up to 10 weeks to feel the full benefits. He prescribed 50mg Sertraline and am now on my 9th day Felt absolutely awful in the first few days of taking it not eating much feeling sick, jittery. Sertraline was great to start with but I ended up on max dose wasn't doing anything, same with mirtazapine. Following once-daily administration of 50 to 200 mg for two weeks, the mean peak plasma concentrations (Cmax) of sertraline occurred between 44 hours after administration, and measured at 20 to 55 μg/L. Get sertraline for as low as $9. Efficacy plateaus at about 30-40 mg of citalopram, 10-15 mg of escitalopram, 20-30 mg of fluoxetine, 20-30 mg of paroxetine, and 75-100 mg of sertraline. bradford road accident today Not sure how long it lasts - I couldn't hack it and stopped after 3 days. Antidepressants are used to alter the concentration of neurotransmitters in the brain that is responsible for the depressed affect (feelings in response to the environment, whether positive and pleasant or negative and unpleasant). Transport, metabolism and excretion. Adverse events that occurred in at least 5% of sertraline-treated patients and with an incidence of at least twice that in placebo patients included diarrhea. Sertraline belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). Norton and Quarles describe a case in which a patient was stabilized on warfarin 10 mg (international normalized ratio [INR] varying between 2 and 3) for 7 months, and sertraline 200 mg and topiramate 100 mg twice daily for 4 months. Sertraline is an anti depressant and alcohol is a depressant. Some patients may require a longer time period. sladkisilviki Who started Earth Day and when? Advertisement Every April 22, millions of people around the world. Sertraline (ser' tra leen) is a selective serotonin reuptake inhibitor (SSRI) that acts by blocking the reuptake of serotonin in CNS synaptic clefts, thus increasing serotonin levels in the brain which is associated with its psychiatric effects. Zoloft is an antidepressant used to treat major depression, obsessive-compulsive disorder, panic disorder, social anxiety, and post-traumatic stress disorder Do not use Zoloft if you have used an MAO inhibitor in the past 14 days A dangerous drug interaction could occur. But eating better than while taking Sertraline (lots of nausea). Aug 2, 2018 · Hi, I been taking Sertraline for 2 weeks and 2 days now. finding mighty Antidepressants are used to alter the concentration of neurotransmitters in the brain that is responsible for the depressed affect (feelings in response to the environment, whether positive and pleasant or negative and unpleasant). Nov 2, 2023 · For most people, sertraline withdrawal begins within three to four days of your last dose. Feb 25, 2024 · Typical dosing for Sertraline (Zoloft) Adults. Confusion is a common withdrawal symptom along with memory issues. 2 weeks ago my psych upped my dose to 100mg. I have been taking 50mg for almost a year.
How and when to take it Pregnancy, breastfeeding and fertility. At first I noticed big pupils and stomach upset (lots of gurgling when I ate) , lack of appetite, diarrhoea, vivid realistic dreams. The optimum dosage for anxiety depends on the individual; a physician will weigh the benefits of increasing the dosage against the side effects. Effectiveness Interactions. Sertraline Interactions. Given the 24-hour elimination half-life of ZOLOFT, the. Sertraline plasma clearance in a group of 16 (8 male, 8 female) elderly patients treated with 100 mg/day of ZOLOFT for 14 days was approximately 40% lower than in a similarly studied group of younger (25 to 32 year old) individuals. Mumsnet has become a powerhouse in the world of online communities, providing a platform for parents to connect, share advice, and discuss a wide range of topics Some drugs, such as tolmetin, naproxen, etodolac, fenoprofen, oxaprozin and sertraline, can create a false positive for benzodiazepines on a drug screening, according to the St Sertraline: learn about side effects, dosage, special precautions, and more on MedlinePlus A small number of children, teenagers, and young adults (up to 24 years of age) who took. I'm 11 days into taking 50mg of Sertraline. Need to make $100 a day? No matter what the reason why is, there are many ways you can earn 100 dollars quickly. Studies have come up with a variety of different numbers. Scientists aren't sure, but it looks like taking antidepressants can sometimes lower your testosterone. During a crisis, people who are hard of hearing can use their preferred relay service or dial 711 then 988. It may take between six and eight weeks for you to notice improvement in emotional symptoms (like depressed mood, apathy. I think if you've tried both and fluoxetine has worked best for you, then that seems like a good reason to try that again. This is an 'off label' use. Combining alcohol with sertraline can worsen side effects. I was on 50mg sertraline for about 18 months. Learn about side effects, interactions and … Sertraline is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI). Sertraline withdrawal symptoms - 'head zaps'. Ask your doctor or pharmacist if you are not sure. However, for secondary outcomes, we found evidence that sertraline led to reduced anxiety symptoms, better mental (but not physical) health-related quality of life. Ginkgo biloba might also help treat depression in some cases -- taking the herb helps reduce depression in Alzheimer patients, according to the University of Maryland Medical Center John's wort or ginkgo biloba along with Zoloft might raise the levels of serotonin in your brain to a dangerous level, causing serotonin syndrome. Transparent Pricing. lowes storage bins Had awful increased anxiety in the first 2 weeks but thankfully this has subsided a little - although it hasn't gone completely. I found sertraline very side effecty for the first week. Usually ive managed to cope with it reasonably well with the occasional up and down periods. Anyone else experiencing this? Currently taking 25mg. Show your appreciation for the people that work for you, your customers, and partners by using these Labor Day message examples for small businesses. It treats depression, anxiety, obsessive … The usual dose of sertraline for children aged 6 to 12 is 25mg a day, but this may be increased to 50mg a day after a week. It showed that sertraline lengthened ejaculation time and improved. by 25-50 mg/day qwk; Max: 200 mg/day; Info: taper dose gradually to D/C; do not open cap panic disorder [50-200 mg PO qd] In fact, the medication's labeling recommends avoiding alcohol. @Londoncatshed Citalopram made me suicidal 🤪. OP posts: I have been on 50mg sertraline for just over a month and I seem to have not came on my period I'm now 3 days late I am never late and I also 1000% are. Honor military heroes and kick off summer with travel ideas for every state. To comment on this thread you need to create a Mumsnet account. Here's what experts know about the link between depression, antidepressants, and eczema. My doctor increased my dosage from 100mg to 150mg last week - but I'm still struggling with it every day, every minute. The maintenance dosage of Zoloft for PTSD can be 50 - 200 mg per day. Antidepressants can affect a person's sex drive and make it difficult to achieve orgasm. Your doctor may adjust your dose as needed. best asian market near me Anyboby had this and give me some positive experiences Mumsnet carries some affiliate marketing links, so if you buy something through our posts,. I'm 36 weeks and have been on 50mg Sertraline for a number of years, including. I've been prescribed 50mg sertraline for panic attacks/anxiety. "It's like feeling amped up or restless, like you need to move, or like you're unable to calm down. Two carried the diagnosis of unipolar depression, and two, bipolar disorder. A very tough week for me with post birth hormones raging. Will I get withdrawal symptoms after 6 days of 25mg? Headaches, exhausted, eyes are heavy, head foggy, just feel awful. Also felt VERY tearful for the first 2 weeks. Nevertheless, antidepressants such as Zoloft are often prescribed for long-term use when healthcare providers believe their. Learn about side effects, interactions and indications Initial dose: 50 mg orally once a day starting 14 days prior to the anticipated start of menstruation through to the first full day of menses, and repeated with each new cycle; Sertraline was undetectable (<5 mcg/L) in the milk of 1 woman taking 50 mg daily. I take it mainly for anxiety. Started on 29th December, 6 days on 50mg, 9 days on 75mg (made me too spacey but may also have been from lack of sleep), 6th day of back to 50mg (much better concentration). hi all i took escitalopram for 15 ish years with great results, this stopped working December last year, started sertraline 8 weeks ago had good day week 3/4 then a couple of days a week or so later, last week i felt great all week but now back to feeling crappy (nervous tummy loss of appetite sleep etc). Stop fluoxetine, start SSRI at a low dose 4-7 days later. Avoid or Use Alternate Drug. The first 6-7 weeks I felt awful, heightened anxiety and insomnia, then I started on 75mg and felt amazing. For social anxiety disorder in adults: 25 mg of Zoloft each day, upped to 50 mg after 1 week.