Sertraline - Wow!

Author
Discussion

dotty

681 posts

199 months

Saturday 8th April 2023
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rewild said:
dotty said:
I’m on the taper now , 25’mg for another couple of days..
Give it weeks, not days.

Then every other day for a month.

Then every 2 days for a month.


Don't rush, coming off it is hard. I've tapered down over many months, and I'm still not sure I won't be back on it in a few more months.
I was on 25 for 4 weeks , day one of being med free is today.

Eta I was only on 50mg from October until the beginning of March.

redrabbit29

1,392 posts

134 months

Monday 10th April 2023
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My GP surgery are absolutely terrible, pretty sick of it now. I'm in a good place mentally so it's not critical thankfully

When I was really bad - in January, I put an emergency request in for help. I couldn't call and had to do it online which was really difficult as their system barely works. The automated message said a GP would call me within 24 hours.

5 days later and no call. I phoned them again and got through.

Twice now I have needed repeat prescriptions and twice I have ran out of medication. Perhaps my own fault but I requested it with 7 days worth left. The last time I requested it they asked me to go in for an appointment. The mental health nurse said she'd ensure I didn't need to attend again as she was satisfied I was OK and the medication was having a positive impact.

But here I am again. Currently over a week since requesting the prescription and not received it.

dotty

681 posts

199 months

Tuesday 11th April 2023
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redrabbit29 said:
My GP surgery are absolutely terrible, pretty sick of it now. I'm in a good place mentally so it's not critical thankfully

When I was really bad - in January, I put an emergency request in for help. I couldn't call and had to do it online which was really difficult as their system barely works. The automated message said a GP would call me within 24 hours.

5 days later and no call. I phoned them again and got through.

Twice now I have needed repeat prescriptions and twice I have ran out of medication. Perhaps my own fault but I requested it with 7 days worth left. The last time I requested it they asked me to go in for an appointment. The mental health nurse said she'd ensure I didn't need to attend again as she was satisfied I was OK and the medication was having a positive impact.

But here I am again. Currently over a week since requesting the prescription and not received it.
From what I understand your best bet would be to call 111 as they can action a prescription swiftly.

I was sat on a long haul flight recently next to a nhs psych and she was telling me that there is a significant wait if you want their cbt service (amongst other things!)

redrabbit29

1,392 posts

134 months

Tuesday 5th September 2023
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Considering going back to Sertraline and/or to counselling - especially now I have private health insurance through my job (which is part of the reason I am feeling down).

Part of why I am particularly sad and depressed today may be that it is my first day back after about 10 days off work due to an amazing trip to Italy (will post about this in holiday thread at some point). So it is back to reality and to a job I am not enjoying, sat at home, in my bedroom with no real team or colleagues.

This may sound strange but I don't want to die, but sometimes it just seems so tiring going through the days. Bleak and I see only negativity a lot of the time which is my own mindset I realise and I've always been a "glass half full" person.

Where others would say "Great, you got the day off work!!!!" I would say "Can't believe I have the day off and it's raining all day long".

Anyway, rambly post with no purpose. Will maybe call the health insurance people later

Slowboathome

3,577 posts

45 months

Tuesday 5th September 2023
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redrabbit29 said:
Considering going back to Sertraline and/or to counselling - especially now I have private health insurance through my job (which is part of the reason I am feeling down).

Part of why I am particularly sad and depressed today may be that it is my first day back after about 10 days off work due to an amazing trip to Italy (will post about this in holiday thread at some point). So it is back to reality and to a job I am not enjoying, sat at home, in my bedroom with no real team or colleagues.

This may sound strange but I don't want to die, but sometimes it just seems so tiring going through the days. Bleak and I see only negativity a lot of the time which is my own mindset I realise and I've always been a "glass half full" person.

Where others would say "Great, you got the day off work!!!!" I would say "Can't believe I have the day off and it's raining all day long".

Anyway, rambly post with no purpose. Will maybe call the health insurance people later
I've never regretted going on meds and finding a good therapist.

Made a world of difference. Got me through a terrible time and helping me move forward.

Your suffering too much to try and tough it out without help. I'd go for it.

redrabbit29

1,392 posts

134 months

Tuesday 5th September 2023
quotequote all
Slowboathome said:
I've never regretted going on meds and finding a good therapist.

Made a world of difference. Got me through a terrible time and helping me move forward.

Your suffering too much to try and tough it out without help. I'd go for it.
Thank you - I have a phone appointment now for 12pm tomorrow with a specialist person which can last for up to an hour. Then they will refer me to one of either:

Psychotherapist
Psychologist
CBT
and maybe some other types of counselling depending on what they see the issue being

I would imagine they also can do prescriptions too so will see what happens.

Thanks again for the nudge

youngsyr

14,742 posts

193 months

Tuesday 5th September 2023
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Slowboathome said:
redrabbit29 said:
Considering going back to Sertraline and/or to counselling - especially now I have private health insurance through my job (which is part of the reason I am feeling down).

Part of why I am particularly sad and depressed today may be that it is my first day back after about 10 days off work due to an amazing trip to Italy (will post about this in holiday thread at some point). So it is back to reality and to a job I am not enjoying, sat at home, in my bedroom with no real team or colleagues.

This may sound strange but I don't want to die, but sometimes it just seems so tiring going through the days. Bleak and I see only negativity a lot of the time which is my own mindset I realise and I've always been a "glass half full" person.

Where others would say "Great, you got the day off work!!!!" I would say "Can't believe I have the day off and it's raining all day long".

Anyway, rambly post with no purpose. Will maybe call the health insurance people later
I've never regretted going on meds and finding a good therapist.

Made a world of difference. Got me through a terrible time and helping me move forward.

Your suffering too much to try and tough it out without help. I'd go for it.
I agree that seeing a therapist is never a bad idea, even when you're feeling great.

Without wanting to downplay how you feel (I understand that you feel crap), I do wonder whether you just have "post holiday blues" though, it's perfectly normal to feel down after coming back from a great holiday, unfortunately that's just part of life - no one feels great all of the time. Do you think your mood might pick up once you get back into your routine?

redrabbit29

1,392 posts

134 months

Tuesday 5th September 2023
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youngsyr said:
I agree that seeing a therapist is never a bad idea, even when you're feeling great.

Without wanting to downplay how you feel (I understand that you feel crap), I do wonder whether you just have "post holiday blues" though, it's perfectly normal to feel down after coming back from a great holiday, unfortunately that's just part of life - no one feels great all of the time. Do you think your mood might pick up once you get back into your routine?
I definitely have post-holiday blues. I get them really badly. I wasn't very happy before going away and there's a few reasons I can identify for that - work mainly which I am not enjoying. But it's some other bits like my mindset which is ALWAYS negative, even when I don't mean it to be.

I just often feel very dejected and downtrodden. I think it's something more than just general daily stresses everyone has

Slowboathome

3,577 posts

45 months

Tuesday 5th September 2023
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redrabbit29 said:
youngsyr said:
I agree that seeing a therapist is never a bad idea, even when you're feeling great.

Without wanting to downplay how you feel (I understand that you feel crap), I do wonder whether you just have "post holiday blues" though, it's perfectly normal to feel down after coming back from a great holiday, unfortunately that's just part of life - no one feels great all of the time. Do you think your mood might pick up once you get back into your routine?
I definitely have post-holiday blues. I get them really badly. I wasn't very happy before going away and there's a few reasons I can identify for that - work mainly which I am not enjoying. But it's some other bits like my mindset which is ALWAYS negative, even when I don't mean it to be.

I just often feel very dejected and downtrodden. I think it's something more than just general daily stresses everyone has
When I was in a bad way, normal setbacks (eg post-holiday) were too much.

If you're struggling to keep your head above water, even a relatively small wave can be too much.

For me, this time of year is tough anyway - shorter days etc, also memories of having to go back to school.

Not trying to take over your thread RR, just saying that our systems have a lot to cope with.

PS, respect to you for booking an appointment. You're doing what you can do, now it's over to the professionals to step up.

Caddyshack

10,996 posts

207 months

Tuesday 5th September 2023
quotequote all
redrabbit29 said:
youngsyr said:
I agree that seeing a therapist is never a bad idea, even when you're feeling great.

Without wanting to downplay how you feel (I understand that you feel crap), I do wonder whether you just have "post holiday blues" though, it's perfectly normal to feel down after coming back from a great holiday, unfortunately that's just part of life - no one feels great all of the time. Do you think your mood might pick up once you get back into your routine?
I definitely have post-holiday blues. I get them really badly. I wasn't very happy before going away and there's a few reasons I can identify for that - work mainly which I am not enjoying. But it's some other bits like my mindset which is ALWAYS negative, even when I don't mean it to be.

I just often feel very dejected and downtrodden. I think it's something more than just general daily stresses everyone has
Negative mindset is often a habit and it can be re-trained.

Listen to every positive thinking audio book that you can until you find the stuff you love and then listen to it over and over. I used to drive around listening to really cheesy zig Ziegler tapes over and over until I could repeat the whole recording.

You ca re train your brain to give a positive response instead of be negative.

My Mum is “dr doom” you could tell her that she has won the lottery and she would moan about having to go to the bank and then count it all…I wish she would re train her brain as she is draining to be around sometimes.

redrabbit29

1,392 posts

134 months

Wednesday 6th September 2023
quotequote all
Slowboathome said:
If you're struggling to keep your head above water, even a relatively small wave can be too much.

For me, this time of year is tough anyway - shorter days etc, also memories of having to go back to school.

Not trying to take over your thread RR, just saying that our systems have a lot to cope with.

PS, respect to you for booking an appointment. You're doing what you can do, now it's over to the professionals to step up.
Thank you - and this is a big group thread so feel free to post whatever you want about your own situation :-)

You're right on even those little things can push you over the edge. I feel better today, still flat but not as emotional or fragile. However, I've just been like this for a while will see what the professional says later

Caddyshack said:
Negative mindset is often a habit and it can be re-trained.

My Mum is “dr doom” you could tell her that she has won the lottery and she would moan about having to go to the bank and then count it all…I wish she would re train her brain as she is draining to be around sometimes.
Funnily enough my Mum is the opposite and tells me how she was never Mrs Positive but just trained herself to be like that. She really is always so positive which is why this came up in conversation once.

One thing I am really interested in is changing this mindset. I'll check out the podcasts you mentioned. I also need to try to stay away from negativity and things that get me down. I have a stupid habit of using Twitter/X all the time and I just see non-stop hate, criticism, cynacism etc and things which really annoy me. All completely pointless and not helpful.

Thanks for the tips!

croyde

23,067 posts

231 months

Saturday 7th October 2023
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A lot of interesting reading on here and good luck to all who have posted.

I took my first 50mg dose of Sertraline yesterday around 11am.

It was a nice warm sunny October day and I had an appointment 2.5 miles away, so walked there and back.

By the time I was home I was running for the loo. Bad diarrhea.

The rest of the day and evening was as if I'd taken that stuff for a major clear out before a colonoscopy.

I did eat dinner but by 8pm I was in bed as felt exhausted and weak.

Have slept well though but finding it hard to get out of bed, which isn't like me.

Got work today thus am dreading the second pill.

Can the first pill really hit you like that?

youngsyr

14,742 posts

193 months

Saturday 7th October 2023
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croyde said:
A lot of interesting reading on here and good luck to all who have posted.

I took my first 50mg dose of Sertraline yesterday around 11am.

It was a nice warm sunny October day and I had an appointment 2.5 miles away, so walked there and back.

By the time I was home I was running for the loo. Bad diarrhea.

The rest of the day and evening was as if I'd taken that stuff for a major clear out before a colonoscopy.

I did eat dinner but by 8pm I was in bed as felt exhausted and weak.

Have slept well though but finding it hard to get out of bed, which isn't like me.

Got work today thus am dreading the second pill.

Can the first pill really hit you like that?
I imagine it's possible, the gut does have an important role to play in serotonin production after all.

Try taking it with food, this might help.

croyde

23,067 posts

231 months

Saturday 7th October 2023
quotequote all
Thanks.

I'm just surprised at how I'm already getting effects after one tablet. Feel shakey, tired and the runs.

I was put on it 10 years ago and took it for 9 months and I don't remember feeling bad initially.

It did get me out of a bad place.

My daughter calls it the time Daddy went mad. Bought himself a Mustang V8 and then disappeared to LA to have a brief affair with a girl out there smile

markiii

3,650 posts

195 months

Saturday 7th October 2023
quotequote all
Empty stomach does it every time. I took mine with food in an evening. Much better and slept better.

Stick with it. Might take a week or even two but imho it's worth persevering the difference is night and day.

On the off chance you are fine after 2 weeks but feel emotionally no better don't be tempted to come off it. Go back to the doc and they will up your dose.

150mg is not untypical dose depending how bad you are but you need to build up to it.

Oh and a drink or 2 imho is fine but I wouldn't advise a heavy session whilst on sertraline it was not pleasant

A500leroy

5,168 posts

119 months

Sunday 8th October 2023
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Wow, that is a big dose, I started on 10mg and have it down to 5mg now and it seems to work.

youngsyr

14,742 posts

193 months

Sunday 8th October 2023
quotequote all
A500leroy said:
Wow, that is a big dose, I started on 10mg and have it down to 5mg now and it seems to work.
Are you sure you're talking about sertraline? Starting dose for Sertraline is 50mg. Many people take 100mg+.

A500leroy

5,168 posts

119 months

Sunday 8th October 2023
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youngsyr said:
A500leroy said:
Wow, that is a big dose, I started on 10mg and have it down to 5mg now and it seems to work.
Are you sure you're talking about sertraline? Starting dose for Sertraline is 50mg. Many people take 100mg+.
escitalopram
The only difference between them and their brand-name counterparts is that they tend to cost significantly less. A generic version of Lexapro is available, which is called escitalopram. The generic version of Zoloft is called sertraline, and it is available in tablet and liquid forms.

CloudStuff

3,712 posts

105 months

Sunday 8th October 2023
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I went up to 150mg in 2019, shortly after starting. It's a very personal thing of course, but Sertraline has really worked for me.

I am - finally, for now at least - on a sustianable path of good fitness habits which is massively beneficial and think this treatment has helped.

I have dropped down, very gradually to 25mg. I've not dropped in a straight line but the most recent drops have been by 25mg over two months or so.

Generally, I try hard to avoid medication as far as possible. I don't drink (have maybr had 2 beers in the last year), don't smoke.

The way I would describe Sertraline is that it acts like a band filter - it cuts off the lowest and higest frequencies, or constricts them. Where the lower 'frequencies' massively outwiegh the high, this really works (for me at least), to get some mental stability.

I have managed to develop the ability to sustain hours, days, concentrating on my routine and the things that matter and being content, enjoying time with my kids and not looking for the next source of angst. I've changed more than one variable so who knows what did the trick.

I still have a number of aspects of my life which are chaotic, almost slapstick but that's life.

TL:DR - Started at a high-dose, two years ago, now dropped right down. Worked for me, not a panacea but gave me space to work things out.


Edited by CloudStuff on Sunday 8th October 08:56

James_N

2,974 posts

235 months

Wednesday 11th October 2023
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I've read through this thread on and off at work today and just wanted to put my experiences in.

Luke. said:
Take a look at Propranolol (Beta Blockers) they help take the fight and flight feelings out of stressful situations. You'd be amazed how many people take them for presentations and whatnot. Musicians also take them when they've got a big performance on to get handle on the shakes etc. Non habit forming too.
I have been suffering with Anxiety for some time and was prescribed these after Covid. I found these did nothing for me, so just forgot about them and cracked on.

youngsyr said:
Tends to start when I wake up and then build if I don't distract myself with something that needs to be done.

It's worse when I'm alone, but bizarrely melts away by about 6pm and I can quite often lie in bed at night worry free.
This is exactly what I am experiencing at the moment. I would say I have suffered social anxiety for a good 10 years. I don't like eating out (had a few occasions out where food made me ill and that seems to have stuck in my brain as a major trigger)

So I've suffered on and off for years, but a good 4-5 weeks ago now, I woke up one Sunday, felt a bit fuzzy headed, and have been anxious and feeling nauseous and headachey pretty much ever since.

My daily routine doesn't really change so I know what's occurring and when, but just recently, I have really struggled to get up and about and even going to work puts my stomach into washing machine mode sometimes.

My anxiety manifests its self in a sort of heaving, like I'm going to vomit, but don't. Sometimes I can get so worked up about how st I feel, I start heaving and getting really anxious and get the whole fight or flight feeling.

I feel recently though, its gone from a social anxiety thing, to a more generalised every day anxiety. Worrying about non events! Even going for a coffee with the Mrs at the moment seems quite the task.

I also don't like situations where i feel trapped or feel that i can't get out of, so for example, I know I'm due an eye test (and i do suffer with my eyes, being on computers a lot) but that's one of those situations where I'll just end up a shaking panicking mess.

One thing with me though, is that once I'm resigned to my situation, I'll generally relax into things, so i know if i did go for my eye test, once I'm in there and doing it, I'll be distracted to the point of not thinking about it, but the waiting and knowing I have that coming up will cause me a good deal of anxiousness, even though I have been for them before and know what to expect!

I was going to go to the GP and see what they said (Like I did at the end of covid, and they said I needed talking therapy and propanalol, both of which I thought was a load of st, so i never did anything about it)
Now, however, I have signed up for talking therapy, which isn't until December and I'm managing on a daily basis just about, however, am avoiding social situations wherever i can.

The ironic thing for me is, I am the admin for a Liaison Mental Health Team in a hospital!

Reading this thread though has made me question whether i really want to go to the GP and potentially get put on some of these meds. I might stick it out and try the talking therapy first!

I forgot to add, I don't drink (well maybe 4-5 pints a year!), don't smoke, but do drink caffeinated coffee. I'm going to switch this to decaff like I have at home, but I don't think this will make a major difference to me.

I'm not depressed in any way, shape or form. Home life is hard, having two step kids, one with Autism & ADHD and one with ADHD (11 and 15) but I have an easy job which doesn't stress me in the slightest.
My dad is going through cancer treatment at the moment, so that might be a bit of a trigger, especially as he doesn't live local and he isn't great with keeping in touch, so I visit every few weeks.


My evenings from about 8pm consist of sitting in bed, watching car related stuff on YouTube. That's probably when I'm at my most relaxed.
Just have to see how it goes I guess. I've got some self help stuff on my kindle etc so have to start reading these.

Edited by James_N on Wednesday 11th October 14:33