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What Are The Uses And Effects Of Sertindole?

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Posted on Fri, 19 Aug 2016
Question: Hi,
As far as i understand, it takes 12 days to sertindole to reach steady plasma concentrations, but this doesn't means that the med has its full effect. I would like to know if sertindole has a strong cumulative effect and then i can expect important positive new effects after 12 days (i am at 8 mg).
Thanks XXXXXXX
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Answered by Dr. Alexander H. Sheppe (15 hours later)
Brief Answer:
Private Consultation

Detailed Answer:
Hello XXXXXXX and thanks so much for reaching out to me directly.

Sertindole acts primarily at two receptors, dopamine and serotonin receptors, in the brain. You are correct that it typically takes around 12 days to reach steady plasma concentrations. The first effects seen are typically dopaminergic effects -- decreasing hallucinations, delusions, and causing sedation. These effects can be seen in a matter of hours or days. The serotonin effects, primarily antidepressant effects, take longer to reach full efficacy -- typically 2-4 weeks after the medication reaches steady plasma concentrations. So to answer your question directly, yes -- you should see continued increase in benefits over the next 2 to 4 weeks.

Dr. Sheppe
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Alexander H. Sheppe (4 hours later)
Hi,
Thanks for your answer. I am interested in dopminergic effects, not in antidepressant ones, so i would like to know if i can expect more of these effects in the following weeks, i mean, up to the full dopaminergic effects. XXXXXXX
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Answered by Dr. Alexander H. Sheppe (1 hour later)
Brief Answer:
Private Followup

Detailed Answer:
Thanks for the clarification.

Yes -- while the dopaminergic effects START sooner than the serotonergic effects, they similarly take 4-6 weeks to reach FULL effect. I would monitor your symptoms over the next 4-6 weeks for continuing improvement. I would expect improvement as the body adjusts to the drug and dopaminergic changes continue to occur.

Dr. Sheppe
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2236 Questions

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What Are The Uses And Effects Of Sertindole?

Brief Answer: Private Consultation Detailed Answer: Hello XXXXXXX and thanks so much for reaching out to me directly. Sertindole acts primarily at two receptors, dopamine and serotonin receptors, in the brain. You are correct that it typically takes around 12 days to reach steady plasma concentrations. The first effects seen are typically dopaminergic effects -- decreasing hallucinations, delusions, and causing sedation. These effects can be seen in a matter of hours or days. The serotonin effects, primarily antidepressant effects, take longer to reach full efficacy -- typically 2-4 weeks after the medication reaches steady plasma concentrations. So to answer your question directly, yes -- you should see continued increase in benefits over the next 2 to 4 weeks. Dr. Sheppe