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What Causes Panic Attacks After Decreasing The Dosage Of Zoloft?

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Posted on Mon, 17 Nov 2014
Question: hi i have been on Zoloft for 4 years 50mg and the past two months lowered it to 25mg, for the past week I've been a mess. i feel horrible so i upped my Zoloft back to 50mg a half hour ago will i be fine, I'm i gonna feel worse? I'm kind of panic right now. also should i stay back on 50mg now or will it be ok to do 25mg tmrw? please help asap
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Answered by Dr. Manisha Gopal (47 minutes later)
Brief Answer:
taking 50mg zoloft and etizolaam will help

Detailed Answer:
Hello,

I think that either you had a new episode of acute attack of anxiety and depression or its because of lowered dosage of zolft.
Whatever it is - for now you should go back to 50mg zoloft again.

Alongwith zoloft, taking etizolaam 0.5- 1mg tablet will help in controlling panic attack or present increased state of anxiety. You can repeat this drug three times a day but avoid it after 4pm. This is not sedative. Can be taken SOS also. Avoid driving.

From my clinical experience i feel that you will have sleeping problems too ( for few days ) now as anxiety has gone up- so, zolpidem 12.5mg can be taken after dinner.

avoid tea/ coffee and any other stimulant and alcohol (if you use it).

Dont worry, just wait for a few days and you will be back to normal.
.
Hope the reply helps you.
please feel free to ask more questions for clarification.

Dr. Manisha Gopal
MD Neuropsychiatry
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Manisha Gopal

Psychiatrist

Practicing since :2005

Answered : 947 Questions

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What Causes Panic Attacks After Decreasing The Dosage Of Zoloft?

Brief Answer: taking 50mg zoloft and etizolaam will help Detailed Answer: Hello, I think that either you had a new episode of acute attack of anxiety and depression or its because of lowered dosage of zolft. Whatever it is - for now you should go back to 50mg zoloft again. Alongwith zoloft, taking etizolaam 0.5- 1mg tablet will help in controlling panic attack or present increased state of anxiety. You can repeat this drug three times a day but avoid it after 4pm. This is not sedative. Can be taken SOS also. Avoid driving. From my clinical experience i feel that you will have sleeping problems too ( for few days ) now as anxiety has gone up- so, zolpidem 12.5mg can be taken after dinner. avoid tea/ coffee and any other stimulant and alcohol (if you use it). Dont worry, just wait for a few days and you will be back to normal. . Hope the reply helps you. please feel free to ask more questions for clarification. Dr. Manisha Gopal MD Neuropsychiatry