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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Overcome Sertraline Side Effects?

Taking Sertraline and having crazy side effects. Started off with 25mg then bumped me up to 100mg. Had the dizzy, nausea, shaking stuff. Was at that dose for 2 weeks. Wasn t getting any better. They decreased me to 50mg. Nausea isn t nearly as bad but now the shakes are even worse, sweating like crazy (looks like I got out of the shower) still can t concentrate, need tums almost all the time, no appetite, constant fatigue (I have to rest going up one flight of stairs) and sleep doesn t help. I m only 20 years old and trying to get through college. Had to drop down to 6 credits. Went to the clinic and the doc said they weren t sure. Said to wIt for it to get better or worse. Tested blood, heart, and lungs. Everything came back good. Waiting on thyroid test. In the mean time I figured I d try something...I m just miserable!
Wed, 29 Nov 2017
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General & Family Physician 's  Response
hi, it's not clear why are you on sertraline. Is it because of depression or obsessive compulsive disorder(OCD) or anxiety? treatment can be altered depending on your condition.
If it is for OCD, flovoxetine is the best drug, also exposure- response prevention therapy.
For depression, you can involve yourself in exercise ( elevates your mood), talk to your friends or to a psychiatrist. Keep yourself busy with recreational activity.
If the side effects are so worse, you can switch the drug to different one with less side effects like ESCITALOPRAM, but it's efficacy is less too.
Or else, WAIT for a while till your body acclamatises to the actions of sertraline.
Also, do not stop these medications all of a sudden, that'll further worsen your condition. In case you want to stop them, taper it over few days and stop.
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How To Overcome Sertraline Side Effects?

hi, it s not clear why are you on sertraline. Is it because of depression or obsessive compulsive disorder(OCD) or anxiety? treatment can be altered depending on your condition. If it is for OCD, flovoxetine is the best drug, also exposure- response prevention therapy. For depression, you can involve yourself in exercise ( elevates your mood), talk to your friends or to a psychiatrist. Keep yourself busy with recreational activity. If the side effects are so worse, you can switch the drug to different one with less side effects like ESCITALOPRAM, but it s efficacy is less too. Or else, WAIT for a while till your body acclamatises to the actions of sertraline. Also, do not stop these medications all of a sudden, that ll further worsen your condition. In case you want to stop them, taper it over few days and stop.