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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bad Dreams At Night After Having Zoloft For Depression

I took my blood level in the morning before breakfast and 2 hours after eating dinner this evening. They were 25.4 and 28.1 respectively. My stress levels have been extreemly high at work lately. I went to see my doctor two days ago and she said she would like to monitor my levels and also increased my zoloft from 50 mg to 100 mg to help curb depression. I have been having bad dreams at night lately as well. I am starting to feel anxious. I have lost 20 lbs over the last three months. I usually go to the restroom before bed and have to go again by 3 am or 4 am before waking up at 6 am. What do you think I should do? Are these levels dangerous? Should I go to the doctors right away or contact my GP on Monday?

Wed, 10 Dec 2014
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Psychiatrist,  's  Response
Hello,

1. Its not that zoloft is giving bad dreams - it is actually anxiety which is the main component of your all problems: like sleep disturbance, dreams or nightmares etc.

I think zoloft is not the drug for you; you can shift to paroxetine or venalafaxine. They are better choices for managing cases like yours.
You can discuss this with your treating team.

Till time being- add zolpidem 12.5mg for sleep. This will help you a lot.

if your doctor dosent agree to start paroxetine or venalafaxine- you can go for quetiapine addition along with zoloft. Take quiteapine 25-100mg at night. It is a good molecule to control anxiety associated with depression.

Your condition is compeltely manageable, so, need not worry souch. The problem you are facing are part of illness and nothing serious. They will very well sort out with right drug regimn.

I dont know what blood levels you had given. You did not specify what particular tests have you done. They can be any blood levels???

Good luck.
Dr. Manisha Gopal
MD Neuropsychiatry
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Suggest Treatment For Bad Dreams At Night After Having Zoloft For Depression

Hello, 1. Its not that zoloft is giving bad dreams - it is actually anxiety which is the main component of your all problems: like sleep disturbance, dreams or nightmares etc. I think zoloft is not the drug for you; you can shift to paroxetine or venalafaxine. They are better choices for managing cases like yours. You can discuss this with your treating team. Till time being- add zolpidem 12.5mg for sleep. This will help you a lot. if your doctor dosent agree to start paroxetine or venalafaxine- you can go for quetiapine addition along with zoloft. Take quiteapine 25-100mg at night. It is a good molecule to control anxiety associated with depression. Your condition is compeltely manageable, so, need not worry souch. The problem you are facing are part of illness and nothing serious. They will very well sort out with right drug regimn. I dont know what blood levels you had given. You did not specify what particular tests have you done. They can be any blood levels??? Good luck. Dr. Manisha Gopal MD Neuropsychiatry