is a good drug and you should continue
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
Only a few people have such a good response for their OCD
and that you should consider yourself as lucky. Its very natural and common that during the times of stress
there is an exacerbation of anxiety
disorder and that requires add on medications. Now coming to your speciric question....
Its ok to be on 12 yrs zoloft therapy. Panic disorders and OCDs do require such long therapy. I have know people to be on zoloft for more than 30 yrs.
Regarding rising the dose, at 200mg zoloft is still within the FDA approved dose range and you are not out of it. Zoloft can still be risen above 200mg as it is one of the very safe antidepressants.
Coking to the option of switching vs increasing the dose, it would be advisable to.increase the dose as of now. If there is inadequate response at 200 mg then ypu should consider an option of switching the drug. There are plenty of option while considering switching like celexa
, escitalopram, paroxetine
One thing i would oike to suggest here is along with increasing the dose you should also add up cognitive behavioural therapy for your OCD and panic. It focusses on changing your thinking pattern. It works well with antidepressant.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
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Wish you good health,
Dr. Srikanth Reddy M.D.