Brief Answer:
Augmentation can be done

Detailed Answer:
Hello, Welcome to Health Care Magic

I can understand your concern. Zoloft is Sertraline and is a SSRI drug. In most cases the drug takes time to show its full effects. 4-6 weeks are needed for response. What dose of drug you are taking?

What are your prominent symptoms?

Augmentation can be done with other drugs or the medicine can be replaced with other drug. Please provide me more details of your symptoms so that we can go further.

Thanks

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Brief Answer:
The dose of Sertraline should be increased to 100 mg per day.

Detailed Answer:
Hello thanks for providing details.

Your stress test and ECHO came normal so any serious heart condition can be ruled out easily. The painful tightening in chest is occurring most probably due to anxiety and should be treated properly.

The dose of 50 mg is less for Sertraline and this should be increased. In my opinion the dose should be increased to at least 100 mg per day to get good effects. Apart from this I'd advise you to take Vitamin B12 supplements containing Methylcobalamine and this will help in quick response and will control your anxiety.

Avoid excess tea, coffee, carbonated drinks or alcohol. Take proper sleep for at least 7 hours a day. Exercise daily and practice yoga or muscle relaxation exercises and this will help in reducing the symptoms.

Thanks. Hope this helps you. Take care

Still have doubts please ask again.

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