Welcoem to HCM!
I am really happy after reading your question as your patient got correct medicine in time and can becoem completely fine!!
Please ask her to continue with
Zoloft as she has
depression and
anxiety and is showing good response to the medicine. if she is taking it from more than a month, one can plan to increase the dosage to 75 mg daily to increase the improvement.
You are right that she has some response to her IBS symptoms with this medicine, as IBS has links with psychological disorders and this condition seems to improves with antidepressants and anti anxiety drugs.
Along with medicine, please ask her to take lots of fluid and salad ( few pieces at one time) all through the day. Antidepressant are supposed to cause
dry mouth and may lead to
constipation, these measures help in handling them and increasing the dosage without side effects. Ask her to take sips of water every 10- 15 minutes all through the day, this will prevent dry mouth.
Also, important part is duration of treatment, usually the treatment lasts for 6months to an year in new cases, but here it is a relapse and no details are avialable so, ask her to
consult a psychiatrist for what time she should continue it. She should not discontinue the treatment herself even if she get 100% ok.
In between she should get blood counts,
thyroid profile and liver and kidney function test done every six months to check the organs.
All the best, I am sure she will recover completely!
Hope the reply helps you
Feel free to ask more questions
Dr. Manisha Gopal.