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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Manage Severe Depression And Anxiety That Hasn't Improved Despite The Medicine Sertraline?

Hi I have been on sertraline for 14 weeks, it has not helped my anxiety much, but helped depression. I am on 100 mg. Over the weekend I have feeling really down again and more anxious than normal? Do you think I need increase in dosage or just wait it out for a while?
Thu, 23 Jan 2014
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Psychiatrist 's  Response
hi
thanks for choosing healthcare magic

U need to increase the dose of sertraline. Its a very good drugs for anxiety symptoms and in ur case 100mg could help but it is not sufficient. U can incrase the dose till 200mg. If u dont get response with 200mg of sertraline, then add mirtazapine 7.5mg in ur treatment. First go with sertraline and see. In any case u need our help, we r ready to help u.

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How To Manage Severe Depression And Anxiety That Hasn't Improved Despite The Medicine Sertraline?

hi thanks for choosing healthcare magic U need to increase the dose of sertraline. Its a very good drugs for anxiety symptoms and in ur case 100mg could help but it is not sufficient. U can incrase the dose till 200mg. If u dont get response with 200mg of sertraline, then add mirtazapine 7.5mg in ur treatment. First go with sertraline and see. In any case u need our help, we r ready to help u. Thanks