McMooma Posted August 4, 2022 Share Posted August 4, 2022 Hi, I'm sorry if there are instructions as to how to ask for help that I am missing, but I'm a bit confused by all the different areas within this website. Could someone please point me in the right direction so that my request for help is seen in the correct format by the right people. Thank you 1st May 2020 Sertraline 25mg 8th May 2020 Sertraline 50mg January 2022 Sertraline 100mg June 20th Mirtazapine 15mg + Sertraline taper to 50mg June 27th 2022 Mirtazapine 30mg + Sertraline taper to 25mg 4th July 2022 Mirtazapine 30mg Stopped Sertraline Link to comment
McMooma Posted August 5, 2022 Author Share Posted August 5, 2022 Finally getting my broken brain around this amazing centre of collective wisdom. So......a proper introduction. I started 50mg of sertraline in 2020 following a particularly stressful time in my life. The drug worked well throughout the first year but after 18 months I was beginning to feel a strange flat emptyness. There had been a couple of hiccoughs getting my prescription during 2021 as I had moved areas, and it was always so difficult starting with a new surgery and pharmacy during the ups and downs of the pandemic. In January if 2022 my GP suggested upping my dose of sertraline to 100mg as I he felt my emptyness was a return of my depression. I felt no better and very unwisely tried to go cold turkey in April......horrible symptoms appeared very quickly so I reinstated the meds. By June I was really unhappy so asked the GP for another drug in the hope that I would start to feel better again. She switched me to Mirtazapine over 3 weeks and I have taken a massive nose dive ever since. I've realised that this terrible reaction is not depression as my depression never came in waves and it certainly didn't make me feel so physically exhausted. So .....what do I do? I've been Sertraline free for 4 weeks and feel absolutely awful. If I knew this level of awful would be as bad as it gets and short lived I would suck it up and wait for it to lift, but I can see from reading other people's posts that this is probably not going to be the case. So my question is......do I reinstate the sertraline at a low enough dose to ease the symptoms and then begin a very slow withdrawal, or do I ride the storm? 1st May 2020 Sertraline 25mg 8th May 2020 Sertraline 50mg January 2022 Sertraline 100mg June 20th Mirtazapine 15mg + Sertraline taper to 50mg June 27th 2022 Mirtazapine 30mg + Sertraline taper to 25mg 4th July 2022 Mirtazapine 30mg Stopped Sertraline Link to comment
Moderator Onmyway Posted August 5, 2022 Moderator Share Posted August 5, 2022 Hi @McMooma It is a decision that you have to make. If you want to be safe you'd reinstate at a very small dose - something like 1mg and see if that makes things better. Do you think your symptoms could be related to the introduction of mirtazapine instead? Do you feel better or worse after taking your mirtazapine dose? omw "Nothing so small as a moment is insurmountable, and moments are all that we have. You have survived every trial and tribulation that life has thrown at you up until this very instant. When future troubles come—and they will come—a version of you will be born into that moment that can conquer them, too." - Kevin Koenig I am not a doctor and this should not be considered medical advice. You can use the information and recommendations provided in whatever way you want and all decisions on your treatment are yours. In the next few weeks I do not have a lot of capacity to respond to questions. If you need a quick answer pls tag or ask other moderators who may want to be tagged. Aug 2000 - July 2003 (ct, 4-6 wk wd) , citalopram 20 mg, xanax prn, wellbutrin for a few months, trazodone prn Dec 2004 - July 2018 citalopram 20 mg, xanax prn (rarely used) Aug 2018 - citalopram 40 mg (self titrated up) September 2018 - January 2019 tapered citalopram - 40/30/20/10/5 no issues until a week after reaching 0 Feb 2019 0.25 xanax - 0.5/day (3 weeks) over to klonopin 0.25 once a day to manage severe wd March 6, reinstated citalopram 2.5 mg (liquid), klonopin 0.25 mg for sleep 2-3 times a week Apr 1st citalopram 2.0 mg (liquid), klonopin 0.25 once a week (off by 4/14/19- no tapering) citalopram (liquid) 4/14/19 -1.8 mg, 5/8/19 - 1.6 mg, 7/27/19 -1.5 mg, 8/15/19 - 1.35, 2/21/21 - 1.1 (smaller drops in between), 6/20/21 - 1.03 mg, 8/7/21- 1.025, 8/11/21 - 1.02, 8/15/21 - 1.015, 9/3/21 - 0.925 (fingers crossed!), 10/8/21 - 0.9, 10/18/21 - 0.875, 12/31/21 - 0.85, 1/7/22 - 0.825, 1/14/22 - 0.8, 1/22/22 - 0.785, 8/18/22 - 0.59, 12/15/2022 - 0.48, 2/15/22 - 0.43, 25/07/23 - 0.25 (mistake), 6/08/23 - 0.33mg Supplements: magnesium citrate and bi-glycinate Link to comment
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