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I am Dr Vikas M.D Psychiatry.
How I can help you today.
Please mention the name of your antidepressant along with the dose.
Since when you are taking it?
Is your diagnosis Depression or Anxiety disorder?
Please reply and I will get back to you as soon as possible.
Diagnosis is depression I take 100mg of sertraline a day
OK, and since when you are taking it?
october, dose was doubled just before xmas
OK, are you still feeling depressed?
also having anxiety symptoms?
yes, can cope with everyday stuff bit if I have anything I deem stressful to deal with I cry uncontrollably
See, the usual dose range of Sertraline is from 50-150 mg per day. If a patient is not responding to 100 mg per day, then in such cases, the usual strategy is to increase the dose further to 150 mg per day. Most patients respond at this dose.
I dont like the side effects
The other possible option is to augment the effect of Sertraline by adding a low dose of another antidepressant like Mirtazapine.
which is very helpful if patient is also experiencing insomnia.
we also recommend Cognitive Behavior Therapy in combination with Antidepressant.
Have you ever tried psychotherapy, specially Cognitive Behavior Therapy?
i am suffering very bad headaches, sore throat and constantly thirsty, I feel I want psychotherapy
OK, if you have not yet tried CBT, you can try it on line for free
via few website.
do you want me to give a link to those website.
oaky what are
that was okay yes please
and here is the other one
you can try CBT from any one of these website.
thank you what do I tell GP tomorrow?
well, first of all,the side effects you are reporting are not very commonly reported by patients taking Sertraline specially after few months of starting it. So you can ask your GP to rule out other possible medical cause for these side effects.
i have a sprained jaw too atm
secondly, if you are not able to tolerate Sertraline, you can discuss with your doctor to shift you on some other antidepressant like Desvenlafaxine which is a dual acting antidepressant and is very effective in patients who are not responding or not able to tolerate a SSRI antidepressant like Sertraline.
okay thank you
You are most welcome.
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Earlier it was in the IR mode, sorry for that.