Brief Answer:
Need to assess in detail to give correct drug.
Detailed Answer:
Hello XXXXX,
I know that you want the dose of medicine to get improvement but the dose is decided on seeing the patient, looking at his medical background, like if he has any other problem :
diabetes,
arthritis,
hypertension ect., the side effect he is prone to develop ect.
Moreover,
sertraline is one of the many options available with us...your doctor will be aware of them. I have a feeling that you have some anxiety also, though you have not mentioned in the query ( as you have sleep problem , and even after an year of treatment you still get disturbed sleep, this is usually indicative of anxiety). In such cases, after detailed evaluation and talking to the patient a
psychiatrist is able to give correct prescription, which is different from sertraline...
The dosage of sertraline lies from 25-200 mg , but what dose to initiate with, can't be said correctly without meeting the patient in person.
Please try to understand, any partially correct medicine given in hurry will again land us up at same place as you are now in.
The most important point in completing psychiatric treatment is that we try to achieve 100% response, either by increasing dose to maximum bearable dose or switching it. Always remember this and keep in touch with your doctor religiously from time to time.
Meet your doctor and discuss these issues. He might get some appropriate
blood test and then start your medicine accordingly.
Depression is well treatable, so there is no need to feel helpless at all!
Hope you got the point and wish you good health!
Feel free to ask more queries
Dr. Manisha Gopal
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