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Suggest Remedy For Lack Of Concentration And Fatigue While Treating Anxiety And Depression

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Posted on Tue, 12 Jan 2016
Question: Hello, I am a patient of OCD, depression and anxiety, panic attacks had been taking Serlift 100 for last 8 years and also Zapiz 1mg daily. I have discontinued Serlift 3 months. From past 2 months or more I feel very lazy and tired sleepy throughout the day. Not abe to concentrate on reading and forgetting what has read, going blank. I feel very weak, lack of enthusiasm. I am 46 years old diabetic and hypertension patient on medication. I had re-started Serlift 100 but then I started feeling that my heart beats are more, so discontinued.Please help.
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Answered by Dr. Dr. Ashok Kumar Choudhary (40 minutes later)
Brief Answer:
It needs slow start, 100 mg is too high as a starting dose

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

from the available description it appears that you had a relapse of depression following discontinuation of serlift (sertraline) which was keeping your depression under control.

Since you started the higher dose you have experienced the side effects in form of palpitations. 100 mg is too high for a 46 year old diabetic and hypertensive to start.

The recommended dose to start is 25 mg per day followed by 50 mg after three days and 75 mg after another three days and than 100 mg after two weeks from start of treatment.

In addition over the time there may be some physiological and pathological changes which need examination by a doctor. For doing same you are requested to see your psychiatrist before intending to take even 25 mg.

I hope this helps you.
Thanks and regards
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3350 Questions

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Suggest Remedy For Lack Of Concentration And Fatigue While Treating Anxiety And Depression

Brief Answer: It needs slow start, 100 mg is too high as a starting dose Detailed Answer: Hello, Thanks for using Healthcaremagic. from the available description it appears that you had a relapse of depression following discontinuation of serlift (sertraline) which was keeping your depression under control. Since you started the higher dose you have experienced the side effects in form of palpitations. 100 mg is too high for a 46 year old diabetic and hypertensive to start. The recommended dose to start is 25 mg per day followed by 50 mg after three days and 75 mg after another three days and than 100 mg after two weeks from start of treatment. In addition over the time there may be some physiological and pathological changes which need examination by a doctor. For doing same you are requested to see your psychiatrist before intending to take even 25 mg. I hope this helps you. Thanks and regards