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Suggest Remedy For Lack Of Concentration And Fatigue While Treating Anxiety And Depression
Posted on
Wed, 16 Dec 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 16 Dec 2015
Answered on
Tue, 12 Jan 2016
Last reviewed on
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.
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
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
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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