I've been on zoloft 25 mg for two years and every time I see my doc he tries to up it telling me its not even a therapeutic dose. When I started the med I was feeling much worse anxiety/OCD then I am now so I feel it has helped. I'm sure I could feel better but I am anxious to up it, it was hard enough to take it at all since taking medications is a BIG hurdle for me. I do tend to be more of a light weight. Is anyone else on this low of a dose?
IS 25MG ZOLOFT a therapeutic dose for an adult?
Question posted by Theres no place like home on 15 March 2014
Last updated on 13 November 2019 by skpifer
25 Answers
I've read that 25mg is a therapeutic dose. I started with Lexapro, then Cymbalta (2 weeks, HORRIBLE reaction, quickly switched off) to 100mg Zoloft plus 50mg Wellbutrin. It worked for a while, then I tapered off the Wellbutrin. Shortly after that, I went from 100mg to 50mg of Zoloft. This past week, my doc told me that I can experiment and start taking 25mg every other day for 1 month, and then if I feel alright then I can take 25mg daily from then on. Everyone is different. Don't be afraid of the side effects, sometimes it's worth it to push through them to get the results that you want. 25mg can work for you (and maybe it'll be much better for me, too!)
I was on 50 mg, it felt like it was helping for awhile. Then I started getting very weak and shaky, and was losing weight. My thyroid tested ok, so I was not Hyperthyroid (I have a history of that). After about 3 months at the 50 mg I finally went down to 25 mg, and the shakiness was less after a few days on that dose. I was still losing weight, but not as fast. I stayed on the 25 mg dose for a couple more months and was doing better than before Zoloft, so I know it was doing something. But I was still anxious sometimes and was still losing weight (very slowly)
My doc asked if I wanted to try Lexapro. He said that although they were in the same class of drugs, they can work differently on different people. He recommended I stop the Zoloft and immediately start on the Lexapro the next day so that's what I did.
Within a couple of days, absolutely zero shakiness, zero weakness, and I actually felt calmer. Two weeks in, I could feel the Lexapro was really working. It's now been a few months and I feel better than I have in years! I think it's just a matter of finding the right meds at the right dose for you. As far as 25 mg being a therapeutic dose, I don't care what the science says. For some people, I truly believe it could be therapeutic. For me, both meds worked for depression, but only the Lexapro helped with stress/anxiety. Good Luck!
Hi. I'm in the same boat as you are and your not being a scary cat your just protecting your brain, body and well-being. So if it works, why change it then? I was prescribed same dose and it works enough for me to function better, so I'm not going higher. That's the problem I think. HCP always want to up the dose becuz sometimes it's needed, but not everytime. Everyone differs. Stick to your guns and stand by you! Best wishes :)
I am so happy to see this question. I was reluctant too and it’s been 8 days that I’ve been taking half of 50mg and my doctor told me to take half for 7 days and then the whole pill after that. I really think 25 mg is enough to take the edge off. I’m already very tired from this dose and I’m also a light weight
Side effects generally take up to 2 weeks to resolve... you're halfway there. You may find after they wear off that you'll need more medication than just enough to take the edge off.
Mild anxiety/depression. Been on 25mg for almost 2 years - works like a charm - refused my doctors suggestion to go on to 50mg and have stayed on initial trial dosage. Keeps my George Constanza' moments at bay and sexual effect is actually enhanced. If it's not broke don't fix it.
I was prescribed 50 mg sertraline for moderate depression and stress. I had zero hesitation in taking it, and was looking forward to feeling better. Within the first two weeks I could tell I was indeed doing much better.
Then one day I noticed my hands were shaky. I didn't think too much of it, but then my larger muscle groups started feeling weak/shaky. I was getting lots of little twitches in various muscles. I was feeling hyper, losing weight, and not sleeping. I stuck with the 50 mg for about 6 weeks, but had lost 10 lbs by that time. I had my TSH, Free T3, and T4 tested; all were normal. So I decided to cut down to 25 mg per day. Within a few days, my body started calming back down. I was surprised at how much better I felt.
I have not gained any of the 10 lbs back, but I seem to be holding steady at around 128. That is fine for my 5' 7" frame (female). It has been a little over 9 weeks total now (3 weeks on the 25 mg reduced dose), and I feel like I am doing well.
I am sticking with the 25 mg per day for now, even though 50 mg is supposedly the lowest therapeutic dose. I live in my body and I know how I reacted to the 50 mg. I feel so much better with the half dose. In the future if I feel the 25 isn't working I may try to go back up to 50 and see how I react.
Thank you for your response. Good luck!! My shaking was horrible on 50mg. I felt like my whole body was buzzing. Much better on 25mg but still hoping to even out my moods.
I have been on different anxiety medications over the years. I was on Zoloft years ago and it seem to work but I quit taking it eventually. I went several years without taking any medications at all. After that I went back on Lexapro for several years and then started trying to find something that would work better. I eventually got off all of the meds because of the side effects. I’m now back on Zoloft and started on 25 mg which seem to have a good effect. The doctor upped me to 50 mg and now I’m having more panic than I had in the past. Would like to back down to 25 Mg but I’m wondering if I should just hold out and hope the side effects of 50 mg. subside. I am very sensitive to all medications and just wonder if 25 mg is my dose.
Have you ever been on buspirone which is not an antidepressant or a benzodiazepine? I've been taking it for almost 5 years for my anxiety disorders and it works very well for me with no start-up or long term side effects.
I was on buspar many years ago but didn’t give it much of a chance. That’s when I switched to lexapro. Does anyone think the name brand Zoloft is more effective for them than the generic? I didn’t have any side effects years ago when I was on the name brand. This time around in the generic is a hellish roller coaster.
I’m on 25 mgs too, and i’m 6’0” 180lb woman. I have always been super sensitive to medication and i’ve always had terrible anxiety/ocd. i initally went on 25 mg and later went up to 50 because i was having situational anxiety and my dr recommended it. after a year i went down to 25 again, that was about 4 months ago. I still have no anxiety. I think it works. I was/ still am terrified of meds too. When i went up to 50 i felt slightly out of it (similar to when i first began 25) but only for 1 day and then it was 100% the same. When i came down from the 50 to the 25 i did not notice one thing. I want to go off it completely because of the weight gain and low libido but i’m TERRIFED of what will happen lol. I’m 100% positive the 25 works great for me. I’m thinking about trying 12.5 every day..
If it works for you don’t listen to the docs! I will say my psych told me that it is a daily medication and she doesn’t understand why other doctors say to take it every other day, and when doing that it can mess up your levels.
Hi, home!
It may be for you as every individual responds differently to medications at different doses. If you're satisfied with how you feel, then fine, but you seem to feel you could do even better. Try a slight increase to only 50mg for instance and see how it goes for you... it's you calling the shots but don't be afraid of a higher dose especially if a professional who knows you and your history recommends it. That's why they studied for all those years and are trained in psychopharmacology.
"The recommended initial dosage and maximum ZOLOFT dosage in patients with MDD, OCD, PD, PTSD, and SAD are displayed in Table 1 below. A dosage of 25 mg or 50 mg per day is the initial therapeutic dosage.
For adults and pediatric patients, subsequent dosages may be increased in case of an inadequate response in 25 to 50 mg per day increments once a week, depending on tolerability, up to a maximum of 200 mg per day. Given the 24-hour elimination half-life of ZOLOFT, the recommended interval between dose changes is one week."
I have exactly the same issue. I take 25 ml the doctor who prescribed them suggests it may be a placebo effect but I know it helps. I am alight weight with all drugs. My GP tells me she has many patients who opt for 25 and feel better. I experimented 2 different occasions by upping it to 50 for a day and felt thick headed, my memory was poor and I was tired. Stick with 25 and know you have a lot of company.
I titrated myself fairly carefully with Zoloft (trying to find a dose that was therapeutic without having (male) sexual side effects), and found that 37.5 mg (25 + 1/2 * 25) was the minimal therapeutic dose for me (alternating days of 37.5 and 25 was not therapeutic). Higher doses had a little bit of additional benefit, but 37.5 was adequate for cutting out the severe lows. Alas, it still has sexual side effects (though not as bad as higher doses, like 100 or 150); adding Wellbutrin did not help. I'm in the process of starting on Vilazodone.
I take 100 mg a day, but have taken every dose in increments of 25 mg for Zoloft between 25 mg and 200 mg that is possible. I've not liked going over 100 very much, but I occasionally have tinkered around in the 125-150 mg range, but I only find that to be helpful when I'm going through stressful life events/situations/living circumstances. I take it primarily for OCD, but also for panic disorder.
The two cons I really hate is some fatigue (especially without having stimulants), and the hormone affects to my prolactin and testosterone (ups prolactin and depletes testosterone), but having panic attacks all the time and chronically high cortisol it can actually help long-term (especially since I'm a college student) to control my panic attacks with exams and difficult lecture material.
For many years I was anti-psychotropics because I felt they were all wrecking my hormones and body, but there are certain people (like I deem myself) that do "better" with them regardless of the side effects (within reason).
Sometimes you really have to think hard and think what is going on in your life for the next say 1-5 years, what will be the most important things to treat at certain times, what combos/regimens work the best for you (if any), and dig deep to answer the tricky questions that only you can observe and decide upon.
Every medication and dosage affects every individual patient differently. A 25mg daily dose is therapeutic if it works well for YOU.
"A dosage of 25 mg or 50 mg per day is the initial therapeutic dosage.
For adults and pediatric patients, subsequent dosages may be increased in case of an inadequate response in 25 to 50 mg per day increments once a week, depending on tolerability, up to a maximum of 200 mg per day. Given the 24-hour elimination half-life of ZOLOFT, the recommended interval between dose changes is one week."
I took 25mg and I felt so much better. Now I'm on 50mg for 2 weeks and have had severe, intrusive, confusion thoughts/ideas... ANXIETY FROM HELL... severe eye spasms... and I can't type anymore because i cant remember.
I also was on 25 mg of Zoloft, but also 20 mg of Cipralex (Lexapro in the US). When I went up to 50 mg of Zoloft, my intrusive thoughts came back ten times worse and I was crying everyday. Anxiety increased too.
I've been taking 25mg Zoloft for 15 years. Doctors tell me that 25mg is basically a placebo, but it works for me. No side effects. I've quit several times & I end up anxious and crying a lot. I'm also a lightweight. Small amounts of drugs tend to have a big effect with me.
Thank you for giving me hope. My anxiety has REALLY ramped up lately. I want to believe it will go back down, but afraid to wait and see. My doctor put me on lexapro and I couldn't get out bed for an entire week. Finally she switched me to 25 mg of Zoloft, starting with the half 12.5. I'm still terrified but feel hopeful after reading that I'm basically on a child's dosage, (I'm a full fledged grown up!)
Related topics
therapeutic, zoloft, depression, anxiety, obsessive compulsive disorder, panic disorder, dosage
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