Two weeks ago my doctor prescribed 50mg of Zoloft due to my anxiety and panic attacks. I was to start with half a pill (25mg). After day three I had a number of reactions to that including jaw issues. My doctor then moved me to 10mg fluoxetine and once again was told to start with half. I have been on the 5mg for 10 days now and some days are good but still have anxiety on most days. I am scheduled to go up to the full 10mg in a few days. Will that smooth things out a bit? By the way, I take this at night before bed and seem to get the shakes in the afternoon.
Hi,tomjames! Your doctor probably started you at this very low dose to minimize any potential side effects and to allow your metabolism time to adjust to the medication. A stronger dose will be required to straighten out the ups and downs which are common when initiating therapy especially at very low doses... and essence of time for the drug to reach it's full beneficial effects:
"Usual Adult Dose for Panic Disorder
Immediate-release oral formulations:
-Initial dose: 10 mg orally once a day, increased after one week to 20 mg orally once a day
-Maintenance dose: 20 to 60 mg orally per day
-Maximum dose: 60 mg orally per day"
From the National Alliance on Mental Illness:
"Sleep, energy, or appetite may show some improvement within the first 1-2 weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood, anxiety, and lack of interest in activities may need up to 6-8 weeks to fully improve."
So, try to hand in there and keep a positive attitude. Enjoy the good days and don't dwell on or worry about the not so good ones. All will be good soon!
Best regards, Wildcat
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
Posted 9 Jul 2016 • 1 answer
Posted 7 Nov 2016 • 1 answer
Posted 13 Mar 2017 • 2 answers
Fluoxetine - Increasing dose from 20 mg to 40 mg and I am wondering if I will experience the same...
Posted 6 Oct 2017 • 3 answers
Posted 6 Jun 2018 • 2 answers