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Re: Zoloft Users -- Dosage??Should I go up or wait?

Posted by lonesomeloser on February 18, 2003, at 1:45:18

In reply to Zoloft Users -- Dosage??Should I go up or wait?, posted by fairnymph on February 17, 2003, at 15:22:51

> I have OCD and major depression, and I started on Zoloft 3 1/2 weeks ago. The first week I was on 50 mg and since then I've been on 100 mg.
> I have tried a variety of other meds -- the most helpful overall were prozac (which worked like a charm, but I don't want to go back on unless abosolutley necessary) and effexor (which just stopped working after a while, even at the max dose).
> I know with the prozac, I started feeling a bit better at the 3 week point. I started on 20 mg, and worked up to 30 after a week.I think I eventually got up to 40 mg, but I definitely saw some relief at 30 mg.
> I'm not feeling any better at all from the zoloft yet. I'm doing ok on side effects -- some tremor (noticeable, but bearable), sedation (tolerable) and difficulty orgasm (hey, at least it's possible, unlike with prozac and effexor). I'd say the tremor is the most annoying...but I'm hoping that will get a bit better with time.
> My question is...should I go up in dose? I know that OCD often requires stronger doses of SSRIs than other disorders, and perhaps I am reacting to zoloft like I did to effexor (which didn't do anythign till I got to 300 mg).
> I'm usually a fast responder to meds (once I hit the right dose, of course)...but I realize it's possible that I'll just need more time.
> I don't really have a doc to ask (I get my zoloft from planned parenthood), either.
> So go up 50 mg? Or wait? If wait, how long?
> Thanks!

I'd use the max dose (200 mg) as soon as possible.
Zoloft works well at a dose of 50 - 200 mg.




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