Posted by SLS on March 25, 2009, at 6:57:53
In reply to Concerns/questions switching Zoloft to night time., posted by Z Brothy on March 24, 2009, at 21:06:40
> Hey guys - I've been taking Zoloft for about 4 years now and it's worked well for my OCD/anxiety and I've always taken it in the morning. Yesterday I tried taking the dosage(150) at bedtime to alleviate the fatigue it causes me during the daytime. Well, today in the afternoon I started to feel "down" and still do. So my question is this: when does a dosage peak in my body? like if i took it at midnight last night? is that sort of what i feel, like the dosage is "dropping off"?
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> Also, I used to take 200mg which worked better for me, but made me too tired and had too much sexual problems. Earlier in the month when i tried to go back up to 200mg i was at it for like a week, maybe a week and a half. When i went back down to 150mg...does that mean i have to let the medication build up to a certain level again for a few months even though I was taking more of it and not less? Thanks
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> P.S. Is this second thing related to the first?
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> P.P.S. I noticed the fatigue I get during the day causes me to need a 3 hour nap after getting 9-10 hours of sleep the night before - but it's always been helpful in keeping down my OCD during the day.
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> Thanks in advance you guys.From your description, I don't believe that 150mg of Zoloft is a sufficient dosage to keep you well.
It would seem prudent to take 200mg every day and try switching it to a bedtime dosing. If it were me, I would first try to divide it by taking 100mg morning and evening. If the drug works that well for you, you can take a second drug to alleviate daytime fatigue or sleepiness. Perhaps Provigil or methylphenidate. Methylphenidate might even help mitigate sexual side effects.
- Scott
poster:SLS
thread:886881
URL: http://www.dr-bob.org/babble/20090322/msgs/886911.html