Sertraline :: Increased Depression On Anxiety - Increasing Dose


May 14, 2015

I have suffered from depression and anxiety for years (about 8 in total since my early 20's) but only recently sought help from my GP when I started having 2 or 3 panic attacks a day.

I was prescribed Sertraline 25 mg daily and Propranolol 80 mg daily (40 mg in the morning and 40 mg in the evening). After one week the Sertraline was increased to 50 mg daily. 3 weeks on and today I have been upped to 100mg daily.

I had bad side effects when starting on the 25 mg (increased depression, increased anxiety, headaches, nausea and diarrhea) but these past after the first 4 or 5 days. When I was increased to 50 mg they came back, albeit more mildly and past after the 3rd or 4th day.

I am apprehensive about increasing the dosage again now as I have to travel a lot this weekend for a large family engagement. I am worried that I may start having panic attacks again as I settle into the higher dose and I am wondering whether to stay on 50 mg with the Propranolol over the weekend and up the dosage on Monday when I am home and have a few days to relax and can ride out any side effects.

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