Doctor insights on:
Zoloft And Ptsd
I'm on Zoloft for ptsd and anxiety. Would dosing in the AM be more beneficial for symptoms as opposed to PM dosing?
Depends : Zoloft is since daily medication. It can generally be taken any time of day, with or without food. But, everyone responds a little differently. For instance, some people might get sleepy with it and take it at night. Others may have difficulty sleeping and have to take it in the morning. As long as you find a time of day that works best for you and is most convenient to remember, that's great. ...Read more
I'm on my 3rd day of 25mg Zoloft (sertraline) for ptsd and ocd. Morning dosing and feel so tired by afternoon. Can Zoloft (sertraline) cause this fatigue?
Zoloft (sertraline) side effect: Zoloft (sertraline) doesn't always cause fatigue, but it is possible. Some people take Zoloft (sertraline) at bedtime, but it would be best to discuss this change in timing with your prescriber. Also, often the side effects that people have from Zoloft (sertraline) and other antidepressants resolve after the first 5-7 days on the medication, as your body adjusts to the medication, so keep this in mind as well. ...Read more
Started Zoloft (sertraline) for ptsd and quit self medicating with alcohol. Its been 4 days alcohol free but i'm sleeping constantly and feel exhausted.
Are there any medications for ptsd other than zoloft (sertraline)? What is the maximum dosage for zoloft (sertraline)?
Max 200mg per day: There are a number of ssri's that can work similar to the same way zoloft (sertraline) does, but zoloft (sertraline) has some stronger research behind it for ptsd. You can ask your physician to try other ssri medication. However, make sure, with ptsd, that you include therapy and include a support system. This is not something that should be dealt with by meds only. Best of luck and i hope that helps. ...Read moreSee 1 more doctor answer
How can one drug, like zoloft, (sertraline) be prescribed for so many different conditions?-dep, anx, ocd, ptsd etc etc
Antidepressant : Nobody knows for sure how this type of medicine works. However, it is well known that the drug interacts with receptors in the brain and block serotonin reuptake in the synaptic cleft, making it more available . Therefore, it is conceivable that many mental illnesses that are affected by serotonin could benefit from one drug. ...Read moreSee 1 more doctor answer
Is there any safe meds to help a girl in the bedroom? I have trouble getting/staying in the mood. I am being treated for ptsd now and taking zoloft (sertraline).
PTSD & Sex: Depending on the situations experienced, ptsd can certainly affect desire for & enjoyment of sex. Numbing symptoms can interfere; flashbacks of previous rape or childhood sexual abuse can directly impact ability to "stay in the mood." hopefully you have a compassionate partner who cares for you? With therapy, healing is possible -- and doesn't need to be rushed w/meds claiming to enhance sex. ...Read more
Can gradually decreasing Zoloft (sertraline) from 150 mg to zero, cause some temp. memory,speech issues ? I also suffer from depression,PTSD before this..thanks.
Not usually if: you taper off slowly. Discuss a discontinuation schedule with your prescribing doctor. ...Read more
Been on Klonopin 0.5mg for 6 months for PTSD. Also on 200mg Zoloft (sertraline) and in therapy. When should I start to taper off the Klonopin and how fast?
Depends: Staying on or stopping meds for PTSD should be tailored to your unique situation and discussed with your prescribing doctor. Your therapist should be aware of any med changes as well. That said discuss with your doctor to make sure this is the right time for you to stop Klonopin (clonazepam) and let him/her guide you on how best to stop. Hope this helps. ...Read moreSee 1 more doctor answer
I'm taking prazosin for nightmares from PTSD and my doctor took me of Zoloft (sertraline) and put me on amatryptolin. Do I need to worry about them crossing ?
Crossing??: If you mean "interacting "when you say the word "crossing "then, are you referring to the interaction between praise a sin and amitriptyline? If that is your concern then, you should be fine. Not sure why any change was made to the Zoloft (sertraline) if prison was added newly but that's what your doctor decided to do. ...Read more
I've got ptsd. I don't have $ to buy my zoloft (sertraline). Been having extreme spells of shaking, anxiety, depression, etc (no suicide or harm) any tips?
$4 genRx + talk w/MD: Tell prescribing md any barriers to care, eg cost of meds. Never change/stop rxs unless advised by md. Some pharmacies, eg target, have list of $4/month generics, incl. Some similar to zoloft, (sertraline) eg citalopram, fluoxetine. Discuss w/prescribing md to see if okay to change to a rx on a "$4 list." also, discuss and make a plan w/md/therapist(s) for how to manage/cope w/symptoms until they get better. ...Read moreSee 1 more doctor answer
Can I just tell my pcp what I would like to try for my ptsd, severe anxiety, major depressive disorder. .I think Zoloft (sertraline) and klonopin may work.
Need specialist: Your situation is complicated with 3 psychiatric diagnoses you may be carrying from prior treatment. You'd do well with an experienced psychiatrist for an evaluation and treatment. Tell your psych hx to your pcp and ask for a referral. Keep your pcp in the loop. Psych treatment is more than writing a prescription. It's a complex series of decisions that requires years of specialty training. ...Read moreSee 2 more doctor answers
I have my back and neck problems. I have ptsd and depression, i'm taking sertraline and cannot ejaculate, i able to to able get erect and stay erec?
SSRI's: I agree with dr. Bey, there can be a number of types of sexual changes on selective serotonin reuptake inhibitors. You might wish to discuss options like Lexapro (escitalopram) or Celexa with your prescribing physician. They may or may not present with sexual side effects. Take care. ...Read moreSee 1 more doctor answer
High co-morbidity: About 8 million adults have PTSD in a given year. Considering the high co-morbidity with other problems including sleep disturbance, substance abuse, anger, self-harm and suicide, as well as increased risk for physical health problems, including chronic pain, the answer is YES. PTSD can exert devastating consequences on affected individuals/families. Fortunately, effective treatments are available ...Read moreSee 2 more doctor answers
Complex PTSD is: a term offered to identify individuals with PTSD who have experienced prolonged and severs trauma which can impact a person's self-concept and the ways they adapt to stress. Dr. Herman at Harvard suggests this distinction and likelihood of special treatment considerations. Best regards. ...Read moreSee 1 more doctor answer
Another medicine: Another medicine is Minipress (prazosin) which can be used for ptsd nightmares. It works by crossing the blood brain barrier & blocking norepinephrine ( a chemical like adrenalin) acting in the brain. Prazosin was first used for ptsd in 1995. Trauma nightmares are true-life situations, extremely realistic, and they are accompanied by an adrenaline storm which does not happen with bad dreams. ...Read moreSee 2 more doctor answers
Evaluate, then treat: Hi Graham, First, as suggested, get an evaluation and referral to a competent trauma specialist. In addition, this website lists some useful self help tools: http://www.ptsd.va.gov/public/treatment/cope/. Here you'll find links to apps and suggestions for lifestyle changes, the importance of support, mindfulness practice, and techniques to counter negative thinking.Hope this is helpful. Take care. ...Read moreSee 4 more doctor answers
Intrusive memory,anx: Symptoms of ptsd grouped in thre types 1intrusive memory, like flash backs, or reliving traumatic events, upsetting dreams about the same 2incresed anxiety and hyperarousal, like numbing and irritability, guilt, self destructive behaviour like drugs and drinking, insomnia, frightened, hallucination 3avoidance and numbing, not enjoying activities you enjoyed before, loss memry, diffulty in close relationships. ...Read moreSee 3 more doctor answers