Posted by CamW on April 11, 2005, at 4:22:18
In reply to OK, oldsters...a call for advice, posted by allisonm on April 9, 2005, at 19:48:31
Allison - I'd blame the weight gain on the Zoloft, but I'd also give the increase in dose a try. There is little risk of increasing weight gain with an increase of dose. We all know that "poop-out" does occur with the SSRIs, and an increase in dose can help.
Besides, 50mg of Zoloft is a low dose, and is usually not a "full dose". You should know if the dose increase is going to do anything within 4 weeks. If by then your mood has not improved you can always drop the dose, or perhaps switch to something like Effexor XR. Again, because of the long time taking Zoloft, the risk of weight gain from a change to another serotonergic antidepressant is low (except a switch to Paxil; the antihistaminic effect of this drug often causes an increase in weight no matter what).
Give the increase a chance. Also tell your significant other, from me, that the weight gain is not your fault, it is the drug. Also, tell him that by taking the Zoloft you are attempting to improve your mood, so that you are better able to enjoy his company; thus the weight gain is a side effect of trying to improve your relationship with him, not trying to drive him away.
Take care and let us know your decision. - Cam
poster:CamW
thread:482163
URL: http://www.dr-bob.org/babble/2000/20041213/msgs/482663.html