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Zoloft dosing (long question)

Posted by software guru on July 13, 2003, at 10:21:02

I have a question about Zoloft dosing:

The reason that I am taking Zoloft is that I was diagnosed with anxiety and panic. I also have an irregular heartbeat which I think is what brought on the panic because I obsess over my heart and it's rhythm. Of course, the panic may be what brought on the heart thing, but it's hard to tell which came first. Either way, I was convinced that I had some obscure cardiac defect that the cardiologists couldn't see and it was going to kill me. Intellectually, I knew that I didn't because I have had every heart test short of sending a catheter into my heart, but emotionally I wasn't convinced and continued to obsess over it. The main problem I have encountered in my life because of this is not being able to exercise without inducing at least a mild panic attack.

My psyc doctor started me at 25 mg/day and every 2-3 weeks increased me by 25 mg/day. I am now at 75 mg/day and my doctor would like me to get to 100. When I was at 50 I seemed to reach a point where I felt great, so great that it was almost too good. I felt a very refreshing energy and sharpness and started to get that vivid, colorful state of mind that I had years ago when I was 18 and everything was new and exciting. Everything smelled and felt new and cool. Then, as I passed 50 and went on to 75 the goodness seemed to subside and I started having more trouble sleeping (dose increases always messed with my sleep to some extent). I've been at 75 for 2 weeks and can't stand the thought of going to 100. My doctor insists I will feel great. Due to an issue with my ears, my doctor had me stop taking it for a few days (its been about 72 hours) and I feel like I have settled back to that good place I was at when I was on 50, almost like I've found a "sweet spot" in my dosage. Am I on to something here? Or is there some therapeutic significance to achieving the 100 mg dose that may help me more in the long run rather than just making me feel goood right now?


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