Dear Customer (name blocked for privacy),
Thanks for the reply.It seems to me that apart from being very sensitive to the increase in serotonin levels at brain, there is a strong component of anxiety besides depression in your dignosis.
Your somatic symptoms/side effects of back pain,numbness, muscle aches may in fact be the symptoms of anxiety rather than true side effects of sertaline.
To be honest i am more worried about your weight gain of even 15-20 pounds on such a low dose of Sertaline which is not acceptable.Couple of suggestions:
- The numbness on increased dose should go away in few weeks at the most.
- I agree with staying on the current dose and give the side effects little time to go away.
- The other great medication to try is Effexor XR- serotonin NE reuptake inhibitor which can help both depression , panic, anxiety as well as weight gain problem.
- But given that you are so sensitive to psychotropics one has to start effexor with really low doses and take a bezodiazepine like Klonopin for the frist few weeks till you reach a good dose.
- Exercise like walking, yoga can also help.
Good Luck
I
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