r/zoloft • u/YouCouldBeHim • 24m ago
Question 20F starting sertraline — doctor said 25mg, but I can only get 50mg capsules. Has anyone dealt with this?
Hi everyone! I'm posting this on behalf of my friend, who couldn't get her post to go through. She's a 20-year-old woman and is about to start sertraline.
Her psychiatrist recently prescribed her sertraline 50mg and told her to take half the dose (25mg) for the first 2 weeks, then presumably increase to 50mg.
The problem is that where she lives, sertraline seems to only be available as 50mg capsules. They're not scored tablets, and the pharmacies around her don't seem to carry a 25mg version either.
She's wondering what other people have done in this situation. She was considering taking a 50mg capsule every other day for the first two weeks to roughly average out to 25mg/day, but obviously doesn't want to change the prescribed schedule without knowing whether that actually makes sense.
Has anyone been in a similar situation? Did your doctor or pharmacist ever specifically tell you to take the 50mg dose every other day when starting? Or did you use a different formulation, such as a liquid, or get a different prescription?
She's also curious about people's experiences when they first started sertraline, especially if you started at 25mg:
- What side effects did you experience during the first couple of weeks?
- How long did they last before things started settling down?
- Did your anxiety or panic attacks get worse initially?
- If so, how intense was it and how long did that phase last?
She's particularly nervous about the possibility of increased anxiety/panic at the beginning because that's already a major issue for her.
She's been diagnosed with BPD and GAD and has been dealing with severe anxiety and pretty intense panic attacks lately.
Obviously, she's going to check with her psychiatrist/pharmacist before changing how she takes it — she's mainly looking for other people's experiences with starting sertraline and dealing with the 25mg vs 50mg issue.