Hello doctor, I have been on Zoloft for 14 years. I am on the maximum dose of 200 mg. I have been struggling with anxiety due to menopause. My general doctor thought it might be a good idea to switch my medication. She recommended that I go down to 100 mg a week on the Zoloft and then go to Pristiq. The problem is that the with drawl is so bad at the 100 mg I cannot handle it. So I started over going down to 175 mg and then to 150, and it was awful. I was in such bad shape I could not do it. Can I go from taking a select to write into the new prescription?
Hello. As you are having severe withdrawals and discontinuation symptoms even after lowering the dose to 175 mg, I would suggest you consult a psychiatrist in person for evaluation, and then you can discuss with him or her regarding the following, As the reason for the change of medicine is anxiety during menopause, i.e., a new issue besides one for which you were taking Zoloft (Sertraline) (and it was working fine), instead of cross tapering you can go for augmentation. Mirtazapine or Celexa (Citalopram) is a few options to go with adding a short term Benzodiazepine like Ativan to help you with withdrawal symptoms. Also, do practice relaxation techniques like breath relaxation exercises daily as it will help you relax and eases your anxiety. Checking your thyroid status is also necessary. I hope this solves your query. Feel free to ask if you have any further questions. TFT (thyroid function test).