Jump to content
CrazyBoards.org

Sign in to follow this  
300.3

Zoloft dosage question and other zoloft questions

Recommended Posts

I went to eye Dr today because I have had continual pain since February. I only experienced relief when tappering from prozac to zoloft and once zoloft reached its peak is when the eyes started hurting.

I have a different prescription for glasses now and that didn't work. Now they did a test and my eyes are extremely dry causing the pain. As it is now I use the best eye drops 5 times a day.

 

He said i have 2 options restatis which my insurance doesn't cover and it's 2 months for 400$ and takes a few weeks to see results.  Or get an eye procedure where they put plugs that degrade over time in the corner of my eyes.

Share this post


Link to post
Share on other sites

Well I went back to Eye Doctor today.. I could barely work today due to the eye pain. 

I have been using eye drops every half hour which I shouldn't have to.. The Dr wants me to go to a Cornea specialist. Some of the tests showed "possible" glaucoma which I really doubt.

I take my zoloft at 8am and eye pain starts at 11am and is bad from 12-2. At 3:30 it gets to be bearable.. I'm thinking about asking my doc if I can try taking zoloft at night just as an experiment.

 

Share this post


Link to post
Share on other sites

That sounds like a good plan. Many people do take it at night but, you're right, you should run it by your pdoc first.

I would take seriously the concerns about glaucoma. It's probably nothing, but you don't want to play around with such a serious disease.

Didn't you say that you had eye pain when you were on Prozac too? To me that shows that this is unlikely a side effect from the meds and could be something else. But I repeat, I'm no doctor.

Share this post


Link to post
Share on other sites

So I called anot her Dr for a second opinion and I have a scheduled appoinment tommorow.

In regards to the medication , the only time I had eye relief was when I went down to 20mg and started up on zoloft. Basically a 3 week span. My eyes started bothering me again at 100mg zoloft but it was bearable.. Now at 125 it isn't..

I called the pscychtrist and he doesn't want to play around with my eyes and thinks it may be connected. He wants to take me down to 100 zoloft. I explained to him I'm just starting to feel better.

I'm really nervous to go back to 100mg.. I have no anxiety in the mornings. I also only take  12.5 xanax a day now when needed.. which is half of a .25 .. which is so little. My ocd has also improved .. my mind can't even fabricate a bad thought now.

Granted I was only on 100mg for 2 + weeks and couldn't see the full potential but I can see results on the 125mg

I had one issue yesterday when the eye dr said my tests are showing signs of glaucoma.

Eye pressure was normal. He wanted to wait on the issue but I told him I was going to get a second opinion right away.

I always thought eye pressure would be high for glaucoma but he said there were different kinds.

 

Edited by 300.3

Share this post


Link to post
Share on other sites

That's too bad about the Zoloft dose. I'm really sorry to hear that. You might have to find a different treatment for your OCD if SSRIs give you this as a side effect. Of course, if it's glaucoma it might just be that the SSRIs are bringing it to the forefront, though I'm keeping my fingers crossed for you that it is not glaucoma. Glad you got an appointment for a second opinion.

Have you ever tried Anafranil (clomipramine)? It used to be the gold standard for treating OCD before SSRIs came along.

Share this post


Link to post
Share on other sites

I tried Anafranil many years ago when I was first diagnosed with OCD. It was the only drug that caused side effects . Considering I was trouble free with luvox and prozac. But the second time on Prozac like I said I had issues. 

I'm very frustrated because what other opotions do i have for ocd?

Share this post


Link to post
Share on other sites

Well, there is citalopram and es-citalopram which I really like. Probably escitalopram is better because you can  go to higher doses on  it whereas with citalopram you are limited to 40 mg or less. I'm not sure about Vibryyd although it is an SSRI. It could be a possibility but I've not heard of it being used for OCD. Other than Anafranil and the SSRIs, the only meds I've heard of being used for OCD are the atypical antipsychotics such as Risperdal.

I'd say you'd want to get to the bottom of the eye pain first. I've heard of SSRIs causing blurry vision and dilation of the pupils, but I have never heard of actual pain as being a side effect.

Share this post


Link to post
Share on other sites

If it isn't Glaucoma and just eye pain what do I do?  

When I was at 100mg it was not as painful as it is now.

 

Is there a way to add to the ssri? 

I know I was on 100mg zoloft and 10 prozac. He did say a few weeks ago we could play with prozac again.

I know this practice is not done due to ssri syndrome possibilities .

Im kind of panicing because i know there aren't many options. 

 

Edited by 300.3

Share this post


Link to post
Share on other sites

I'm not sure that being on subtherapeutic (for OCD) doses of two SSRIs is the answer to anything really.

I'd say first you have to get to the bottom of the eye pain. That is your number one priority. Something is causing the eye pain, and even if it is a side effect of the SSRI, something is causing it such as dry eyes or something else that the SSRI is doing that could give you that pain. That's a problem that you really have to talk to the doctor tomorrow about because you need an answer to it.

Share this post


Link to post
Share on other sites

In your opinion what other combos exist for ocd? 

Adding wellbutrin to zoloft ? 

Jt07 Do odds exist of a med working the second time around? I keep gravitating to the possibility of Luvox working again?

I think in my current situation moving foward things will be off label to try to get my side effects under control and hitting my ocd.

I can tell you I'm feeling better then 100mg which gets me upset knowing I'm so close.. 

Honestly from the things I read it's likely not glaucoma but .. what then? And not just one eye. Both

 

Edited by 300.3

Share this post


Link to post
Share on other sites

How long have you been off the Luvox?

My (non-medical) opinion is to forget Wellbutrin. Wellbutrin very often increases anxiety which can make OCD worse. If it came down to it and I couldn't take the SSRI at a therapeutic dose, I'd probably take it as high as I could handle it and then add Risperdal to the mix. That's what I would do. Not telling you what to do. 

However, as I said earlier, first things first. You've got to find out what the problem is with your eyes. "Zoloft" is not an answer.

Share this post


Link to post
Share on other sites

I've been off luvox for over 5 years. 

I have also heard of good results on Remeron buts it's really sedating? I'm assuming I could mix that in as well?

I'll also read up on Risperdal.

I'm lucky in the fact that I can speak with my psychiatrist anytime..

Share this post


Link to post
Share on other sites

I take Remeron. It is VERY sedating, particularly at first, but then it does get somewhat better with time. Not sure how good it is with OCD though. When I say sedating, I mean like say goodbye to the weekend sedating, but of course, YMMV.

I still think we are putting the cart before the horse. You've got to get to the root cause of your eye pain. If you can fix it then you will be able to go up on the Zoloft and all will be right with the world. If you just change meds you may be neglecting a very serious eye problem. I'm not trying to scare you, but if my eye doctor told me that I had some of the indicators for glaucoma, I'd be worrying about that and not which antidepressant to take. 

Share this post


Link to post
Share on other sites

So today was a long day. This new doctor at Columbia medical center is a retina specialist . He had to basically start from scratch because they prefer that that do there own testing.

He doesn't think my eyes are at a level that would even cause pain that I describe.  I also told him I get no relief even after using eye drops every 30 minutes

After all the tests he wants me to go back tommorow to see a Glaucoma specialist and take some more tests.

He wants me to take Zoloft early in the morning because I told him 3 hours after I take Zoloft my eyes gradually increase with pain. At 3-4 pm its at its worst . It gets a little better as it gets later in the day.

He's thinking narrow angle Glaucoma if anything. Possibly increased by Zoloft. As the day progresses the pain goes away because the eye decreases in pressure. 

Tommorow I'll spend another day in the city. This time with both the Retina Specialist and the Glaucoma Specialist and a Dry eye specialist  (who knew that was a specility?)to totally rule it out

I think I have 4 more tests to be performed tommorow. I couldn't get them done today because my eyes were already dilated and stained with a color

Honestly Jt07 I have no desire to change meds. I don't want to become "med resistant "  and am starting to see some progress. 

I honestly think if anything Prozac and Zoloft are exaggerating an issue which you can see with the pain increasing a few hours after zoloft and gets better as the night continues . What's to say a other Ssri wont do the same?

Again I'm just thinking about things out loud but if in fact I did need a eye procedure I will have it done rather then try another med. In some regards most Ssri's behave the same. I was on luvox ,Prozac and now Zoloft. I'm 40 years old and my age must be a factor because this has never been an issue before. 

I would be upset if I went to another med and have the same issue. From the looks of things I would because I had this issue on my 2nd titration up on prozac and now on zoloft.

The big indicator here is as I went down on Prozac and slowly up on Zoloft I had no eye pain. So the period was about 3 weeks I had no pain.

I'll let you know more after tommorows visit.

If it is fixable believe me I will be going up on zoloft considering I'm feeling much better on 125mg vs the 100mg.

 

 

 

 

Edited by 300.3

Share this post


Link to post
Share on other sites

300.3, you said exactly what I would advise you. You have to get to the bottom of the eye pain because it sounds like something the SSRIs uncovered. Eye pain, especially severe eye pain, is not generally a side effect of SSRIs which indicates that something else might be going on. I'm glad you are working with the eye doctors to get to the bottom of it. You know, this could be the best thing that has happened to you because you would not otherwise know about the glaucoma (if you have it) which could lead to vision loss. I hope it's not glaucoma, but good for you for taking the initiative and getting it checked out.

I'm glad the Zoloft is helping you. You do sound better than when you first started this thread so it's doing something right. Keep us posted.

Share this post


Link to post
Share on other sites

So I saw the Glaucoma specialist today at the same medical center. 

I showed him my charts from my local eye dr also.  The charts from my local eye dr show slight vision lost on the outer sides of my eyes. I don't notice a thing.

No glaucoma and no dry eyes. They can't figure out where the pain is coming from but they suspect the medication from the meds because I told them when the pain gets bad during the day.

They want me to repeat the test I had done at my local dr.  Also tests to determine if I need bifocals or reading glasses.

My pscychiatrist wanted to lower my meds for fear of the meds damaging my eye sight. This was on Monday. This is the one time I didn't go lower because I knew I had an appointment with great doctors.

Now he's going to say really go lower to 100 ?Which I don't want to since the 125 is giving me good results. 

Jt 

What really is frustrating is I haven't had even 3 weeks on a set dosage. I want to get at least 5-6 to formulate an opinion. 

If I did go back to 100mg I would have had about 1 week on 125mg.

I'm frustrated because I had less pain at 100mg. All these different drugs and the best ones are SSRIs for ocd which are limited. Any suggestions as to what I should ask my pscychiatrist? 

I do believe there is a good spot to be at between 100-150. I have no bad thoughts at 125mg .

 

My ears well it's annoying having that shhhh noise in both ears it's not a ringing sound. Like you said it might not be permanent. But this is also frustrating.  I guess if I put roadblocks up I won't get anywhere.  Not sure if I ever mentioned my age but I'm 40

 

 

Edited by 300.3

Share this post


Link to post
Share on other sites

If I were you and I were getting good results at 125 mg, I'd ask to stay there if there were any way possible that I could bear the pain. Does anything at all help the pain?

Share this post


Link to post
Share on other sites

I haven't tried anything for the pain. I'm not sure what would help either.

Each time I go up i have eye pain. Also I haven't stayed at anything longer then 1 1/2 weeks. It would be nice to see this possible side effect goes away. Maybe each time I go up it aggravates something.  I'm not sure. Basically each time I go up I'm in the 3 week side effect window. 

8 days 62.5 zoloft 10 prozac

2 weeks and 2 days at 100mg

1 1/2 weeks at 125mg

Edited by 300.3

Share this post


Link to post
Share on other sites

Well, like I said, if it were me I'd stay at 125 mg if I possibly could. But that's me and I like to get side effects out of the way sooner rather than prolonging the torture over months.

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Sign in to follow this  

×
×
  • Create New...