How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Bill Your Own Question

Bill
Bill, LCSW, Consultant, Expert Witness
Category: Mental Health
Satisfied Customers: 3705
Experience:  35 years treating individuals, couples, families with mental health and substance abuse prob's
Type Your Mental Health Question Here...
Bill is online now
A new question is answered every 9 seconds

I have been taking sertraline 50mg for 5 weeks felt ok then

Resolved Question:

I have been taking sertraline 50mg for 5 weeks felt ok then started to feel panicky again so it was increased to100mg 2 weeks ago also during these weeks i was given diazepam 2mg which i took when necessary morning and night.I am now starting to cut valium down to half tablet a day as i only have 6mg left.Prior to cutting this back i am feeling anxiety again and each morning my bp is low and my pulse is 120-130.I am wondering am i still adjusting to the increased dose of lustral or is it cutting back on the diazepam eventhough i do feel better i have in these last few days felt more withdrawn ,shaky and dizzy like i will faint and i just wonder what could be happening
Submitted: 1 year ago.
Category: Mental Health
Expert:  Bill replied 1 year ago.

Bill :

Hello- Thank you for asking the question. I have over 30 years of experience working with individuals, couples and families & am happy to reply.

Bill :

I am sorry to hear about your discomfort.

Bill :

Some of the most common side effects of Sertraline are dizziness, tremor or shakiness and this could very well be the result of you having increased this medication to 100mg- your body is still adjusting to the medication.

Bill :

It appears from what you have written that you are under a Doctors care.

Bill :

If these symptoms persist for more than a few more days, I would encourage you to contact your Doctor to at least keep them in the loop as to what is going on.

Bill :

Cutting back the Valium is probably a good idea if so advised by your Doctor. The fact that you have not been taking it for more than a couple of weeks does not present any significant withdrawal complications -however- symptoms that you describe are also associate with Valium withdrawal.

Bill :

Detailed information on Sertraline is here:

Bill :

Again- if the anxiety persists or worsens- you should talk to your Doctor about increasing the medication. Depending on your unique needs this can be increased to as much as 200mg per day.

Bill :

You also want to continue to monitor your pulse and notify your Doctor if it does continues at this rate. In many situations this is a result of anxiety and panic........information on which I will attach below

Bill :

If you have further questions for me- feel free to ask- I am happy to help.

Bill :

Kindest regards, Bill

Bill :

I appreciate your Positive Rating So that I receive Credit for my time.

Bill :

Thank you

Expert:  Bill replied 1 year ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

What happens now?

If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
Customer: replied 1 year ago.

Hi


I think the way i worded was a little misleading i have had valium since initially starting the sertraline which is approx 7 weeks though i never took the full dosage ,is this then more likely to be benzo withdrawl and do i need to go to the DR for advice about stopping them properly? Ive also heard that sertraline can have an effect on the heart and can cause arrythmias i do get palpitations is this true?


Thanks

Expert:  Bill replied 1 year ago.
Hello Janice-

Sertraline can cause Heart palpitations and associated chest pain.

The question is often if this related to medication or a anxiety or a combination of each.

If you have been on Benzo for 7 weeks - it is then more likely that you have to wean off more slowly- the standard suggestion to avoid side effects is to reduce by 10% per 7-10 days.

2 mg is not a large dose but everyone is different. If you have tried to cut in half after 7 weeks of daily use you are most likely going to have some withdrawal symptoms as which as similar to what you are experiencing.

If I were you, I would Call the Doctor and ascertain the best weaning schedule for your unique needs. My sense is that this is likely the Valium vs the Sertraline based on the additional information you have provided.

Give your Doc a call, you will feel better and be on the right track.

Kindest regards, Bill

Bill, LCSW, Consultant, Expert Witness
Category: Mental Health
Satisfied Customers: 3705
Experience: 35 years treating individuals, couples, families with mental health and substance abuse prob's
Bill and 3 other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education