HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Hi, I Am In Sertraline 50 Mg/day And 1 Mg/day

default
Posted on Sat, 30 Jan 2021
Question: Hi,

I am in Sertraline 50 mg/day and 1 mg/day of Clonotril for OCD. While it helps in reducing OCD, following are side effects:

1. Sleep disorder: Generally don't get sleep more than 5 hours. Due to this OCD worsen as I don't tired due to lack of sleep.

2. Muscles pain: I feel very tired/muscles pain mainly in legs. Due to this, it is difficult to do exercise.

3. Recently, I have done D3 test which has come low (< 15). Physician has prescribed tablet 60000 UI/week. Is there any other way to improve D3 level quickly?

Regards,
XXXXXXX
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
Consultation

Detailed Answer:
Dear XXXXXXX
Thanks for using Ask A Doctor.

I read your query and understand your concerns.

First of all I feel taking vitamin D through injection ( Inj Arachitol) should be better at current level as it will take time through the current intervention.

In regard to OCD and best suited medication while considering sleep problem, I feel paroxetine can be used instead of sertraline. Paroxetine does not interfere with sleep and causes less muscle pain. Since this is prescription-only medication you are requested to discuss same with treating doctor.

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Dr. Ashok Kumar Choudhary (11 hours later)
Thanks.

I tried all the molecules before, but only Setraline is effective. So, I am not sure whether we shoud try changing molecule.

Do you suggest any medicines for sleep disoeder and muscels pain?

Regards,
XXXXXXX
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (11 hours later)
Brief Answer:
Follow up

Detailed Answer:
Dear XXXXXXX
Thanks for follow up.

I am sorry to know that there was no response with other molecules recommended in the treatment of OCD. Considering the past history of no response I feel we need to look for managing side effects rather than changing medications.

For the sleep disorder the use of Zol[pidem or any other Z drugs is first option followed by use of benzodiazepines such as clonazepam or lorazepam.

In regard to muscle pain I feel we need to look for serum electrolytes as hyponatremia can be the cause for muscle pain in your case (side effect of sertraline). If that is the cause corrective measures in form of high salt diet or use of tolvapan can be recommended.

I hope this helps you further.
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Hi, I Am In Sertraline 50 Mg/day And 1 Mg/day

Brief Answer: Consultation Detailed Answer: Dear XXXXXXX Thanks for using Ask A Doctor. I read your query and understand your concerns. First of all I feel taking vitamin D through injection ( Inj Arachitol) should be better at current level as it will take time through the current intervention. In regard to OCD and best suited medication while considering sleep problem, I feel paroxetine can be used instead of sertraline. Paroxetine does not interfere with sleep and causes less muscle pain. Since this is prescription-only medication you are requested to discuss same with treating doctor. I hope this helps you. Feel free to write back to me if you have more questions. Thanks and regards