Download FREE Practo app
Get ₹200 HealthCash
Depression
One month before Doctor prescribed my husband serta 50 in the morning 8 am.but no improvement.last two day didnot sleep and highly anxious,today doctor prescribed fostera 5.sos zapiz 0.25.he take serta 50 today morning can he take fostera 5 at night ( today).he is highly anxious and restless.please help.i gave zapiz 0.25 in the today afternoon,
Answers (10)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
I think you should follow your Psychiatrist instructions. His treatment is absolutely correct.( though you haven't mentioned any background for prescribing these medicines). You need to be patient as serta takes 1 or 2 weeks to act & some level of anxiety in the first week is common. For that he has already prescribed medicines.
Next Steps
Being patient for 2 weeks & following your doctor's instructions.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced psychiatrist online and get your health questions answered in just 5 minutes.
+139
Serta and fostera can not be taken initially all together because it may cause hypersomnia, severe headache, or serotonin syndrome
Next Steps
Consult psychiatrist
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Heyy
I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
From your explanation dose of serts needs to be upregulated and olanzapine can be taken at night as it somewhat provide sedation.
But only after consulting your psychiatrist and after ruling out any other medical related disorders.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
It appears that the dose of Sertraline needs to be increased as there was no improvement with 50mg for over a month. Dose of Sertraline can be increased upto 200mg based on response and tolerability. Fostera (olanzapine) is an anti-psychotic medication which at times, used for augmentation in depression at low doses but it's role is not known in anxiety disorder.
Next Steps
Please don't self-medicate with Benzodiazepines. Consult a psychiatrist for uptitrating dose of Sertraline.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hello ma'am
Serta 50 is just a minimum dose to improve from depression
There is a requirement to further increase the dose and that might also help for anxiety symptoms
And also there are other drugs to improve anxiety symptoms, without fostera or zapiz
With good results for short-term treatment
Next Steps
Kindly consult online for further management and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Can take
No problem
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Yes he can. Seems sensible next move. Meanwhile get other medical reasons for anxiety ruled out.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Parika Kochhar
Psychiatrist
6 yrs exp
Noida
The dose of Serta needs to be adjusted. Usually we increase the dose after first 14-15 days of treatment. That is the basic requirement. Apart from that you can take Zapiz 0.5 also. But its better to consult and get your prescription changed.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Chitra Jain
Psychiatrist
6 yrs exp
Mumbai
Yes can be taken at night, as advised by treating doctor
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.