Adjusting antidepressant dosage: Symptoms when it's too low or high and conversations with healthcare providers for prescription changes
In the ongoing battle against depression, finding the right dosage for antidepressants is crucial. Maintaining a consistent intake of prescribed medication is essential, as it helps prevent the return of symptoms—a sign that the treatment is working effectively. However, it's equally important to monitor the dosage to ensure it's neither too low nor too high.
If you find yourself still grappling with persistent feelings of sadness, hopelessness, or a lack of interest in activities, it may be a sign that your antidepressant dose is insufficient. Similarly, if you notice increased physical energy without a corresponding uplift in mood, or ongoing problems with sleep or changes in appetite and weight, these could also suggest the medication is not at a therapeutic level.
On the other hand, a dose that is too high can lead to excessive sedation or drowsiness, severe or frequent side effects such as dry mouth, blurred vision, constipation, confusion, hallucinations, or heart palpitations, mood swings, agitation, irritability, or uncharacteristic changes in mood or behaviour, and even serious physical symptoms like seizures or increased bruising or bleeding. These signs warrant immediate medical attention.
Regular communication with your doctor is vital in managing your dosage. Discuss any new or worsening symptoms, as both undertreatment and overtreatment can have significant effects on your quality of life and safety. Be alert for rare but severe side effects, and seek immediate help if you experience signs of an allergic reaction, serotonin syndrome, blood clots, or suicidal thoughts, especially when starting a new medication or after a dose increase.
The optimal dose varies by person, and changes should only be made under medical supervision. Your psychiatrist or doctor can guide you through the process of adjusting your antidepressant dosage safely and gradually. Some people may need to stay on antidepressants for several years, while others might only need them for a shorter time.
Tracking symptoms and attending follow-ups with your doctor is essential for finding the right balance of your antidepressant. Improved self-esteem, more energy to do the things you love, a more stable mood, sleep, and appetite, and the anticipation of anxiety not arising or not reaching its previous intensity can all be signs that your antidepressant is working.
If increasing your antidepressants or lowering the dosage isn't working over time, your doctor may suggest trying a different kind of medication. Talking to a therapist can help navigate any changes or symptoms and make helpful suggestions on how the medication is going for you.
In some cases, getting a second opinion from another professional may be beneficial if you don't have a great relationship with your current provider or feel like you can't talk with them about your dosage. After finding the right dose, you can work with your psychiatrist or doctor to create a long-term plan for your treatment.
Remember, patience and persistence are key when it comes to finding the right antidepressant dosage. Keep the lines of communication open with your healthcare provider, and don't hesitate to seek help if you suspect your current dosage isn't right.
If your antidepressant isn't effectively improving your mental health, such as resulting in persistent feelings of sadness, hopelessness, or a lack of interest in activities, it might be time to discuss a possible dose adjustment with your doctor. On the other hand, a dose that triggers excessive sedation, severe side effects, mood swings, agitation, irritability, or uncharacteristic changes in mood or behavior may suggest that you're taking too much medication. In these cases, it's crucial to seek immediate medical attention.
