I am suffering from depression since last year and was on antidepressants for six months this year in april I hv conceived but my symptoms are coming back the symptoms are lack of sleep and headache and abdominal pain mainly after urination. So after three months of pregnancy I hv consulted with my psychiatrist he advised me to take serta 25 half for three times a day and after 4 days one in morning and one in night. But from last three days I hv started this medicine the first two days I was able to sleep only for 2 hours in night and yesterday the third day I was not able to sleep at all. Around 7 am I slept for one hour. I am feeling extreme headache and weakness and my nausea has increased. Please suggest what should I do? If I will continue with this medicine how much time I hv to take this is this tablet habit forming? Is it normal to hv increase nausea and sleep disturbance after having this medicine?
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Hello lybrate-user pregnancy is a state where earlier diseases can flare up. Also pregnancy is a stressful state along with happy state. Since body is under going lot of transformation whether its hormonal, gaining weight and other, somatic symptoms add on. You are on antidepressant serta 25 mg bd doses currently. Continue medicines as per now and they are not habit forming. For sleep disturbance pls start practicing some simple mindfulness exercise at night which will help you to initiate sleep. Add carbohydrate rich diet which will help you to settle nausea some what. Also if you are having extreme headache can take paracetamol 250 mg but only on sos basis strictly. Still you find your symptoms are increasing and creating problem, pls book an appointment. Take care.
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This medication may cause nausea and sleep disturbance for initial few days. Its always better to start with low dose and then to increase dose slowly. It is also advisable to take it in day time if disturbing sleep. Effects of medication can be seen in 10-14 days. If still this doesn't suit you or doesn't show improvement consult your doctor again. All the best.
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Serta is better in pregnancy but can cause nausea and vomitting intially .since you are pregnant, this might be exagerrating the problem. Also it can affect your sleep. Stop the medicine. Try counselling if that would help. What were you taking before pregnancy. Other choices are citalopram or tricyclic antidepressant which may help with sleep. Please discuss with psychiatrist.
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Serta causes sleep disturbance in many, ideal is to stop and re consult a psychiatrist and revise the the ssri to a sedative one. Good luck.
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