Accidentally Overdosing on Sertraline: My Experience
I’m a 19-year-old female from Brazil, standing at 145 cm and weighing 59 kg. I identify as Caucasian and have been diagnosed with generalized anxiety disorder (GAD) and autism. Additionally, I refrain from smoking or consuming alcohol and maintain a routine that includes 50 mg of quetiapine and 50 mg of sertraline daily. Recently, I encountered an alarming situation regarding my medication. My aunt, who usually helps me with my prescriptions, mistakenly purchased 100 mg sertraline instead of my regular 50 mg. In the chaos of my busy schedule over the last couple of days, I failed to notice this change and took the pills consistently in the mornings without a second thought. Upon attending my latest appointment with my psychiatrist, she decided to increase my sertraline dosage back to 100 mg, but recommended a gradual approach—taking 75 mg for a few days to minimize potential side effects. This meant I would need to consume two and a half pills. It wasn’t until I was preparing to measure out the correct dosage that I glanced at the medication packaging and discovered it was actually 100 mg. This realization hit me hard: I had inadvertently been on a higher dosage for two days without even realizing it. Now, I’m worried, as I have a tendency to overthink health concerns due to my hypochondria. Should I be anxious about this situation? Is there any cause for serious alarm?
Answers (1)

7/11/2025, 11:30:53 PM
OpenHealth AI
It's understandable to feel anxious after an incident like this, but there are important points to consider about your situation concerning the sertraline dosage.
Key Points to Consider:
- Sertraline Dosage: Taking 100 mg instead of 50 mg, especially if done for a couple of days, can cause increased side effects, but it's not typically life-threatening.
- Monitoring Symptoms: It's crucial to keep an eye on how you feel during this time, especially regarding any side effects.
- Consultation with Your Psychiatrist: Since your psychiatrist is already aware of your medication and the recent changes, that’s a positive avenue to ensure safety.
Explanation:
Sertraline, like all medications, has a range of side effects. When taking a higher dose than prescribed, you may experience some unwanted effects such as increased anxiety, restlessness, gastrointestinal symptoms, or sleep disturbances. However, your body is often quite resilient, and for a short period of time, this higher dosage might not lead to severe reactions.
The gradual increase to 100 mg, as suggested by your psychiatrist, is a standard procedure to help minimize side effects. The key here is to communicate openly with your psychiatrist about your recent experience. Since you’ve inadvertently taken the higher dosage for only two days, while concerning, it likely won't lead to serious long-term effects, but monitoring your symptoms is important.
Next Steps:
- Monitor for Symptoms: Pay attention to how you’re feeling in the coming days. Common side effects to watch out for include nausea, dizziness, insomnia, or heightened anxiety.
- Document Changes: Consider keeping a brief symptom diary over the next week, noting any changes in mood, sleep patterns, or any physical symptoms you experience.
- Communicate with Your Psychiatrist: Reach out to your psychiatrist about your experience as soon as you can, sharing your concerns and any symptoms you're noticing. They may advise you to adjust your dosage or offer reassurances.
- Stay Calm: Practicing relaxation techniques, such as deep breathing or mindfulness exercises, can help reduce anxiety while you manage this situation.
It's perfectly normal to feel anxious, especially given your history with health concerns. Focus on your next steps and lean on your support system. You're taking the right path by being proactive about your health.
Related Questions
Curious About My Stool: Seeking Answers
At 25 years old, I've been prescribed 900mg of lithium to take in the evening, although I seldom follow this regimen. I've also been diagnosed with anemia and recently encountered diverticulitis, which is on the mend. After using the restroom, I noticed something unusual in my stool. There was no discomfort involved, but I am quite concerned and curious about what this could be. Additional details are provided in the comments for those who may have insights.
Are These Moles Healthy?
Gender: Male Age: 37 Ethnicity: Caucasian Location: Ontario, Canada Smoking History: Stopped smoking 2 years ago after a 15-year period of smoking 1.5 packs daily. Current Medications: B12 and D vitamins only. Recently, I discovered a mole on my left chest area that wasn’t present in older photographs of myself. Although I’m uncertain of its exact onset, it is relatively large, measuring slightly over half an inch. I've been monitoring it for some time now and it seems stable, showing no noticeable changes. Additionally, I have a larger mole located on my back, which I have also included in my observations. Should I consider having these examined by a medical professional? There hasn’t been any discharge, but it does occasionally itch.
Is It Time to Be Concerned About My Stool?
(19M. Currently prescribed Wellbutrin, trazodone, and Ritalin.) Over the past few weeks, I’ve noticed that my stool has taken on a notably dark hue—dark brown with a hint of green, to be precise. I also experience bouts of loose stools but have yet to encounter full-blown diarrhea. Until recently, I didn't think much of it, attributing my bowel issues to my poor eating habits. However, after coming across videos discussing the rise of colon cancer in younger individuals, I’ve started to feel a bit anxious about the possibility. I have yet to book an appointment with a gastroenterologist, particularly as I believe I might have observed something resembling "coffee grounds" in my stool earlier today. Perhaps I am being overly cautious; I am aware that I suffer from chronic hemorrhoids that can occasionally bleed when I exert too much force. Should I be seeking a colonoscopy right away? Could it be that I am at risk for colon cancer?
Should I Invest $6,000 to Determine if I Have Wolff-Parkinson-White Syndrome?
I am a 20-year-old woman weighing 100 pounds, currently taking magnesium, 0.5 mg of propranolol, and 20 mg of Lexapro. My medical history includes panic attacks and anemia. A couple of years back, I started experiencing anxiety, which manifested as chest pain and panic episodes primarily emphasizing physical symptoms. Thankfully, I have managed to overcome the anxiety, and I no longer experience panic attacks or constant worries about my health. Recently, during a routine check-up, I informed my general practitioner about intermittent chest pain that isn't linked to anxiety, along with bouts of palpitations. After performing an EKG, my doctor noted an irregularity related to either the QT or ST segments—I can’t recall the specifics—but it appeared to dip slightly before rising sharply. She mentioned it might indicate Wolff-Parkinson-White (WPW) syndrome, or it could simply be attributed to my lean physique. Consequently, she referred me for further testing at the hospital. After reviewing the costs, I decided to cancel the appointments, as the total was $6,000 for a heart ultrasound and a 24-hour monitoring device. Now, around seven to eight months later, I find myself contemplating whether this is an avenue worth pursuing or if I should just let it go. To assist in my decision-making, I’d like to weigh the advantages and disadvantages. On the one hand, I experience several concerning symptoms, but many could easily be attributed to anxiety. I would be incredibly frustrated if I ended up spending $6,000 only to be told it’s my anxiety causing these issues. I’ve been dealing with heart palpitations, which can occur around three times in one day and then not at all for a week. Their duration can vary from a single beat to lasting over 15 seconds. My typical resting heart rate is around 100 beats per minute, which can easily jump to 120 or 140 quite often. I know this isn’t entirely abnormal, especially since I work an active job as a waitress for 35 hours a week, so you’d think I’d have a more robust heart. My heart tends to race over trivial matters—such as taking a hot shower, waking up, immediately standing up from bed (noting that these are distinct events), or bending over. A few years ago, during the onset of my anxiety, I visited the ER, convinced that something was wrong. They conducted several tests, including a chest X-ray, EKG, and a troponin test (at least, I think that was the name). The verdict was that everything appeared normal; it was just anxiety. In light of my recent GP visit suggesting WPW, I revisited my ER notes and found a remark about “possible left atrial enlargement.” After Googling it, I discovered that it doesn’t sound favorable, leading to some frustration with the earlier medical team for not proposing further investigation into that possibility—though it was only a suggestion. I’m not sure if that detail is significant, but it’s worth mentioning. On the other hand, spending $6,000 solely for reassurance is a considerable sum. Financially, I could manage it, but it would necessitate some cutting back on my already limited expenses, which only cover bills, rent, food, and gas. If it were critical to have this checked out, I could plan for it, but I perceive the odds as weighing 30% in favor of there being a genuine issue and 60% it’s merely anxiety at play. So, healthcare professionals, I would highly appreciate your guidance on what steps I should take next!
Minor Dog Bite Incident
This wasn't a situation involving a stray canine; rather, it was a brief altercation between my two pets. Rest assured, they are currently back to snuggling together, so there’s no need for any drastic measures regarding the one that nipped me. After the incident, I promptly treated the wound and applied a bandage. I'm uncertain about how it will heal, but I did confirm that she is current on her vaccinations. Both of my dogs, weighing in at around 130 pounds, are up to date on their shots. As for me, I'm taking medication called Odanstan, which I use to manage nausea. Other than that, I'm not sure what else to add at this point.