I would increase the dose to at least 150mg and hold there for 6-8 weeks before making an opinion on Sertaline. 50mg often not enough for most, with some going beyond the maximum recommended dose. If you are past the initial break in period, give it a full run before you switch and go through the break in period again, at least my 2 cents.
I've started at 50 mg sertraline February 18th. Went to 75mg April 7th. Then t o 100 mg April 13th. Altogether, I've been on sertraline for 62 days straight, always taking it midafternoon, with the exception of the first time I was put on 75 mg for a week, and asked to take it in the morning. When I did that, I couldn't sleep at night. Then, went back to 50mg, March 24th,( taking it midafternoon again ) for about twelve days, then, increased to
75mg, then, to 100mg, which I have now been at for eight days.
If it's had any positive effect on me, I haven't noticed. I'm not worse, but, I'm not better, prior to taking this drug. ( I've never been on antidepressants before, with the exception of being on Lexapro, for 45 days, which didn't help at all, although now I know you need to be on these for a while before they work. I didn't know that back then. I think I quit the Lexapro because my anxiety got worse being on it.
Since I've been on it, I was given a written, multiple choice test, for AADD, and, I tested positive for it ( 75 ).
The counselor told me my doctor may put me on a drug for that. My anxiety may be from my inability to focus, not completing even simple tasks, without wondering off to the next.
She thinks I may be given Ritalin, which, I've read increases the dopamine and serotonin levels in the brain.
This gets me thinking since sertraline affects these neurotransmitters, too, is it possible, given enough dosage and time, this drug would produce positive results for my AADD?