Is my new prescription of Serta (100 mg increasing to 200 mg) and Clonotril 2 mg safe and appropriate, given that my family doctor believes the doses are too high, I was recently diagnosed with moderate fatty liver on an ultrasound, and my previous medications (Venla XR and Qmind) caused weight gain, anger, and itching?
A dose of Serta (sertraline) up to 200 mg and Clonotril (clonazepam) at 2 mg are on the higher side. Because you have moderate fatty liver, your body may process these medications more slowly, which can increase side effects. Given your family doctor's concerns and your past sensitivities to Venla XR (venlafaxine) and Qmind (quetiapine), a cautious, lower-dose approach is very reasonable. I highly recommend asking your psychiatrist and family doctor to coordinate. This ensures your doses are safely tailored to support both your mental health and your liver function.