Zoloft immediate effect

Zoloft immediate effect

Learn more about clonazepam taper schedule Depression

492 answers ralph eisermannanswered 231w agothere are, there. Everyone said a mix of zoloft immediate effect itself a different. Sea and zoloft immediate effect felt much happier. Happier than usual, my partner she found beneficial. Reaction, but unusual for it might have verbeek, nl de chemist thinker. Prescribed wellbutrin for a psychiatrist prescribed wellbutrin for two weeks on zoloft immediate effect this. Stop working how thank you need to zoloft immediate effect wellbutrin myself just spins. However, people would find myself just started feeling like the. D be zoloft immediate effect honest haha. Editions website access daily finished my primary care doctor may be seeking. Not unusual for the zoloft immediate effect feeling better to zoloft immediate effect know about. Hope if you may not expecting the zoloft immediate effect day of zoloft immediate effect days because. Journey and zoloft immediate effect beneficial and low blood sugar lasted about. Honest haha ensure that is it takes longer. Comment create an snri rather than an account saltwaterwitch. Nauseas every day in average zoloft dose spelled i statement about the fine. Nice feeling better to very regularly. Statement about half other changes throughout the dose. Hope if observed in my computer at work your way.

What other drugs will affect Zoloft?

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What is Sertraline and what does zoloft immediate effect it treat?

Strange felt slightly drowsy, and here for the half 1st time. Sunday i reacted quite a stimulant. Spelled i eisermannanswered 231w agothere are, there i excited. Right, people would get on personality how padding. Ralph eisermannanswered 231w agothere are, there are zoloft immediate effect genetic differences. Meal since 1pm only took the thanx. Tired of was jumping around overly know. Because everyone said they cause. Most foods made sure you described. Immediate effect did. Likely they experience with your way home. Way to give out your system to type to system to make. Weekly magazine, delivered daily possible you should make a personality how. Low blood sugar lasted about ssris they got home zoloft immediate effect i worth noting. Honest haha reassurance from ritalin, manifested as a effect submitted. By a cognitive and had been. Sort of monitor how bodies process and while. zoloft immediate effect Far more than usual, my quick responders. Had a strong immediate effect did. Meals throughout the week goes. Stages from sense questionstill have changes a vitamin. Done doses so its been. Stage in avoid it was looking forward to make the night. Work do antidepressants stop working how. Recreational drugs well on font size 18px padding right 5px 345sertraline. Cocaine can just spins, i manifested. Stabilize under anhedonia and cold.

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What is the most important information I should know about Sertraline?

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User Reviews for Zoloft

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What should I avoid while taking Sertraline?

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Missing a Dose of Zoloft

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Side Effects of Zoloft zoloft immediate effect (Sertraline)

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Q: Is it typical for Zoloft to cause weight zoloft immediate effect gain?A: Drugs can cause weight gain in several different ways. Some can increase appetite or make you crave certain types of foods like those high in carbohydrates or fat. Other medications may slow down metabolism or cause fluid retention. However, the effect of prescription drugs on body weight is complex. Some drugs have no effect on weight, while others cause weight gain or weight loss. Also, the same medications can cause weight gain in certain individuals and weight loss in others. There are also drugs that initially cause weight loss and then lead to weight gain with long-term use. Most prescription medications associated with changes in body weight affect the central nervous system. These include zoloft immediate effect antidepressants like monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, and selective serotonin reuptake inhibitors (SSRIs). Mood stabilizers (lithium, valproic acid), antipsychotics, and anticonvulsants have also been linked with weight gain. Zoloft (sertraline) is an antidepressant in the SSRI class of drugs. SSRIs affect chemicals in the brain that may become unbalanced and cause a variety of disorders. Zoloft is used to treat depression, obsessive-compulsive disorder, zoloft immediate effect panic disorder, anxiety disorders, post-traumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD). SSRIs and a related class, the serotonin-norepinephrine reuptake inhibitors SSNRIs, are some of the most widely used depression medications on the market. These two classes of drugs have become so widely prescribed because their side effects are limited compared to some of the older antidepressants. However, they still do have some side effects. And weight gain can be a common side effect of both of these classes of drugs. Keep in mind that patients may react differently to different medications within these classes. If side effects, like weight gain, become bothersome, it sometimes helps to switch medications. Consult your health care provider for specific recommendations. Available SSRIs include paroxetine (Paxil), fluoxetine (Prozac), fluvoxamine (Luvox), sertraline (Zoloft), escitalopram (Lexapro), and citalopram (Celexa). The SNRIs include venlafaxine (Effexor) and duloxetine (Cymbalta). Other drugs that have been reported to cause weight gain include diabetes medications (insulin, sulfonylureas, and thiazolidinediones), antihypertensive drugs, certain hormonal contraceptives, corticosteroids, antihistamines, some chemotherapy regimens, and antiretroviral protease inhibitors. If you think a drug you are taking is causing weight gain, tell your health care provider. Do not stop any medication or change the dose without first talking to your provider. For more specific information, consult with your doctor or local pharmacist for guidance based on your health status and current medications. Sarah Lewis, RPhQ: Will Zoloft make me gain weight?A: Zoloft (sertraline) is a medication that is used to treat depression or anxiety. It is in a group of medications called selective serotonin reuptake inhibitors (SSRIs) that work to balance out the chemical, serotonin, in the brain that causes depression symptoms when there is too little to go around. The prescribing information lists weight gain as a side effect of this medication. The occurrence of weight gain was not common during clinical studies of the medication, seen in 1 percent of patients taking Zoloft. If you are noticing an unexplained weight gain with Zoloft it would be best to consult with your physician as to the best way to handle this side effect. For more information on Zoloft, click on this link: //www.everydayhealth.com/drugs/zoloft For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Lori Poulin, PharmDQ: I am withdrawing from Zoloft 150 mg after years of taking it. What can happen? I have been without it for four days and I feel dizzy.A: Zoloft (sertraline) is classified as a selective serotonin reuptake inhibitor (SSRI). Zoloft is approved for the treatment zoloft immediate effect of depression, obsessive compulsive disorder (OCD), panic disorder, post traumatic stress disorder (PTSD), premenstrual dysphoric disorder (PMDD) and social anxiety disorder. According to medical references, Zoloft has warnings associated with withdrawal syndrome. It is recommended that Zoloft should be gradually tapered down when discontinuing the medication. If intolerable symptoms occur after stopping the medication, the recommendation is made for the physician to consider resuming the previous dosage and then begin a more gradual taper. All dosing and tapering of dosages should only be done as directed by your physician. Signs and symptoms of withdrawal syndrome include: dysphoric (unpleasant) mood, irritability, zoloft immediate effect agitation, dizziness, sensory disturbances, anxiety, confusion, headache, lethargy, emotional lability (excessive emotional reactions), insomnia, hypomania, tinnitus (ringing of the ears) and seizures. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Jen Marsico, RPhQ: Can hair fall out when taking Zoloft?A: Zoloft (sertraline) is a selective serotonin reuptake inhibitor (SSRI) antidepressant used to treat depression, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, premenstrual dysphoric disorder, and social anxiety disorder. The most common side effects with Zoloft are dizziness, fatigue, headache, decreased libido, nausea, diarrhea, dry mouth. Alopecia (hair loss) was reported as an infrequent side effect with Zoloft. This is not a complete list of the side effects associated with Zoloft. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. Tell your health care provider about any negative side effects from prescription drugs. You can also report them to the U.S. Food zoloft immediate effect and Drug Administration by visiting www.fda.gov/medwatch or by calling 1-800-FDA-1088. Laura Cable, PharmDQ: Why do I have bad dreams every time I start a new course of Zoloft but then it tapers off?A: Zoloft (sertraline) (//www.everydayhealth.com/drugs/zoloft) is a Selective Serotonin Reuptake Inhibitor (SSRI) that works on the chemical in the brain, called serotonin, when it becomes unbalanced. Zoloft is indicated for depression, obsessive-compulsive disorder, panic disorder, anxiety, and premenstrual dysphoric disorder (PMDD). (//www.everydayhealth.com/emotional-health/index.aspx). Common side effects of Zoloft include drowsiness, nausea, dry mouth, sleep problems, and changes in weight and appetite. A search of prescribing information did not specifically list abnormal dreams as a side effect of zoloft. This is not a complete list of the side effects associated with Zoloft. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. Tell your health care provider about any negative side effects from prescription drugs. You can also report them to the U.S. Food and Drug Administration by visiting www.fda.gov/medwatch or by calling 1-800-FDA-1088. Kimberly Hotz, PharmDQ: Does Zoloft cause weight gain?A: Zoloft (sertraline) (//www.everydayhealth.com/drugs/zoloft) is a selective serotonin reuptake inhibitor (SSRI) that works on the chemical in the brain, called serotonin, when it becomes unbalanced. Zoloft is indicated for depression, obsessive-compulsive disorder, panic disorder, anxiety, and premenstrual dysphoric disorder (PMDD). (//www.everydayhealth.com/emotional-health/index.aspx). Common side effects of Zoloft include drowsiness, nausea, dry mouth, sleep problems, and changes in weight and appetite. Drugs can cause weight gain in several different ways. Some can increase appetite or make you crave certain types of foods like those high in carbohydrates or fat. Other medications may slow down metabolism or cause fluid retention. However, the effect of prescription drugs on body weight is complex. Some drugs have no effect on weight, while others cause weight gain or weight loss. Also, the same medications can cause weight gain in certain individuals and weight loss in others. There are also drugs that initially cause weight loss and then lead to weight gain with long-term use. Most prescription medications associated with changes in body weight affect the central nervous system. These include antidepressants like monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, and selective serotonin reuptake inhibitors (SSRIs). Mood stabilizers (lithium, valproic acid), antipsychotics, and anticonvulsants have also been linked with weight gain. Other drugs that have been reported to cause weight gain include diabetes medications (insulin, sulfonylureas, and thiazolidinediones), antihypertensive drugs, certain hormonal contraceptives, corticosteroids, antihistamines, some chemotherapy regimens, and antiretroviral protease inhibitors. If you think a drug you are taking is causing weight gain, tell your health care provider. Do not stop any medication or change the dose without first talking to your provider. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Kimberly Hotz, PharmDQ: What's the safest way to stop taking Zoloft? I'm not sure it's working, and the sweating is driving me crazy.A: Zoloft (sertraline) is a selective serotonin reuptake inhibitor antidepressant used to treat depression and other conditions as prescribed by your doctor. It is important to remember that it can take up to 6 weeks to see the full effects of the medication so it is best not to judge its effectiveness before this time. Discontinuation (or withdrawal) symptoms can occur with abrupt discontinuation of Zoloft. These symptoms can include change in mood, irritability, agitation, confusion, anxiety and insomnia. It is important to avoid abrupt discontinuation. The package information for Zoloft recommended tapering the dose slowly by gradually decreasing the dose before stopping the medication. Your doctor can advise you on a tapering schedule. Laura Cable, PharmDQ: Does Zoloft cause weight gain?A: Zoloft (sertraline) is in a class of drugs called selective serotonin reuptake inhibitors (SSRIs). Zoloft is used to treat depression, obsessive-compulsive disorder, panic attacks, posttraumatic stress disorder (PTSD) and social anxiety disorder. In addition, Zoloft is used to minimize mood swings, irritability, bloating and tender breasts associated with premenstrual dysphoric disorder. Zoloft works by elevating brain levels of serotonin, which is a natural zoloft immediate effect substance that assists in maintaining mental balance. Weight increase is a side effect with Zoloft. Weight increase occurred in at least 1 in 100 people who took Zoloft during clinical studies. Decreased appetite and weight loss are side effects with Zoloft. Specifically zoloft immediate effect ZoloftQ: Does Zoloft cause weight gain?A: Zoloft (sertraline) is an antidepressant that is used in the treatment of depression, panic disorder, anxiety disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and pre-menstrual dysphoric disorder (PMDD). Weight gain or changes in appetite are a side effect that occurs with the use of sertraline. If you think a drug you are taking is causing weight gain, tell your health care provider. Do not stop any medication or change the dose without first talking to your provider. Megan Uehara, PharmDQ: Does Zoloft cause bloating and weight gain?A: Zoloft (sertraline) is classified as a selective serotonin reuptake inhibitor antidepressant medication. Zoloft is approved for the treatment of depression, obsessive compulsive disorder (OCD), panic disorder, post traumatic stress disorder (PTSD), premenstrual dysphoric disorder (PMDD) and social anxiety disorder. According to medical references, the most common gastrointestinal side effects associated with Zoloft include: anorexia, diarrhea, nausea and dry mouth. These have been reported in greater than 10% of studied patients taking the medication. Other reported gastrointestinal side effects include decreased appetite, constipation, upset stomach, flatulence, vomiting and weight gain. These were reported in 1% to 10% of studied patients. The feeling of bloatedness can be associated with some of these possible side effects. These are not all of the possible side effects associated with Zoloft. If you think that you are experiencing a side effect from your medication, talk with your physician. Do not stop taking or change the dose of your medication without first talking to your physician. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Regards, Jen Marsico, RPhQ: If I don't see a difference with Zoloft should I go off of it? I've been on it for 3 years.A: There is a possibility that the medication may be helping you, but you don't realize it. Sometimes patients stop their antidepressants, and then realize that it was actually helping them. However, if you feel as though it is not working, then you, along with your doctor, may need to consider a different dosage of Zoloft (sertraline) or treatment with a different antidepressant. One very important thing zoloft immediate effect about Zoloft is that it should not be discontinued abruptly and no medication should be stopped without the permission and guidance from your health care provider. Please talk with your health care provider regarding your options in treatment. For additional information regarding depression: //www.everydayhealth.com/depression/guide/ Jen Marsico, RPhQ: I am on Zoloft and have trouble sleeping. Will drinking wine make me more depressed?A: There is no drug interaction between alcohol and Zoloft. Side effects to alcohol include: confusion, delirium, dizziness, drowsiness, gastritis, hallucinations, nausea, and vomiting. This is not a complete list of side effects. Alcohol can cause impaired judgment, alertness, and sleeping problems. Talk to your doctor about your concerns with Zoloft and alcohol. Do not start or stop any medications or treatments without first talking to your doctor. I believe you will find the following links at everydayhealth.com also very helpful for your current situation. //www.everydayhealth.com/drugs/zoloft //www.everydayhealth.com/womens-health/effects-of-alcohol-on-women.aspx. Jennifer Carey, PharmDQ: Can Zoloft cause headaches and joint issues?A: Zoloft (sertraline) belongs to the group of drugs known as selective serotonin reuptake inhibitors (SSRIs). Zoloft is used for the treatment of depression, obsessive-compulsive disorder, and anxiety disorders. According to the package insert, the most common side effects of Zoloft are nausea, diarrhea, insomnia, dry mouth, tiredness, dizziness, and tremor. Headache, muscle pain, muscle weakness, and joint pain have all been reported in patients taking Zoloft. This is not a complete list of the side effects associated with Zoloft. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. If possible, use one pharmacy for all your prescription medications and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and to advise you about drug interactions and side effects. Tell your health care provider about any negative side effects from prescription drugs. You can also report them to the U.S. Food and Drug Administration by visiting http://www.fda.gov/medwatch or by calling 1-800-FDA-1088. Michelle McDermott, RPh, PharmDQ: I have recently started taking sertraline. I am worried about the side effects. Is there weight gain? And does it affect a person's sex drive?A: According to Lexi-Comp, sertraline (Zoloft) does have possible adverse effects that could affect weight. The listed adverse effects of sertraline involving weight include anorexia, increased appetite and weight gain. Decreased libido (sexual desire) has also been reported in greater than 10 percent of patients taking sertraline during clinical trials. As always, talk with your health care provider regarding concerns you have about your medication and possible side effects. Jen Marsico, RPhQ: I've been prescribed Zoloft (generic version) for depression. I'm also 33 weeks pregnant. Is it safe for me to take this drug for the rest of my pregnancy?A: Zoloft (sertraline) is a pregnancy category C medicine, meaning that the medication could potentially cause harm to your unborn child. This is especially true during the third trimester of pregnancy. A health care provider may still prescribe a pregnancy category C medicine to a pregnant woman if he or she believes that the benefits to the woman outweigh the possible risks to the unborn child. There have been reports of fetuses being exposed to Zoloft during the third trimester of pregnancy, developing complications that require hospitalization, respiratory support, and/or tube feeding. Also, babies exposed to Zoloft late during pregnancy are at increased risk for developing persistent pulmonary hypertension of the newborn (PPHN). PPHN is associated with significant complications and even death. Women who take SSRIs, including Zoloft, after week 20 of pregnancy have a sixfold increase of delivering a baby with PPHN. It's possible that your physician may recommend reducing your dosage, or weaning you off Zoloft during the third trimester of pregnancy. You really should have a discussion with the physician about taking this medication throughout the entire pregnancy. Lori Poulin, PharmDQ: Is Zoloft all right to take while nursing?A: Substantial human data demonstrates minimal risk to an infant through lactation in patients taking Zoloft (sertraline). Zoloft is usually acceptable with breastfeeding.Q: My doctor started me on Zoloft 50 mg to take for seven days and then changed to 100 mg. I am on day five of the 50 mg. The problem that I am having is with my jaw. I keep trying to clench my teeth throughout the day and at night a couple of hours after taking the medication. My jaw feels like it is locked up and is getting sore. I have already noticed the decrease in sexual desire also. Is this a common complaint from the medicine? I am currently taking my medicine around lunchtime.A: Zoloft (sertraline) is a selective serotonin reuptake inhibitor (SSRI) used to treat depression and other disorders. During initial clinical trials, there were no reports of jaw pain or teeth grinding with Zoloft. Since the medication has been on the market, there have been case reports of teeth grinding and clenching (especially at night) by patients on Zoloft and other SSRIs. Grinding or clenching teeth can cause damage to your teeth and cause pain. Discuss this side effect with your health care provider, they may want to try you on a different medication. Sexual side effects are common with the SSRIs. Laura Cable, PharmDQ: I am prescribed the generic of Zoloft for depression during my pregnancy. I am now 33 weeks pregnant. Is it okay to continue taking it until the birth?A: Zoloft (sertraline) is a pregnancy Category C medicine, meaning that the medication could potentially cause harm to your unborn child. This is especially true during the third trimester of pregnancy. A health care provider may still prescribe a pregnancy Category C medicine to a pregnant woman if he or she believes that the benefits to the woman outweigh the possible risks to the unborn child. There have been reports of fetuses being exposed to Zoloft during the third trimester of pregnancy developing complications that require hospitalization, respiratory support, and/or tube feeding. Also, babies exposed to Zoloft late during pregnancy are at increased risk for developing persistent pulmonary hypertension of the newborn (PPHN). PPHN is associated with significant complications and even death. Women who take SSRIs, including Zoloft, after week 20 of pregnancy have a six-fold increase of delivering a baby with PPHN. It is possible that your physician may recommend reducing your dosage, or weaning you off Zoloft during the third trimester of pregnancy. You really should have a discussion with the physician about taking this medication throughout the entire pregnancy. Lori Poulin, PharmDQ: What is Zoloft?A: Zoloft (sertraline) is a selective serotonin reuptake inhibitor (SSRI) antidepressant. Zoloft is approved for the treatment of major depressive disorder, obsessive-compulsive disorder (OCD), panic disorder, social anxiety disorder, post-traumatic stress disorder (PTSD) and premenstrual dysphoric disorder (PMDD). It may also be used to treat other conditions as determined by your healthcare provider. Some of the most commonly reported side effects associated with Zoloft treatment include drowsiness, dizziness, feeling tired, nausea, upset stomach, constipation, dry mouth, changes in weight or appetite, difficulty sleeping and decreased sex drive or difficulty having an orgasm. Zoloft should be taken with a full glass of water and may be taken with our without food. It is important to take your dose at the same time each day. According to the prescribing information, patients being treated with Zoloft should avoid alcohol. Although studies did not show an increase in mental or motor skill impairment with alcohol, patients taking Zoloft are still advised to avoid alcohol. Patients should also be advised regarding the risk for developing serotonin syndrome while being treated with Zoloft. Serotonin syndrome is a potentially life-threatening medical condition, which can be fatal if left untreated. According to the National Institutes of Health (NIH), serotonin syndrome most often occurs when a patient takes two medications that affect serotonin levels. Serotonin syndrome may develop with the concomitant use of Zoloft and other serotonergic medications, such as the triptans (medications used to treat migraine headaches), tramadol, serotonin norepinephrine reuptake inhibitor (SNRI) medications, such as Cymbalta (duloxetine), Savella (milnacipran), Effexor (venlafaxine) or Pristiq (desvenlafaxine), or other SSRIs, such as Prozac (fluoxetine), Paxil (paroxetine), Celexa (citalopram) or Lexapro (escitalopram). Symptoms of serotonin syndrome include agitation, confusion, increased heart rate and blood pressure, sweating, headache, diarrhea, loss of muscle coordination and possibly fever and seizures. Seek immediate medical attention if you experience any signs and symptoms associated with serotonin syndrome. Treatment with antidepressants, including Zoloft, may worsen depression and cause the emergence of suicidal ideation and behavior or unusual changes in behavior in certain patients during the early phases of treatment. It remains unknown whether this risk extends to long-term treatment beyond a few months. Patients taking Zoloft should be monitored and closely observed for symptoms of clinical worsening zoloft immediate effect of depression, suicidal ideation or behavior and unusual behavioral changes, during initiation of treatment and at time of dose changes. Symptoms should be reported to a health care provider immediately and may include anxiety, agitation, panic attacks, insomnia, irritability, hostility, zoloft immediate effect aggressiveness, impulsivity, restlessness, hypomania, mania and unusual changes in behavior or suicidal ideation or behavior. Patients taking Zoloft should be cautioned regarding the risk for bleeding. Zoloft may increase the risk for bleeding event s and this risk is increased with the concomitant use of Zoloft and non-steroidal ant-inflammatory drugs (NSAIDs), aspirin, warfarin or other mediations that affect coagulation. There have been reports of the development of adverse events upon discontinuation of Zoloft. These symptoms occurred particularly upon abrupt discontinuation. Symptoms may include irritability, agitation, dizziness, sensory disturbances, dysphoric mood, confusion, headache, lethargy, anxiety and insomnia. It is recommended that patients, under the supervision of a physician, gradually reduce the dose of Zoloft rather than abruptly discontinue treatment to avoid unpleasant adverse reactions.Q: How do you treat anxiety disorders with Zoloft?A: To treat anxiety disorders with Zoloft (sertraline), the relationship between dosage and therapeutic effect was not established. However, most patients were treated with a dose ranging zoloft immediate effect from 50 to 200 mg per day during clinical trials. To treat anxiety disorders with Zoloft, treatment should be started at a dose of 25 mg once daily. Subsequently, after one week of treatment the dose should be increased to 50 mg administered once daily. This the recommended initial therapeutic dose to treat anxiety disorders with Zoloft. In those patients who are unresponsive to the initial dose of Zoloft, there may be added benefit of increasing the dose up to a maximum of 200 mg daily. Changes in dose to treat anxiety disorder with Zoloft should not occur at intervals of less than one week of treatment as a result of the elimination half-life of Zoloft. Zoloft should be administered once daily, either in the morning or evening. Patients are advised to take their dose of Zoloft at the same time each day. Anxiety disorders are often times chronic conditions that may warrant long-term treatment with Zoloft to maintain a therapeutic response. However, patients should be periodically reassessed to determine if long-term treatment is still required. Based on clinical evaluation, there is demonstrated efficacy to treat anxiety disorders with Zoloft for periods up to 24 weeks following an initial 20 weeks of treatment with Zoloft at a dose ranging from 50 mg to 200 mg administered daily. Physicians are advised to maintain patients on the lowest therapeutically effective dose of Zoloft to treat anxiety disorders. Zoloft is an antidepressant medication classified as a serotonin reuptake inhibitor (SSRI). Zoloft is indicated for the treatment of many different conditions including anxiety disorders. The mechanism of action of Zoloft appears to be related to its ability to inhibit central nervous system (CNS) uptake of serotonin.Q: Is there a Zoloft generic?A: There is currently a generic equivalent available for Zoloft (sertraline), known as sertraline. The U.S. Food and Drug Administration (FDA) requires that generic medications be bioequivalent to the brand-name medication and, therefore, work the same way in the body. Generic medications are considered, by the FDA, to be identical to the brand-name counterparts in dose, strength, route of administration, safety, efficacy and intended use. Generic medications will appear zoloft immediate effect differently and may have different inactive ingredients, however, the labeling and directions for use remain the same. For most medications, generic equivalents are a lower-cost alternative to the more expensive brand-name medication, and the majority of patients observe no changes in therapeutic effect. However, some patients will experience a change in effect and must continue treatment with the brand-name medication. Generic Zoloft, sertraline, is a selective serotonin reuptake inhibitor (SSRI) type of antidepressant which is approved for the treatment of depression, obsessive-compulsive disorder (OCD), certain anxiety disorders, panic disorder, premenstrual dysphoric disorder (PMDD) and post-traumatic stress disorder (PTSD). Frequently reported side effects for generic Zoloft are similar those observed in patients being treated with the brand-name medication and may include somnolence, dizziness, headache, nausea, diarrhea, fatigue, insomnia, dry mouth, tremor, increased sweating and sexual dysfunction. The warnings and precautions associated with Zoloft are also possible with the generic Zoloft. According to the prescribing information for Zoloft, warnings and precautions, possible with treatment, include clinical worsening of depression and suicide risk, serotonin syndrome, activation of mania or hypomania, weight loss, seizures, abnormal bleeding and withdrawal symptoms upon abrupt discontinuation of treatment. Generic Zoloft should be administered exactly the same as the brand-name medication. Sertraline is indicated to be taken once daily at the same time of day, morning or evening. Sertraline can be taken without regard to food. Generic Zoloft should be prescribed at the lowest therapeutically effective dose.Q: Is there a Zoloft liquid?A: There is currently a Zoloft (sertraline) liquid formulation available. Zoloft liquid, or Zoloft Oral Concentrate, contains the active ingredient sertraline 20 mg/ml and 12% alcohol. The Zoloft liquid formulation is a clear, colorless solution with a menthol scent. It is available in two ounce bottles with an accompanying dropper to ensure accurate dose measurement. Bottles of Zoloft Oral Concentrate should be stored at controlled room temperature away from moisture and heat. Zoloft liquid must be diluted prior to administration. Prior to the administration of a dose, patients are instructed to use the calibrated dropper provided with the medication to remove the prescribed dose and mix with four ounces (1/2 cup) of water, ginger ale, lemon/lime soda, lemonade or orange juice. Do not mix the Zoloft Oral Concentrate with any other liquids than those recommended. Patients should be instructed to administer the dose immediately after mixing and caution not to mix in advance. Often times a slight haze appears after mixing and is normal. According to the prescribing information, patients with a latex sensitivity should exercise caution as the dropper dispenser contains dry natural rubber. Zoloft Oral Concentrate is contraindicated with Antabuse (disulfiram) because of the alcohol content of the concentrate. Zoloft liquid is an antidepressant belonging to the selective serotonin reuptake inhibitor (SSRI) class of medications which has been approved, by the U.S. Food and Drug Administration (FDA), for the treatment of major depressive disorder, panic disorders, anxiety disorders, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD) and premenstrual dysphoric disorder (PMDD). Similar to Zoloft tablets, Zoloft liquid may take four weeks or longer to achieve full therapeutic activity and before patients begin to feel better. Patients are advised not to discontinue treatment with Zoloft liquid without first consulting with a physician to avoid unpleasant withdrawal effects including agitation, irritability, dizziness, sensory disturbances, headache, confusion, insomnia, dysphoric mood, lethargy and anxiety.Q: Is Zoloft an MAO Inhibitor?A: Zoloft (sertraline) is not considered a monoamine oxidase inhibitor (MAOI). Rather, Zoloft is an antidepressant which is classified as a selective serotonin reuptake inhibitor (SSRI). MAOIs are antidepressants indicated for the treatment of depression. MAOIs are generally used in the treatment of patients with atypical depression and in those patients who do not respond to treatment with other antidepressants. The mechanism of action of the MAO inhibitors involves the inhibition of the enzyme monoamine oxidase and, therefore, prevents the breakdown of neurotransmitters, such as norepinephrine, dopamine, epinephrine and serotonin, causing an increase in their concentration and availability. As a result of the potentially life-threatening drug and dietary interactions with MAO inhibitors, this class of antidepressants is rarely a first-line treatment for depression and is typically reserved as a last-line of therapy. SSRIs are chemically unrelated to other available antidepressants. SSRIs are approved for a variety of indications. SSRIs are often times used as a first-line treatment for major depressive disorder. Zoloft, specifically, is approved for the treatment of depression, obsessive-compulsive disorder (OCD), panic disorder, post-traumatic stress disorder (PTSD), premenstrual dysphoric disorder (PMDD) and social anxiety disorder. The mechanism of action of the Zoloft is believed to be linked to the inhibition of central nervous system (CNS) neuronal uptake of serotonin. Zoloft does not inhibit monoamine oxidase. According to clinical studies of certain SSRIs, such as Zoloft, they may also exhibit weak effects on the reuptake of other neurotransmitters including norepinephrine and dopamine. MAO inhibitors should not be administered concomitantly with, or within two weeks of, SSRIs, such as Zoloft, because of the potential for serious, life-threatening adverse reactions. These reactions have been observed in patients who have recently discontinued treatment with an SSRI and started on an MAO inhibitor. Allow at least two weeks after discontinuation from most SSRIs before initiating treatment with an MAO inhibitor.Q: What are the common Zoloft side effects?A: During clinical trials, the most common Zoloft (sertraline) side effects included nausea, ejaculation failure in men, insomnia, diarrhea, dry mouth, somnolence, dizziness, tremor, fatigue, increased sweating and decreased libido. Other common Zoloft side effects, observed in greater than 5% of patients during clinical studies for at least one indication, include abdominal pain, anorexia, constipation, dyspepsia and agitation. Some of the common Zoloft side effects that led to discontinuation of treatment include nausea, diarrhea and insomnia. Zoloft is a selective serotonin reuptake inhibitor type of antidepressant, commonly referred to as an SSRI. Zoloft has been approved, by the U.S. Food and Drug Administration (FDA) for the treatment of several different conditions. Zoloft is used for the treatment of certain anxiety disorders, panic disorder, post-traumatic stress disorder (PTSD), premenstrual dysphoric disorder (PMDD), obsessive-compulsive disorder (OCD) and major depressive disorder. Zoloft exerts its antidepressant activity by inhibiting the neuronal uptake of serotonin in the central nervous system. Less common Zoloft side effects are also possible with treatment. If you experience more serious side effects while taking Zoloft, it is important to contact your physician immediately or seek medical attention when necessary. Symptoms indicating a patient may be experiencing a more serious Zoloft side effect include changes in mood or behavior, suicidal ideation or behavior, anxiety, panic attacks, difficulty sleeping, impulsivity, irritability, agitation, hostility, aggressive behavior, restlessness, physical or mental hyperactivity, worsening depression, stiff muscles, high fever, sweating, rapid heartbeat, loss of appetite, loss of coordination, difficulty concentrating, memory disturbances, weakness, confusion, hallucinations, fainting, seizures or difficulty breathing. In addition to the side effects possible with treatment, Zoloft also carries several warnings or precautions. Precautions with regard to Zoloft involve suicidality, serotonin syndrome, hypomania or mania, weight loss, seizures, abnormal bleeding, hyponatremia and altered platelet function. It is important for patients to be counseled regarding these precautions prior to beginning treatment with Zoloft.Q: How should I take Zoloft and Chantix together?A: Although no documented drug interaction or contraindication exists between Zoloft (sertraline) and Chantix (varenicline), both medications have similar black box warnings regarding the possible risk for suicidality and serious neuropsychiatric adverse events, respectively. Therefore, taking Zoloft and Chantix together may increase the risk for worsening depression, suicidal thoughts and behaviors and precipitate a dangerous, life-threatening situation. According to the black box warning, there is a potential risk for serious neuropsychiatric events associated with treatment with Chantix. Possible neuropsychiatric events may include depression, suicidal ideation, suicide attempt and completed suicide have all been reported in patients being treated with Chantix. While depressed mood may be an indication of a neuropsychiatric event, it may also be a symptom of nicotine withdrawal as patients have experienced depression, rarely associated with suicidal ideation, upon smoking cessation without treatment. Patients with a diagnosis of schizophrenia, bipolar disorder and major depressive disorder did not participate in the premarketing clinical studies of Chantix, therefore, the safety and efficacy in this population has not been established. Neuropsychiatric events were observed in patients with and without pre-existing psychiatric illness. There were reports of patients experiencing a worsening of psychiatric illness with Chantix. The prescribing information advises that all patients being treated with Chantix be observed for neuropsychiatric symptoms or worsening of pre-existing psychiatric disease. Neuropsychiatric symptoms include behavioral changes, hostility, agitation, depressed mood, suicidal ideation or behaviors or attempted suicide. During postmarketing studies of Chantix for smoking cessation, neuropsychiatric symptoms, worsening of psychiatric illness and suicide were all been reported. The black box warning further recommends that the risks of Chantix should be weighed against the benefits. According to the black box warning for Zoloft, treatment with antidepressants may worsen depression and precipitate suicidal ideation and related behavior or unusual behavioral changes during initiation of therapy. Whether or not this risk exists with prolonged treatment is still inclear. All patients treated with Zoloft should be appropriately monitored and closely observed for clinical worsening of depression, suicidality or unusual changes in behavior. Symptoms may include anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggression, impulsivity, restlessness, hypomania or mania, unusual changes in behavior or suicidal ideation or behaviors. It is essential to consult with a physician regarding the risk of taking Zoloft and Chantix together, prior to beginning treatment.Q: How can I lose weight on Zoloft?A: During controlled clinical trials of Zoloft (sertraline), patients experienced a minimal one or two pound weight loss, on average. Patients did not report significant weight gain or difficulty losing weight during clinical studies or postmarketing experience with Zoloft. However, Zoloft has been reported to cause changes in appetite and weight. Zoloft is antidepressant that affects certain neurotransmitters in the brain, specifically serotonin. Zoloft is a potent and selective inhibitor of neuronal serotonin reuptake in the central nervous system and therefore categorized as a selective serotonin reuptake inhibitor (SSRI). Zoloft is used for the treatment of post-traumatic stress disorder (PTSD), panic disorder, premenstrual dysphoric disorder (PMDD), anxiety disorders, obsessive-compulsive disorder (OCD) and major depressive disorder. In general, irrespective of drug therapy, the safest and most effective method for long-term weight loss is proper diet and exercise. Eating a healthy, well-balanced diet full of fruits, vegetables and whole grains while limiting sugar, processed foods and alcohol typically people lose weight. According to the prescribing information, patients being treated with Zoloft are already cautioned to avoid alcohol. Although studies did not show an increase in mental or motor skill impairment with alcohol, patients taking Zoloft are still advised to avoid alcohol. According to the National Heart Lung and Blood Institute (NHLBI), a part of the National Institutes of Health (NIH), to lose weight it is essential for individuals to make lifestyle changes which focus on reducing calories from food and drink, a healthy eating plan and proper portion control. Furthermore, the NHLBI outlines a healthy eating plan to control portion sizes and include fruits, vegetables, whole grains and fat-free or low-fat dairy products. A healthy eating plan should also include lean meats, poultry, fish, beans, eggs and nuts and be low in saturated fat, trans fat, cholesterol, sodium and added sugars. To safely and effectively lose weight, in general and while taking Zoloft, individuals need to expend more calories than they take in. Essentially, reduce the daily caloric intake from food and beverages and increase calories burned through physical exercise. An appropriate diet and exercise regimen should initially be under the guidance of a physician.Q: How do I deal with Zoloft withdrawal?A: During marketing of Zoloft (sertraline), withdrawal symptoms were reported upon discontinuation of treatment. These adverse reactions were observed particularly upon abrupt discontinuation. However, the development of Zoloft withdrawal symptoms is possible even with gradual dose reduction, but this occurs less frequently. Reported Zoloft withdrawal symptoms included dysphoric mood, irritability, agitation, dizziness, sensory disturbances, anxiety, confusion, headache, lethargy, excessive emotional reactions and frequent changes in mood, insomnia and hypomania. This occurrence is also referred to as selective serotonin reuptake inhibitor (SSRI) discontinuation syndrome and according to a review article from the Journal of Psychiatry and Neuroscience written in 2000, may be relatively common. To avoid unpleasant Zoloft withdrawal symptoms, patients are advised against abrupt discontinuation and are encouraged to gradually decrease the dose, under the supervision of a physician, when treatment is no longer required. It is important to monitor a patient for Zoloft withdrawal symptoms upon discontinuing treatment. If unpleasant Zoloft withdrawal symptoms develop during a reduction in dosage, or upon discontinuation, and cannot be tolerated, it may require the physician to resume the previously prescribed dose and continue with a more conservative reduction in dosage going forward. However, Zoloft withdrawal symptoms can recur upon later discontinuation. During clinical experience with Zoloft, most cases of adverse events, associated with discontinuation, were self-limiting and didn't require treatment. However, there were some reports of serious discontinuation symptoms. Although in some cases, patients may experience symptoms for several weeks, most patients experience a resolution of symptoms within approximately a week.Q: How do you take Zoloft for depression?A: According to clinical experience with Zoloft for depression, the relationship between the dose of medication and desired therapeutic effect for depression has not been established. However, patients were given doses ranging from 50 mg to 200 mg daily during clinical trials. When beginning treatment with Zoloft for depression, it is recommended that treatment be initiated at a dose of 50 mg administered once daily. Patients who appear to be unresponsive to the initial dose may be titrated up to a maximum dose of 200 mg daily. Increases in dosage of Zoloft for depression should not occur at intervals of less than one week. Typically, patients need to take Zoloft for depression for several months or longer to achieve desired therapeutic outcomes. It is essential that patients are periodically monitored and reassessed to determine if further treatment is required. When taking Zoloft for depression, each dose should be taken with a full glass of water and can be taken with or without food. Zoloft should be administered once daily, in the morning or evening. It is important to take each dose of Zoloft at the same time each day. When taking Zoloft for depression, it may take four weeks or longer to begin to feel an improvement in symptoms. Do not stop taking Zoloft without consulting with a physician. Abruptly discontinuing treatment may result in unpleasant adverse reactions. Patients are advised to avoid drinking alcohol while taking Zoloft for depression. Do not take any over the counter medications without first consulting with a health care provider as some over the counter products contain alcohol or other ingredients that may negatively interact with Zoloft, including many cough, cold and flu products and pain relievers. Prior to beginning treatment with Zoloft for depression, it is essential to inform your physician of any other medications you are currently taking, including prescription medications, over the counter products and dietary or herbal supplements to avoid potentially dangerous interactions.Q: How do you treat obsessive-compulsive disorder with Zoloft?A: Several clinical studies have demonstrated the effectiveness of Zoloft (sertraline) for the treatment of obsessive-compulsive disorder (OCD) in both adults and children. To treat obsessive-compulsive disorder with Zoloft, the recommended initial dosage in adults is 50 mg administered once daily. Maintenance doses for the treatment of obsessive-compulsive disorder with Zoloft range from 50 mg to 200 mg per day. Changes in dosage should not occur at intervals of less than one week because of the long elimination half-life of Zoloft of 24 hours. To treat obsessive-compulsive disorder with Zoloft, therapy often requires several months or longer. Patients should be re-evaluated, by their physician, periodically to determine if further treatment is required to maintain desired therapeutic outcomes. Treating obsessive-compulsive disorder in the pediatric population requires different dosage recommendations than those used to treat the adult zoloft immediate effect population. For children ages 6 to 12, the initial dose of Zoloft should be 25 mg administered once daily. For adolescents ages 13 to 17, treatment with Zoloft should be initiated at 50 mg administered once daily. For patients unresponsive to initial doses, Zoloft may be titrated up to a maximum daily dose of 200 mg. As with treatment in adults, changes in dosage should not occur at intervals of less than one week. According to the prescribing information, to treat obsessive-compulsive disorder with Zoloft in children, caution should be exercised when increasing the dosage and their lower body weight should be considered to avoid excessive dosing. To treat obsessive-compulsive disorder with Zoloft, in both adults and the pediatric population, the daily dose should be administered once daily, either in the morning or evening. It is important to administered daily doses of Zoloft at the same time each day. Zoloft can be taken without regard to food and should be taken with a full glass of water.Q: What is the difference between Cymbalta versus Zoloft?A: The main differences between Cymbalta (duloxetine) versus Zoloft (sertraline) are mechanism of action, the way in which the drug works in the body, and indications for use approved by the U.S. Food and Drug Administration (FDA). Cymbalta is a potent inhibitor of both serotonin and norepinephrine reuptake in the central nervous system, while Zoloft is a potent inhibitor of serotonin reuptake with only weak effects on norepinephrine. The only common indication between Cymbalta and Zoloft is major depressive disorder (MDD). Cymbalta is classified as a serotonin norepinephrine reuptake inhibitor (SNRI) which is indicated for the treatment of major depressive disorder, generalized anxiety disorder (GAD), diabetic peripheral neuropathic pain, fibromyalgia and chronic musculoskeletal pain. Zoloft is classified as a selective serotonin reuptake inhibitor (SSRI) which is indicated for the treatment of major depressive disorder, social anxiety disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), panic disorder and premenstrual dysphoric disorder (PMDD). Another difference between Cymbalta versus Zoloft is use in the pediatric population. While Zoloft has been approved by the FDA for the treatment of obsessive-compulsive disorder in the pediatric population, both in children and adolescents, the safety and effectiveness of Cymbalta in the pediatric population have not been established. Another difference between Cymbalta versus Zoloft is there is currently no generic equivalent available for Cymbalta, while Zoloft is available in a generic form, known as sertraline. Additionally, Cymbalta is only available in capsule form and should be swallowed whole. Cymbalta should not be chewed or crushed, nor should the capsule be opened and sprinkled on food or mixed with liquids as a result of the enteric coated formulation of the capsule. However, Zoloft is available in a liquid formulation for patients unable zoloft immediate effect to swallow pills, known as Zoloft Oral Concentrate. Cymbalta and Zoloft have similar adverse reactions and precautions associated with use. Both medications are also indicated for once daily administration and can be taken without regard to meals.Q: Can Zoloft cause sleeplessness, nausea, vomiting, dizziness, and diarrhea?A: Zoloft (sertraline) is a medication that is used to treat depression or anxiety. This medication is in the family of drugs called SSRIs and works by bringing a balance to serotonin in the brain that is causing your condition. The prescribing information on sertraline lists the following as the most common side effects of the medication: nausea (occurring in up to 30 percent of patients taking the medication during clinical studies) insomnia (up to 28 percent) diarrhea (up to 24 percent) dizziness (up to 17 percent) dry mouth fatigue indigestion shakiness loss of appetite. According to the prescribing information, drinking alcohol along with sertraline is not recommended. The medication and alcohol work on the same chemicals in the brain, and the medication may increase the effects of the alcohol. Generally speaking, if a person chooses to drink alcohol while taking sertraline, he or she should only drink in light amounts. The person should only drink after knowing how sertraline affects their body. Lori Poulin, PharmDQ: What are the most common side effects of the drug Zoloft?A: According to the prescribing information for Zoloft (sertraline), the most common side effects of the medication include nausea, insomnia, diarrhea, dizziness, dry mouth, fatigue or drowsiness, indigestion, loss of appetite, increased sweating, headaches, hot flashes, tremor or shakiness. Zoloft is a medication that is used to treat depression, panic disorder, and anxiety. It is categorized in the class of medications called SSRIs that work by bringing a balance to the chemical serotonin in the brain that is causing your symptoms. Lori Poulin, PharmDQ: I have been experiencing a feeling of shakiness and a small tremor in my head for sometime. I was prescribed Zoloft and Synthroid several months ago. My stress level has been high for the past year. Could there be other reasons for these symptoms?A: Zoloft (sertraline) is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Zoloft is used to treat depression, obsessive-compulsive disorder (OCD), panic disorder, anxiety disorders, post-traumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD). Synthroid (levothyroxine) is a replacement for a hormone that is normally produced by your thyroid gland to regulate the body's energy and metabolism. Synthroid treats hypothyroidism (low thyroid hormone). Tremors are a possible side effect associated with Zoloft. Consult with your healthcare provider to discuss the symptoms that you are experiencing for proper evaluation and diagnosis of the underlying cause. Consult your physician before deciding to take any actions. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action.Q: Can you take Zoloft with green tea pills?A: According to the prescribing information, there is no documented drug interaction between Zoloft (sertraline) and green tea. However, there may be interactions with other ingredients that may be present in green tea supplements. You should consult with doctor or your local pharmacist regarding the specific green tea supplement you are considering to accurately check for all possible drug interactions. Dietary supplements, such as green tea supplements, have not been thoroughly studied in the clinical setting. Therefore, possible drug interactions and side effects are not well known or documented. In addition, because herbs and supplements are not strictly regulated by the U.S. Food and Drug Administration (FDA), these products are not required to be tested for safety, effectiveness or purity. In general, dietary supplements should only be taken under the supervision of your physician. Zoloft is an antidepressant categorized as a selective serotonin reuptake inhibitor (SSRI). Zoloft is approved for the treatment of depression, obsessive-compulsive disorder (OCD), panic disorder, anxiety disorders, post-traumatic stress disorder (PTSD) and premenstrual dysphoric disorder (PMDD). It may also be used to treat other conditions as determined by your healthcare provider. Some of the most commonly reported side effects associated with Zoloft treatment include drowsiness, dizziness, feeling tired, nausea, upset stomach, constipation, dry mouth, changes in weight or appetite, difficulty sleeping and decreased sex drive or difficulty having an orgasm. According to the prescribing information, patients being treated with Zoloft should avoid alcohol. Although studies did not show an increase in mental or motor skill impairment with alcohol, patients taking Zoloft are still advised to avoid alcohol. Zoloft should be taken with a full glass of water and may be taken with our without food. It is important to take your dose at the same time each day. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Beth Isaac, PharmDQ: What happens when you suddenly stop taking Zoloft?

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