For example, it’s important not to expect immediate results when taking Zoloft.
Obsessive Compulsive Disorder
Sertraline may reduce OCD symptoms in four to six weeks.
During your first few days on Zoloft, you may feel fatigued or drowsy.
Verywell / JR Bee
A doctor may recommend that you take it in the evening to avoid feeling tired during the day.
In other cases, Zoloft can actually have a stimulatory effect and increase energy.
It may also cause sleep disturbances, such asinsomnia.
Like other antidepressants, Zoloft may worsen your symptoms before they improve.
If any of these side effects persist or are causing significant problems, talk to a doctor.
Your doctor may also recommend switching to a different SSRI or a different class of medication altogether.
If you experience any of the following, contact your doctor right away.
The black-box warning for Zoloft indicates it may cause or increasethoughts of suicidein children and young adults.
If you are having suicidal thoughts, contact theNational Suicide Prevention Lifelineat988for support and assistance from a trained counselor.
If you or a loved one are in immediate danger, call 911.
For more mental health resources, see ourNational Helpline Database.
However, the syndrome can occur when taking Zoloft alone, as well.
Zoloft, like any medication, presents certain risks and precautionary measures should be taken when possible.
Examples include aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), and Coumadin (warfarin).
Notify your doctor right away if any bleeding events, like nosebleeds or increased bruising.
Seek medical attention immediately if you notice more serious bleeding events, such as blood in your stool.
In severe cases, hyponatremia can lead to seizures and other serious neurologic and medical issues.
In addition, third-trimester use of Zoloft may cause neonatal withdrawal symptoms.
Overall, this decision requires a careful and thoughtful discussion with both an obstetrician and a mental health professional.
The dosage that is prescribed will vary from person to person.
Zoloft is most often taken in tablet form once per day.
A typical dosage for those with depression, obsessive-compulsive disorder, and premenstrual dysphoric disorder is 50mg per day.
Those with panic disorder, PTSD, and anxiety disorders may start out at 25mg per day.
take a stab at take your Zoloft at the same time every day.
Setting a timer on your phone may be helpful so you don’t forget.
What Happens If I Miss a Dose of Zoloft?
In other words, never take two doses of Zoloft at the same time.
Simply take your next scheduled dose and then return to your usual schedule.
Final Thoughts
Before prescribing Zoloft, a doctor will take a thorough medical history.
Even so, it’s important for you to play an active role in your care.
You deserve to get well.
The good news is that if Zoloft doesn’t help, there are lots of other options to try.
Dale E, Bang-Andersen B, Sanchez C.Emerging mechanisms and treatments for depression beyond SSRIs and SNRIs.Biochem Pharmacol.
Allgulander C.Efficacy of sertraline in a 12-week trial for generalized anxiety disorder.American Journal of Psychiatry.
doi:10.1136/bmjopen-2016-011200
McInerney SJ, Kennedy SH.Review of evidence for use of antidepressants in bipolar depression.Prim Care Companion CNS Disord.
2014;16(5).
doi:10.4088/PCC.14r01653
Payne JL, Meltzer-Brody S.Antidepressant use during pregnancy: Current controversies and treatment strategies.Clin Obstet Gynecol.
2016;8(1).
