These effects should pass after the first couple of weeks. If they do not, and this is a problem for you, go back to the doctor and see what else you could try.
The good effects of sertraline may, after a while, have a positive impact on your sex life as your mood lifts and you become interested in life and relationships again. If you are trying to get pregnant, you should not take sertraline unless you have talked about it with your doctor. Taking sertraline may affect your ability to do things like riding a bike, competitive sports or anything else that needs a lot of focus.
Sertraline can make you feel very restless in the first few weeks that you take it and may affect you when you sit or stand still. You should talk to your doctor about any future exams if you are starting sertraline.
You might decide together to delay starting it until you have done them. If they are more than a month away, however, you might find that it is better to start sertraline to improve your motivation to study. You need to talk to your doctor or pharmacist before starting treatment with sertraline if you have or have had any of the following:. You will need to take sertraline for several months after you feel better, otherwise your symptoms can come back.
Your doctor will advise you how long to take sertraline for, as it depends on why you are taking it. For depression it might be six months, for OCD it might be 12 months and for other anxiety related conditions such as PTSD and panic disorder it might be up to 18 months. If you stop taking the sertraline too soon, there is more chance that your symptoms will come back. If you have bipolar disorder , it is likely that the doctor will advise for the sertraline to be stopped sooner.
This is because, in bipolar disorder, there is a risk of your mood becoming too high if an antidepressant is used for too long. You will get the best effects from your medicine if you take it every day at the dose prescribed by your doctor. Make sure that you know your dose.
If it is not written on the label, check with your pharmacist or doctor. You will usually take it once a day. When you start treatment, it is recommended that you take it in the morning and not at night, in case it affects your sleep. To help you to take you tablet regularly you should choose a time that you will remember.
This could be a mealtime or when you brush your teeth. You will start with a low dose, which will be increased slowly to a dose that is effective for you. If you forget to take it by bedtime, just start again on the next day. Do not take a double dose. If you forget to take your tablets for a few days, you may start getting your old symptoms back, or get withdrawal symptoms feeling dizzy or shaky, sleep problems [including difficulty sleeping and intense dreams], feeling irritable or anxious, feeling or being sick, and headaches.
If this happens you should talk to your doctor about it. Stopping this medicine quickly, or reducing the dose too much at once, may cause uncomfortable withdrawal symptoms. Once you start taking an SSRI, the brain adjusts to having a new level of serotonin around. If you stop taking the SSRI all at once, the balance starts to change again. You could get some symptoms from the change. Sertraline is not addictive, but you may get uncomfortable withdrawal symptoms if you stop sertraline suddenly, as your body begins to miss it.
It is better to agree stopping with a doctor who will reduce you gradually over about four weeks. These symptoms should stop after two to three weeks for most people, but a very few people can get them for two to three months or more.
If you have taken more sertraline than the dosage recommended by the doctor who prescribed it to you, you must get medical help immediately — even if you do not feel any different. While taking sertraline, some people may think about hurting themselves or taking their own lives. You must go straight to hospital with your tablets if you have any of these thoughts. Sertraline can also cause rare but serious side effects: allergic reactions difficulty breathing, swelling of your face or throat, itching skin lumps , a seizure fit , serotonin syndrome see 'Side Effects' tab for description , and liver problems which may present as yellowing of skin and eyes.
Go to a hospital with your medicine if you get any of these symptoms. Do not take sertraline if you have taken a monoamine oxidase inhibitor antidepressant MAOI like moclobemide, phenelzine, isocarboxazid or tranylcypromine in the last 14 days. Stopping sertraline suddenly can cause unpleasant withdrawal effects. Go to your doctor if you want to stop, or if you are having these effects. Sertraline is not addictive, but stopping it suddenly can cause problems such as: feeling dizzy or shaky, sleep problems including difficulty sleeping and intense dreams , feeling irritable or anxious, feeling or being sick, and headaches.
You might feel sleepy or restless, and may not be able to see as clearly, in the first few days after taking sertraline. Do not drive a car, ride a bike or operate machines until you see how this affects you. If you are pregnant, or thinking of becoming pregnant, please read the pregnancy section see 'Side Effects' tab because sertraline may affect the developing baby.
Take your medicine with you to show to the doctors. Tell them how much you have taken. Get a friend to go with you, if you can, just in case you feel ill on the way. You are also at risk of getting serotonin syndrome. Symptoms include a high fever, agitation, confusion, trembling, or weird movements of your muscles. This is rare, but you should watch out for it. Naidoo says you may have other options as well.
She mentions dietary changes, mindfulness, breathing exercises, and physical exercise as additional ways to combat anxiety. Your physician can help you come up with a treatment plan that will fit well into your life. Skip to main content Search for a topic or drug. Zoloft for anxiety: Is Zoloft good for anxiety?
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Advocacy Advocate for Change. Advocacy Policy Priorities. Advocacy Policy Platform. Advocacy Crisis Intervention. Advocacy State Fact Sheets. Advocacy Public Policy Reports. Sertraline Zoloft. Know the warning signs Learn the common signs of mental illness in adults and adolescents. Mental health conditions Learn more about common mental health conditions that affect millions. Missing doses of sertraline may increase your risk for relapse in your symptoms. Caution is advised with breastfeeding since sertraline does pass into breast milk.
Symptoms of your condition that bother you the most If you have thoughts of suicide or harming yourself Medications you have taken in the past for your condition, whether they were effective or caused any adverse effects If you experience side effects from your medications, discuss them with your provider.
Some side effects may pass with time, but others may require changes in the medication. Any other psychiatric or medical problems you have, including a history of bipolar disorder All other medications you are currently taking including over the counter products, herbal and nutritional supplements and any medication allergies you have Other non-medication treatment you are receiving, such as talk therapy or substance abuse treatment. Your provider can explain how these different treatments work with the medication.
If you are pregnant, plan to become pregnant, or are breastfeeding If you drink alcohol or use drugs How Should I Take Sertraline? Check with your doctor if you notice any symptom that worries you while you are taking this medication. Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health.
These factors may affect how you should use this medication. Bleeding: This medication may increase the risk of bleeding, especially if you are also taking medications such as acetylsalicylic acid ASA , nonsteroidal anti-inflammatory drugs NSAIDs; e. If you experience easy bruising, pinpoint-sized red spots on the skin, or unusual bleeding while taking this medication, contact your doctor immediately.
Bones: Sertraline may increase the risk of bone fracture, especially if you are a senior or have osteoporosis or other major risk factors for breaking a bone. Take extra care to avoid falls, especially if you get dizzy or have low blood pressure. Your doctor may monitor your bones while you are taking this medication. Diabetes: Sertraline may cause a loss of blood sugar control increased or decreased blood sugar for some people who have diabetes and glucose tolerance may change. If you have diabetes, monitor your blood sugar closely and report any changes to your doctor.
If you have diabetes or are at risk for developing diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. People using sertraline should avoid driving a car or operating hazardous machinery until they determine whether or not the medication affects them in this way.
Glaucoma: Sertraline may cause an increase in pressure in the eyes. It can cause symptoms of glaucoma to become worse. If you have glaucoma, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Heart rhythm: Sertraline can cause changes to the normal rhythm of the heart, including an irregular heartbeat called QT prolongation. QT prolongation is a serious life-threatening condition that can cause fainting, seizures, and sudden death. If you are at risk for heart rhythm problems e.
Liver function: Liver disease or reduced liver function may cause this medication to build up in the body, causing side effects. If you have liver problems, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Your doctor may want to test your liver function regularly with blood tests while you are taking this medication. If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately.
Mania: Sertraline may cause activation of mania. This means that people who are prone to mania may be more likely to have their mania start up again. If you have a history of mania or bipolar disorder, your doctor should closely monitor your condition while you are taking this medication.
Seizures: If you have a history of seizures, your doctor should closely monitor your condition while you are taking sertraline. If you develop seizures, stop taking the medication and contact your doctor. Serotonin syndrome: This medication may cause a rare but potentially life-threatening condition called serotonin syndrome , especially when used with other medications that increase serotonin levels e.
John's wort. If you experience symptoms such as agitation, confusion, hallucinations, fast heart rate, fever, lack of coordination, increased body temperature, overactive reflexes, nausea, vomiting, and diarrhea, get immediate medical attention.
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