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fluoxetine vs zoloft

A selective serotonin reuptake inhibitor (SSRI), such as Zoloft (sertraline chloride), is used to treat a number of psychiatric disorders, including depression, PTSD, OCD, social anxiety disorder, and panic attacks. Serotonin is a hormone that regulates mood and its levels in the brain are brought into balance by Zoloft.

Other names for this medication:

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Sertraline alters brain chemicals that may be out of balance in those who experience symptoms of depression, panic, anxiety, or obsessive-compulsive behavior. Premenstrual dysphoric disorder (PMDD), which is also treated with Zoloft. Selective serotonin reuptake inhibitors (SSRIs) are a class of medications that include the antidepressant Zoloft. Major depressive disorder, obsessive-compulsive disorder, panic disorder, social anxiety disorder, and post-traumatic stress disorder are all conditions that are treated with Zoloft.


Also, you may experience symptoms such as mood swings, headache, tiredness, sleep changes, and brief feelings similar to electric shock. Do not chew or crush the capsules. Make no advance preparations for a supply. Do not stop taking this medication without consulting your doctor. Avoid using a regular spoon because you might not get the right dosage. This medication should not be mixed with other liquids. Drink all of the mixture right away. Follow your doctor's instructions carefully. If you're using this medication to treat premenstrual symptoms, your doctor may advise you to take it every day of the month or just during the two weeks leading up to the start of your period. Ask your doctor or pharmacist if you have any questions about how to take this medication in capsule form. Ask your doctor or pharmacist any questions you may have. Just before taking, carefully measure the dose using the medicine dropper provided. Keep taking this medication even if you feel well. Mix the dose with a half cup (4 ounces/120 milliliters) of water, ginger ale, lemon-lime soda, lemonade, or orange juice. Before beginning sertraline use and each time you get a refill, read the medication guide and, if available, the patient information leaflet that was given to you by your pharmacist. Immediately report any symptoms that are developing or getting worse. When this medication is abruptly discontinued, some conditions may get worse. Take the capsules whole. As prescribed by your doctor, take this medication by mouth once daily, preferably in the morning or evening. Take this medication regularly to get the most benefit from it. If your condition persists or worsens, let your doctor know. The 150 milligrams and 200 milligrams capsule may be taken with or without food. It is customary to eat while taking the 25 mg, 50 mg, and 100 mg capsules. Your medical condition and treatment response will determine the appropriate dosage. This medication is only available in liquid form, which must be combined with another liquid before use. It's normal and safe for the mixture to appear cloudy. Take this medication with or without food, in tablet or liquid form. Take it at the same time every day to help you remember to take it. Your doctor may gradually lower your dose to prevent these symptoms as you stop taking this medication. Your physician might advise you to begin taking this medication at a low dose and gradually increase it to reduce your risk of experiencing side effects.

Missed dose

To catch up, don't double the dose. Skip the missed dose if it is almost time for the subsequent dose. If you miss a dose, take it as soon as you remember. When the time comes, take your next dose.


A provincial poison control center is accessible to Canadian citizens. Speak with your pharmacy or the neighborhood waste removal service. To catch up, do not double the dose. Unless specifically instructed to do so, avoid flushing or pouring medications down the drain. Do not give anyone else this medication. Do not keep items in the bathroom. Skip the missed dose if the time for the subsequent dose is approaching. Call 911 if someone has overdosed and is exhibiting serious symptoms like passing out or difficulty breathing. Take the missed dose as soon as you remember if you forget. Keep all medications away from children and pets. Keep all scheduled appointments for mental health and medical care. In any other case, immediately dial a poison control number. When the product is no longer needed or has expired, dispose of it properly. Store at room temperature away from light and moisture. Severe dizziness and fainting can be signs of an overdose. At the appointed time, take your next dose. The local poison control center can be reached by calling 1-800-222-1222 for US citizens.


Speak with your pharmacy or the neighborhood waste removal service. Unless otherwise instructed, avoid flushing or pouring medications down the drain. Store away from bathrooms. Keep kids and pets away from all medications. When the product is no longer needed or has expired, dispose of it properly. Away from light and moisture, keep items at room temperature.

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Side effects

It is extremely unlikely that this medication will cause a severe allergic reaction. Get medical attention right away if you experience any of the following signs and symptoms: rapid heartbeat, hallucinations, loss of coordination, extreme nausea, vomiting, or diarrhea, twitching muscles, unexplained fever, or unusual agitation or restlessness. Get medical attention right away if you experience any very serious side effects, such as fast or irregular heartbeat, dizziness, fainting, bloody or black stools, coffee-ground-like vomit, eye pain or swelling, dilated pupils, or vision changes (such as seeing rainbows around lights at night or blurred vision). Get medical attention right away, though, if you experience any of the signs of a serious allergic reaction, such as a rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing. Inform your doctor or pharmacist right away if any of these side effects persist or get worse. If this happens, stop taking the medication and seek medical attention right away to avoid permanent issues. Contact your doctor or pharmacist if you experience any additional effects that aren't covered above. In Canada - Call your doctor for medical advice about side effects. In the US - Call your doctor for medical advice about side effects. Many people who use this medication report no significant side effects. Nausea, dizziness, drowsiness, dry mouth, loss of appetite, increased sweating, diarrhea, upset stomach, or trouble sleeping may occur. Rarely, males may experience an uncomfortable or protracted erection that lasts 4 hours or longer. You should keep in mind that your doctor prescribed this medication because she or he thought it would benefit you more than it would harm you. Also see the Warning section. In the event that you experience any severe side effects, such as easy bleeding or bruising, a decrease in sex desire, changes in your sexual prowess, weakness or cramping of the muscles, tremors, or unusual weight loss, contact your doctor right away. Tell your doctor or pharmacist about all the medications you take (see the Drug Interactions section) because the risk increases if you also take other medications that increase serotonin. The list of potential negative effects is not exhaustive. This medication may increase serotonin and rarely cause a very serious condition called serotonin syndrome/toxicity. FDA side effects can be reported by phone at 1-800-FDA-1088 or online at Call 1-866-234-2345 to report side effects to Health Canada.


Before beginning or stopping this medication, consult your doctor. Consult your pharmacist for advice on how to use those products safely. When combined with this drug, aspirin can raise the risk of bleeding. When using this medication, do not take MAO inhibitors such as isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine. All of your medications, including allergy and cold/cough remedies, should have their labels read carefully because they might contain drowsiness-inducing ingredients. Without consulting your doctor first, never start, stop, or modify the dosage of any medications. Drug interactions may change how your medications work or increase your risk for serious side effects. For instance, illicit substances like MDMA/"ecstasy," St. But if your doctor has advised you to take low-dose aspirin (typically 81–162 milligrams a day) to prevent heart attacks or strokes, you should keep taking it unless your doctor gives you another order. John's wort, some antidepressants, such as tryptophan, other SSRIs like fluoxetine/paroxetine, and SNRIs like duloxetine/venlafaxine. Keep a list of everything you use and give it to your doctor and pharmacist. This list should include both prescription and over-the-counter medications as well as herbal products. Make sure all of your doctors and lab staff are aware that you use this medication. For two weeks prior to and following treatment with this medication, most MAO inhibitors should also be avoided. See also the section on precautions. Pimozide and other medications that increase the risk of bleeding or bruising, such as NSAIDs like ibuprofen and naproxen as well as "blood thinners" like warfarin and dabigatran, may interact with this medication. An adverse (possibly fatal) drug interaction could result from taking this medication along with MAO inhibitors. Inform your doctor or pharmacist if you are taking any other medications or substances that make you drowsy, including alcohol, marijuana (cannabis), antihistamines (such as cetirizine, diphenhydramine), sleep or anxiety medications (such as alprazolam, diazepam, zolpidem), muscle relaxants, and opioid painkillers (such as codeine, hydrocodone). If you also take other medications that raise serotonin, the risk of serotonin syndrome or toxicity rises. When you start or increase the dose of these medications, the risk of serotonin syndrome/toxicity may increase. Not all possible drug interactions are covered in this document. This medication may affect the results of some medical/lab tests, including brain scans for Parkinson's disease.


Abnormal bleeding: If you take aspirin, warfarin (Coumadin, Jantoven), a non-steroidal anti-inflammatory drug (NSAID), or ibuprofen or naproxen, Zoloft and other antidepressant medications may increase your risk of bleeding or bruising. If you are unsure whether you take an MAOI, including the antibiotic linezolid, consult your doctor or pharmacist. Call your doctor right away if you experience any of the following symptoms, or dial 911 in an emergency, especially if they are new, worse, or worry you: attempts at suicide acting on dangerous impulses acting aggressive or violent thoughts about suicide or dying experiencing new or worse depression experiencing new or worse anxiety or panic attacks having trouble falling asleep engaging in more activity or talking than usual Changes in appetite or weight. Weight and height measurements should be taken while treating children and adolescents. The main reasons why people have suicidal thoughts or actually do something about it are depression or other severe mental illnesses. While taking Zoloft, avoid drinking. If you stopped taking an MAOI within the previous two weeks, do not start taking Zoloft. high fever uncontrolled muscle spasms stiff muscles rapid changes in heart rate or blood pressure confusion loss of consciousness (pass out) If you take Zoloft, you should not take any other medications that contain sertraline. An increased risk exists for this in older people. If you experience any of these signs, seek immediate medical attention. Do not take an MAOI within two weeks of stopping Zoloft. Keep all follow-up visits with your healthcare provider and call between visits if you are worried about symptoms. low blood sodium (salt) levels. Manic episodes include extreme increase in energy, severe difficulty sleeping, racing thoughts, reckless behavior, unusually grand ideas, and excessive happiness or irritability. When starting Zoloft or changing the dose, pay close attention to any such changes. When taking Zoloft near an MAOI, users may experience severe or even fatal side effects. seizures or convulsions 6. Neuroleptic Malignant Syndrome-like symptoms or Serotonin Syndrome. The following symptoms of severe allergic reactions: difficulty breathing, swollen face, tongue, eyes, or mouth, rash, itchy welts (hives), or blisters, either alone or in conjunction with fever or joint pain. Stop taking Zoloft too soon if you experience any of these serious side effects: anxiety, irritability, high or low mood, restlessness, changes in sleep patterns, headache, sweating, nausea, dizziness, electric shock-like sensations, shaking, or confusion. Do not take Zoloft if you are allergic to Zoloft or any of its ingredients. are taking the antipsychotic medication pimozide (Orap), which can cause serious heart issues. are also taking Antab Suicidal thoughts or behaviors: During the first few months of treatment or after a dose change, Zoloft and other antidepressants may make some children, teenagers, or young adults more likely to have suicidal thoughts or behaviors. Avoid stopping Zoloft without first consulting your healthcare provider if you experience any of the following symptoms: headache, weakness or feeling unsteady, confusion, difficulties concentrating or thinking, or memory issues. Agitation, hallucinations, coma or other mental status changes, coordination issues or muscle twitching (overactive reflexes), a racing heartbeat, high or low blood pressure, sweating or fever, nausea, vomiting, or diarrhea, and muscle rigidity are all possible symptoms of this potentially fatal condition. Keep an eye out for any of the following changes, and contact your healthcare provider right away if you notice any of them: Significant or new changes in mood, behavior, thoughts, or feelings. Before you know how Zoloft affects you, avoid driving, operating machinery, and engaging in other risky activities. Zoloft and other antidepressant medicines may cause serious side effects, including: 1. Zoloft may impair your capacity to think clearly, make decisions, or act swiftly or may make you feel sleepy. These harmful side effects of Zoloft may occur: 2.

Is Zoloft and Xanax the same thing?

Zoloft is generally used as a longer-term treatment, while Xanax is used as a short-term treatment and has the potential for abuse and/or dependence. Also, either drug may be used as part of a comprehensive treatment plan which includes psychotherapy.

How long does Zoloft (sertraline) take to work?

Zoloft (sertraline), a common SSRI antidepressant, can take about 4 to 6 weeks of regular dosing to reach its full therapeutic effect for depression. For other uses, such as obsessive compulsive disorder (OCD) or posttraumatic stress disorder (PTSD), a full effect may take up to 12 weeks of treatment. When prescribed for premenstrual dysphoric disorder (PMDD), benefits may seen in early as the first week during the first menstrual cycle after starting treatment.

Is Zoloft more for depression or anxiety?

Few studies directly compare Zoloft and Prozac in treating anxiety. However, they appear to be equally effective in improving anxiety in studies involving depression. One study that compared the 2 for treatment of major depression found that the drugs both improved symptoms in patients, including anxiety.

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flopcoder May 25, 2011, 9:29:56 AM

Birth defects are not the only concerns with Zoloft and with SSRIs in general. In 2006, the U.S. Food and Drug Administration issued a public health advisory in regard to the apparent relationship between a newborn lung ailment and the mother’s use of an SSRI, such as Zoloft, during pregnancy. The U.S. National Institutes of Health released the study’s abstract, which read, “The biopsy of the liver showed lobular hepatitis, with a mild prominence of eosinophils, suggestive of a drug-induced or toxin-induced aetiology. They have no compunctions about hiring an attorney, ideally one skilled in handling pharmaceutical injury litigation, and filing a Zoloft lawsuit against Pfizer, the antidepressant’s manufacturer. … In this study PPHN was six times more common in babies whose mothers took an SSRI antidepressant after the 20th week of the pregnancy compared to babies whose mothers did not take an antidepressant.”

Brenda Dotson Jul 28, 2016, 7:57:56 PM

"Such findings have enormous implications," wrote Dr. Sagar Parikh, a psychiatrist at the University of Toronto, in a commentary accompanying the study. "If a patient is taking a drug and doing well, he should not stop and switch drugs," Cipriani said. Two antidepressants, Zoloft and Cipralex, work slightly better and are better tolerated compared with 10 other similar drugs for moderate to severe depression, a new review has found. "Now a clinician can identify the four best treatments, identify individual side-effect profiles, explore costs and patients' preferences and collaborate in identifying the best treatment." The study's authors weighed the drugs based on whether it reduced depression scores on two standardized tests by at least half and if patients had not stopped taking the medication in the last two months.

user5481 Aug 27, 2013, 6:58:26 PM

However, there are always methods provided by health professionals to minimize the extra pounds gained. However, use of this medication is associated with risks that include drug abuse and addiction, and, among others, Zoloft weight gain or loss. • The association of Zoloft and weight gain can breed patient dissatisfaction and increase the likelihood of non-compliance to treatment schedules. Sertraline Affects Normal Thyroid Function In a study by Carvalho, Bahls, and Boeving, the effects of fluoxetine and sertraline on patients divided into two groups were observed. Health professionals suggest the water retention may also be the underlying cause of sudden mass gain during or after medicating with Zoloft.

Art Goddess Dec 11, 2011, 6:02:11 AM

Brand name Zoloft is manufactured by Pfizer and is available in the following dosages: 25mg, 50mg and 100mg. Be aware of a dangerous drug interaction if you take MAO inhibitor and Zoloft. In case you want to discontinue usage, do it gradually under the approval and supervision of your doctor to avoid bad withdrawal effects. If they decide to change your dosage, do as they instruct. Regardless, your doctor might prescribe it for something else.

Sanjin Ibrahimovic Jul 8, 2013, 6:37:52 PM

These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. Many people who use cocaine are also battling depression. An overload on serotonin can lead to mild symptoms, including: excessive sweating low fever anxiety restlessness tremors increased heartbeat shaking and shivering diarrhea abnormal skin color More serious side effects that can lead to death include: Fatal serotonin syndrome is unlikely, but it is possible. This is a condition characterized by high levels of serotonin in the brain. Learn more about what happens when you combine multiple drugs Some medical professionals have used Zoloft to treat cocaine addiction, but this does not mean that the two should be taken together.

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