Doctor insights on:
Sertraline For Menopause
On 50mg Zoloft (sertraline) x 15 yrs for PMS & menopause emotions; can it reverse its effect after so long?
SSRI effects: Can ssri effects "switch" after years? When the benefits of an ssri or other antidepressant seem to "go away", this usually indicates either (1) that the patient has had a breakthrough depression/anxiety episode or (2) the patient also needs a mood stabilizer added to treatment. Across a life, the body changes in response to ageing changes and to life stressor exposure. Please call your prescriber! ...Read more
The absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...Read more
Caution.: Sam-e is a naturally occuring precursor to serotonin, and taking it can lead to increased levels of serotonin. It is proving to be an effective treatment for depression, though the doses when taken alone are probably in the range of 1600 mg daily. When taken with a med like zoloft, (sertraline) one runs the risk of developing serotonin syndrome (flushing, diarrhea, palpitations, agitation). I advise caution. ...Read more
I have been taking sertraline and sam-e (several hours apart).I've noticed a positive change in my mood, but I read that it can be unsafe to take both. Is it true?
Possible, not clear: The mechanism of sam-e (methyl donor for important physiological processes including neurotransmitter metabolism) seems to differ from that of sertraline (inhibiting reuptake of serotonin back into the neuron). However with sam-e, levels of serotonin metabolites & others can increase. Http://www. Ncbi. Nlm. Nih. Gov/pubmed/7527320 you might consider stopping the sam-e & seeing how you still feel. ...Read more
Usually ok: Usually diet pills do contain stimulants. Depends on what you are taking zoloft (sertraline) for. Discuss this with your prescribing physician. There is no interaction between the two, however the stimulant effects in diet pills can increase anxiety or panic attacks because they increase heart rate. They do not interact however. ...Read more
Doctor's instruction: With any prescription including zoloft/sertraline, it is highly recommended that you follow your doctor's prescription exactly as indicated on the bottle. The dose range for zoloft is generally 25 mg to a maximum of 200 mg daily. The dose of this medication generally does not shift quickly since it takes time to see results at a given dose (several weeks). Contact your doctor if not sure. ...Read more
Zoloft (sertraline): Sertraline (Zoloft/ Lustral) is one of the Selective serotonin reuptake inhibitor (SSRI) antidepressants. It works primarily by increasing serotonin. It is is FDA approved for the treatment of major depressive disorder, panic disorder, social anxiety disorder, post traumatic disorder, obsessive compulsive disorder, premenstrual dysphoric disorder and body dysmorphic disorder. ...Read more
Discontinuation: Stopping an ssri abruptly can cause a "discontinuation syndrome" which can be very uncomfortable. People can experience this as physical symptoms, emotional symptoms, or both. It can be especially strong with any of the ssri's that have a short half-life (prozac / fluoxetine has the longest). Some physical symptoms are dizziness, especially with eye movements, electrical sensations in head, etc. ...Read more
Yes, but rarely.:
In the case of newer antidepressants literature mentions only a few case reports of hair loss associated with fluoxetine, sertraline, paroxetine, as well venlafaxine, and nefazodone. The pathological mechanism of hair loss is yet to be elucidated but it is known that most psychotropic medication causes hair loss in the telogen phase of hair cycle.
www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc3000200. ...Read more
Zoloft (sertraline): All drugs have effects and side effects. Typically Zoloft (sertraline) and the other SSRI's cause insomnia (do not take before bedtime), but paradoxically, they can also cause somnolence, sleepiness and a feeling of the blahs- like your emotional spectrum is narrowed. Get a good psychiatric evaluation. ...Read more
Depends: On your treatment goals. Typically doses can go higher (200 mg +) if treating depression. But there is a wide dosage range that is therapeutic, in my experience, since every person is different. If you feel better on 100 mg. And have no side effects, that's the best dose for you. Don't worry about a "standard" dose. Take care. ...Read more
Not necessarily...: It's unusual to gain weight when first starting on sertraline. Some people do find that after they have been on it for some time, typically a year or more, that they gain weight because they are eating more. The med won't simply put weight on you, it has to do with what and how you eat, your activity level and all the usual things that have to do with weight. ...Read more
Possible side effect: From Zoloft (sertraline) include: diarrhea, gas, nausea, vomiting, decreased appetite, change in weight, headache, dizziness, tremors, feeling tired or erectile dysfunction. More serious side effects include: seizures, bleeding problems, fever, irregular heart rhythm, hallucination and visual changes. A person who has bipolar disorder may flip from depression into mania or hypomania on Zoloft (sertraline). There is a black ...Read more
Dry Mouth Is Cause: Zoloft (sertraline) and most all antidepressants can cause dry mouth as a side effect. Without proper oral hygiene, one may experience a bad taste. Zoloft (sertraline) can inhibit the production of saliva, thus the dry mouth. The natural tendency to drink water can dry the mouth out further. Suck on a sugar-free hard candy or chew sugar-free gum to stimulate mucous production. Use a special otc mouthwash for dry mouth. ...Read more
Depends....: Sometimes two antidepressants may be used at the same time in some cases but the choice of which ones depends on the condition and symptoms being targeted and potential side effects and interactions. Discuss with your treating md to see if another combination of mess will be best for you. ...Read more
Zoloft (sertraline) and sleep: Compared to tcas, ssris are generally less sedating because of their high selectivity for serotonin receptors. Ssris can suppress rem sleep and delay rem latency too, but they increase awakenings and reduce sws at the same time. One psg study shows sertraline minimally increases sleep efficiency and reduces nocturnal wakefulness time, which may benefit depressive patients. ...Read more
There Aren't Any: Sertraline overdose is seldom fatal. Emergency care is symptomatic --- in other words, if the person is nauseous, we give something for that, if they vomit & become dehydrated, we give fluids, & so on. You can take a sertraline level but, unless it's zero, that won't tell you what to do clinically. ...Read more