Doctor insights on:
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
I normally have severe pms. (cramping where i can't stand up straight, and really bad mood swings) why/how does Zoloft (sertraline) help with it so much?
SSRI: Inhibiting serotonin reuptake (that's what zoloft (sertraline) does) improves mood and relaxes smooth muscle, two prominent features of things going wrong in pms/pmdd. Since its predictable, using ssri just before the luteal phase of the cycle can dramatically improve symptoms of pms/pmdd. ...Read moreSee 1 more doctor answer
I am on a 28 day cycle birth control and started taking Zoloft a week before I was supposed to start my period. I experienced pms symptoms before my period was supposed to start but they went away and my period has not come yet. Can Zoloft interfere with
Zoloft: Zoloft does not interfere with birth control. If you are on birth control already then it sounds like everything is ok. Sometimes menstrual cycles are very light on birth control and some brands make them almost nothing. If you think you might be pregnant check then check a home pregnancy test. They are cheap, reliable and available at any pharmacy. ...Read more
PMS tips: There are a number of things you can help with cramps. Omega 3 fatty acid and magnesium supplementation can be beneficial. Avoid excessive sugar and low quality carbohydrate intake. Don’t add extra salt to your food and avoid processed foods containing extra salt. Reduce caffeine and alcohol use. Stay physically active. ...Read more
PMS Sxs: I agree with dr. Thanapathy. Pms symptoms can include feeling tearful, irritability, mood swings, anger, depressed mood, change in sex drive & anxiety. These may be accompanied by swelling of the breasts (or extremities), weight gain, bloating, cramps, overeating, headaches (to include migraines), dizziness, fainting and palpitations. Sleep may be disturbed with problems with acne or hives. ...Read moreSee 1 more doctor answer
PMS symptoms: Pms includes both physical and emotional symptoms in the 1-2 weeks before your menstrual period, and which go away when bleeding starts. These include: swollen, tender breasts; feeling tired; sleeping poorly; upset stomach; bloating; constipation/diarrhea; trouble w/concentration; headache or backaches; joint aches & pains; tension & irritability; depression; mood swings; crying spells, etc. ...Read more
Prevention: Try to stay hydrated and eat foods low in sodium to prevent bloating associated with pms. You could also eat foods that are rich in vitamin b6 (bananas and nuts) which helps to modulate hormones related to pms. Finally, exercise and stay active. Endorphins are released during physical activity which can also help relieve your symptoms when you do experience pms. ...Read moreSee 1 more doctor answer
PMS or: Perimenstrual syndrome is a collection of emotional symptoms, with or without physical symptoms, related to a woman's menstrual cycle. The exact cause is unknown. Menopause is cessation of ovarian estrogen secretion, either due to age (which is a natural occurrence) or surgical removal. ...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 moreSee 1 more doctor answer
Zoloft (sertraline) dose: Although zoloft (sertraline) may be prescribed at an off-label dose of 300mg per day that would only be under psychiatrist / physician supervision and if there was not adequate response to a lower dose. DON'T change medication doses on your own. ...Read moreSee 1 more doctor answer
Hormone imbalance: Most girls with pms have a relative Progesterone deficiency in the second half of the cycle. Vitamin deficiencies are also thought to be causative. I get the best response with Progesterone the last two weeks prior to menstrual bleeding. Generic Prozac (fluoxetine) works well the week prior to menstrual bleeding as well. ...Read moreSee 1 more doctor answer
Taper: As long as one tapers off under medical supervision it is usually tolerable. Tapering too fast or stopping cold turkey can lead to serotonin discontinuation syndrome. Paxil (paroxetine) is one of the more difficult to take off. Most people do fine with a taper. Take care. ...Read moreSee 1 more doctor answer