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Sertraline

Common Brand Names: Zoloft

Drug Information

Medically reviewed by Jessica Swirble, PharmD
Last updated on April 2, 2025

Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

Quick facts

  • Brand Name: Zoloft
  • Generic Name: Sertraline
  • Uses: Depression, anxiety disorders, OCD, PTSD, PMDD
  • Drug Class: Selective serotonin reuptake inhibitor (SSRI)
  • Availability: Prescription only
  • Generic Status: Yes
  • Controlled Substance: No

What is sertraline?

Sertraline is a selective serotonin reuptake inhibitor (SSRI) used to treat depression, anxiety disorders, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD). It works by restoring the balance of serotonin, a neurotransmitter in the brain.

What conditions does sertraline treat?

Sertraline is used to treat conditions such as:

  • Major depressive disorder (MDD)
  • Generalized anxiety disorder (GAD)
  • Panic disorder
  • Social anxiety disorder (SAD)
  • OCD (obsessive-compulsive disorder)
  • PTSD (post-traumatic stress disorder)
  • PMDD (premenstrual dysphoric disorder)

It may also be prescribed for other mental health conditions as determined by your healthcare provider.

How does sertraline work?

Sertraline works by increasing the levels of serotonin in the brain, which helps improve mood, sleep, appetite, and energy levels.

How do I take sertraline?

Sertraline is usually taken orally, once daily, with or without food, as directed by your healthcare provider. The dosage and duration of sertraline treatment depend on your condition and response to the medication.

Follow the prescribed dosage and schedule strictly. Do not stop taking sertraline suddenly without consulting your healthcare provider, as it may cause withdrawal symptoms.

How long until I feel better?

The time it takes to feel the full effects of sertraline can vary from person to person. Some people may notice improvement in their symptoms within a few weeks, while others may require several weeks of treatment.

It's important to continue taking sertraline as prescribed even if you do not feel better immediately. Talk to your healthcare provider if you have any concerns about your treatment.

Are there other uses for sertraline?

While sertraline is primarily used for depression and anxiety disorders, healthcare providers may sometimes prescribe it off-label for other conditions, such as:

  • Sexual problems
  • Binge-eating disorder
  • Menopause symptom treatment

Discuss any alternative uses of sertraline with your healthcare provider.

Dosage forms of sertraline

Sertraline is available in the following dosage forms:

  • Oral tablets: Available in various strengths (e.g., 25mg, 50mg, 100mg)
  • Oral concentrate solution

Generic versions of sertraline are available under various brand names.

Sertraline is a prescription medication. You will need a valid prescription from a licensed healthcare provider to obtain this antidepressant.

Side Effects and Precautions for Sertraline


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What are the side effects of sertraline?

The use of sertraline can lead to various side effects in some individuals.

Common mild side effects of sertraline use include:

  • Nausea
  • Diarrhea
  • Constipation
  • Dizziness
  • Insomnia or drowsiness
  • Headache
  • Heartburn
  • Dry mouth
  • Changes in appetite or weight
  • Increased sweating
  • Tremor
  • Sexual dysfunction (such as decreased libido or difficulty achieving orgasm)

More severe side effects of sertraline use can include:

  • Suicidal thoughts or behavior (especially in young adults)
  • Serotonin syndrome (symptoms may include agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, diarrhea)
  • Severe allergic reactions (rash, itching/swelling, severe dizziness, trouble breathing)
  • Manic episodes (abnormally high energy, racing thoughts, reckless behavior)
  • Seizures
  • Abnormal bleeding or bruising
  • Low sodium levels (symptoms may include headache, weakness, confusion, problems concentrating or remembering, unsteadiness)

If you experience any severe side effects while taking sertraline, seek immediate medical attention.

What should I tell my healthcare provider before using sertraline?

Inform your healthcare provider about any existing medical conditions, allergies, or other medications you are taking before starting treatment with sertraline. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with sertraline.

Tell your provider if you are taking these medications or supplements:

  • MAO inhibitors (e.g., selegiline, phenelzine)
  • Other SSRIs or SNRIs (e.g., fluoxetine, venlafaxine)
  • Tricyclic antidepressants
  • Benzodiazepines
  • Antipsychotics
  • Anti-seizure medications
  • Blood thinners (e.g., warfarin)
  • Antiarrhythmics
  • Herbal supplements (e.g., St. John's wort)

Mention medical conditions such as:

  • History of seizures
  • High blood pressure
  • Bipolar disorder or mania
  • Liver or kidney disease
  • Diabetes
  • Glaucoma
  • Cardiac arrhythmias
  • Bleeding disorders

If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before using sertraline to assess potential risks and benefits.

Are there any other special instructions I should follow?

Take sertraline exactly as prescribed by your healthcare provider. Do not increase or decrease the dosage without consulting them.

It may take several weeks for sertraline to take full effect. Continue taking the medication even if you do not immediately feel better.

Avoid alcohol while taking sertraline, as it may worsen certain side effects.

Do not suddenly stop taking sertraline without your healthcare provider's guidance, as it may cause withdrawal symptoms.

What should I do in case of an overdose?

In case of a sertraline overdose, seek immediate medical attention. Symptoms may include severe dizziness, drowsiness, nausea, vomiting, rapid heartbeat, tremors, seizures, and coma. If you suspect an overdose, contact the poison control helpline at 1-800-222-1222 or call emergency services.

Proper Use & Dosage Information for Sertraline


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What is the typical starting dose for sertraline?

Sertraline is available in various strengths, including:

  • Oral tablets (25 mg, 50 mg, 100 mg)
  • Oral solution (20 mg/ml)

The typical starting dose of sertraline for depression, anxiety disorders, and other mental health conditions can vary depending on factors such as the specific condition being treated, your age, other medical conditions, and how you respond to the medication. It's crucial to follow your healthcare provider's instructions regarding dosage and administration carefully.

For most adults with depression or anxiety disorders, the typical starting dose of sertraline may be:

  • 50 mg taken orally once daily.

However, your healthcare provider may start with a lower dose, such as 25 mg, especially for older adults or those with certain medical conditions. The dose may then be gradually increased based on your response and tolerability, up to a maximum of 200 mg per day.

Sertraline should be taken with or without food, but it's important to take it consistently at the same time each day.

Your healthcare provider will monitor your response to sertraline and may adjust the dose as needed. It's important not to exceed the recommended dose or make changes to your dosage without consulting your healthcare provider.

If you have any questions about your dosage or how to take sertraline, contact your healthcare provider or pharmacist. If you want to talk to a provider right away, consider booking an online doctor appointment on Sesame to discuss your concerns.

What should I do if I miss a dose of sertraline?

If you miss a dose of sertraline, take it as soon as you remember. If it's close to the time for your next dose, skip the missed dose and continue with your regular dosing schedule. Avoid taking a double dose of sertraline to make up for a missed one.

What should I do if I'm feeling better while taking sertraline?

Continue taking sertraline as prescribed by your healthcare provider, even if you start feeling better. Abruptly stopping sertraline can lead to withdrawal symptoms and potential relapse of symptoms. Follow your provider's instructions regarding the duration of treatment.

How should I store sertraline?

Store sertraline according to the instructions provided by your healthcare provider or pharmacist. It should be kept at room temperature, away from excessive heat, light, and moisture. Ensure the container is tightly closed and keep the medication out of the reach of children.

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