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Dr. Andrew Rynne

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Having Insomnia, Panic Attacks And Anxiety After Having Zoloft. Should I Continue Medication?

Hi. I started zoloft 2 days ago. The first night I took 50 mg as directed and had EXTREME insomnia, panic attacks, and felt like I would vomit. Last night, I cut the pill and took 12.5 mg instead. Still had some insomnia, mild nausea, but still a ton of anxiety to the point where I had to leave work. (Heart rate was 100-115 and was having PVCs). Should I continue or stop taking zoloft?
Tue, 8 Apr 2014
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Psychiatrist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

I understand that you are going through a difficult time due to your recent problems. Zoloft (Sertraline) is an SSRI antidepressant medication used in the treatment of depression and anxiety disorders.

During the first 1 to 2 weeks of starting Zoloft, many people can experience a worsening or increase in their anxiety symptoms. This is a common side effcect of all SSRIs. It will subside on its own within 1 to 2 weeks and the medicine will then start giving you beneficial effects. So, don't worry about the increase in anxiety. I would advise you to continue Zoloft and wait for 1 to 2 weeks for it to start helping you.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
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Having Insomnia, Panic Attacks And Anxiety After Having Zoloft. Should I Continue Medication?

Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are going through a difficult time due to your recent problems. Zoloft (Sertraline) is an SSRI antidepressant medication used in the treatment of depression and anxiety disorders. During the first 1 to 2 weeks of starting Zoloft, many people can experience a worsening or increase in their anxiety symptoms. This is a common side effcect of all SSRIs. It will subside on its own within 1 to 2 weeks and the medicine will then start giving you beneficial effects. So, don t worry about the increase in anxiety. I would advise you to continue Zoloft and wait for 1 to 2 weeks for it to start helping you. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist