Sertraline
Mental healthAlso known as Zoloft
Sertraline is an SSRI — it raises the level of serotonin, a chemical messenger your brain uses to regulate mood. It's prescribed for depression, anxiety, panic attacks, OCD, and PTSD. The honest truth about SSRIs: they take two to six weeks to work, and the side effects often show up before the benefits. Knowing that ahead of time is half the battle.
How to take it
When
Once a day, morning or evening — pick the one you'll stick to. If it makes you drowsy, switch to evening; if it keeps you up, take it in the morning.
Food
With or without food. Taking it with food helps if it upsets your stomach.
Avoid
Alcohol, and the herbal supplement St John's wort. Check with a pharmacist before adding regular ibuprofen or aspirin — SSRIs slightly raise bleeding risk.
Stopping
Never stop suddenly. Your doctor will taper you off gradually to avoid withdrawal-like symptoms.
Missed a dose?
Take it when you remember, unless it's nearly time for the next dose — then skip. Don't take two doses at once.
Common side effects
- Nausea or diarrhea, usually settling within a couple of weeks
- Headache, sleep changes, or vivid dreams
- Feeling jittery or more anxious at first — this typically passes
- Sexual side effects — common and worth discussing openly with your doctor; there are options
Call a doctor if
- New or worsening depression, agitation, or thoughts of self-harm — especially in the first weeks or if you're under 25. Tell someone and call your doctor right away
- Fever, sweating, racing heart, confusion, or twitching muscles — possible serotonin syndrome, get help now
- Unusual bleeding or bruising