Sertraline is an antidepressant belonging to the Selective Serotonin Reuptake Inhibitors (SSRIs) group of drugs. It commonly used to treat depression, panic attacks, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), and social anxiety disorder.

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The withdrawal effect of Zoloft is bad and I cannot handle it. Kindly advice.

Query: Hello doctor, I have been on Zoloft for 14 years. I am on the maximum dose of 200 mg. I have been struggling with anxiety due to menopause. My general doctor thought it might be a good idea to switch my medication. She recommended that I go down to 100 mg a week on the Zoloft and then go to Pristiq...  Read Full »

Dr. Aditya Gupta

Psychiatrist, Sexologist

Answer: Hello, Welcome to As you are having severe withdrawals and discontinuation symptoms even after lowering the dose to 175 mg, I would suggest you consult a psychiatrist in person for evaluation, and then you can discuss with him or her regarding the following, As the reason for the chan...  Read Full »

Why do I always procrastinate and daydream?

Query: Hi doctor, Basically, I am unable to do things I want. I just impulsively do things for instant gratification and have no perseverance. I have a severe chronic procrastination and maladaptive daydreaming. They are sought of related. My mind gets super stressed and while I am procrastinating the tas...  Read Full »

Dr. Padmapriya Chandran

Psychiatrist, Psychologist Counsellor

Answer: Hi, Welcome to The procrastination and daydreaming is because you are preoccupied most of the time. Depression is a disabling illness and causes significant morbidity which goes unnoticed by the family most of the time. Do not feel guilty for the happenings, which is not under your cont...  Read Full »

Please suggest medicines for my newly developed panic attack.

Query: My age is 48, I was a very active person before Covid. I was in lock down, didn't go out of the house unless highly necessary. recently I have developed panic and anxiety disorder for the last two months (on and off, 12-15 episodes or so). I may have depression, but it has never affected me in an...  Read Full »

Dr. Vishal Anilkumar Gandhi


Answer: thank you for taking help from a psychiatrist. Prozac and Zoloft both medications belong to the same group (SSRI) for depression /anxiety/panic attack. sometimes it depends upon the patient. some patient responds well to Zoloft and someone responds well to Prozac. if you are feeling well on Prozac t...  Read Full »

Why do i have consistent acid reflux the whole day? Can GERD cause sleeplessness?

Query: Hi doctor, I have consistent acid reflux when I wake up and until I go to sleep for about three weeks now. It is so bad now that I can not just eat. My mouth tastes to have a nice and yummy food. I get upper back and chest pains when I am lying down at night. I have been checked out by my cardiolo...  Read Full »

Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to You seem to have gastroesophageal reflux disease (GERD). I would advise you to take a combination of Pantoprazole and Domperidone for the reflux. Also, you should take a soft and balanced diet. You should also put a pillow below your head when you sleep. Make a habit ...  Read Full »

How do I overcome porn addiction?

Query: Hello doctor, I am watching porn videos for the past two years. I used to watch it once in a week and now it has become addiction. My mind wants to see it. I masturbate along watching porn videos. My reading concentration is now weak . I want to get rid of watching porn videos . Friends also watch, ...  Read Full »

Dr. Kumarshri Shriniwas Saraswat

Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist, Sleep Medicine Physician

Answer: Hello, Welcome to After going though your history, it is apparent that you are suffering from porn addiction. To overcome this, you can follow some techniques. Any addiction gives pleasure by increasing dopamine levels in the pleasure centers of your brain. You need to find some healt...  Read Full »

How long does Sertraline take to start working after increasing the dose?

Query: Hello, I have depression, OCD, and anxiety. It started five months back. I started with 25mg sertraline a month later when I was diagnosed by my GP, then a week later 50mg, then three weeks later 75mg, which was I was on for about 5 - 6 weeks. Sertraline made me feel better for the most part, and ea...  Read Full »

Dr. Suresh Kumar G D

Child Health Specialist, Paediatrician, Psychiatrist

Answer: Hello Welcome to icliniq - Sertraline is a good choice of medication for depression, OCD and anxiety. - I note that you are on 100 mgs once daily at present. It will help in making you better but if your symptoms are still present, dose needs to be increased further. Especially for OCD maximum ...  Read Full »

Will Zoloft help in acute anxiety and high homocysteine level?

Query: Hello doctor, My brother aged 52 years suffering from acute anxiety and fear since two weeks with homocysteine level more than 50 umol/L and IgE 122 IU/ml (other blood, urine pararmeters, and hormones are normal). He would like to start Zoloft 50 mg daily for two to three weeks. Is this fine?  Read Full »

Dr. Md Rajja

Internal Medicine Physician, General Practitioner, General Medicine Physician, Family Physician

Answer: Hello, Welcome to Your brother is suffering from acute anxiety and fear for two weeks. Take tablet Alprazolam 1.5 mg once daily for 20 days. Zoloft 5 50 mg daily for two to three weeks is also fine. Homocysteine level of more than 50 umol/L is moderately high. Causes among them are p...  Read Full »

Could my insomnia be due to increase in Zoloft dosage?

Query: Hello doctor, I have been taking 100 mg of Zoloft for a number of years. On 14th, my doctor added another 50 mg which I take at bedtime. For the past few days, I have been experiencing severe insomnia and can rarely sleep for more than an hour at a time. In addition, I have begun taking 25 mg of Se...  Read Full »

Dr. Ramchandra Lamba

Psychiatrist, Sexologist, Psychologist Counsellor

Answer: Hello, Welcome to The increase of the dose of Zoloft (Sertraline) can cause sleep problem, as you are facing currently. To manage this, you can change the time from night to morning or afternoon. If you altogether stop night doses of Zoloft (return back to 100 mg per day), then this s...  Read Full »

Do benzodiazepines help in controlling anxiety?

Query: I currently take 5mg Trintellix and 400mgs Gabapentin a day. We have recently reduced my Trintellix from 10mg and stopped 100mg Zoloft. My anxiety is horrible. I'm very irritatable and agitated easily and really want to bust out crying many times throughout the day. My chest/throat is very heavy...  Read Full »

Dr. Vandana Patidar

Psychiatrist, Psychotherapist, Psychologist Counsellor, Sleep Medicine Physician

Answer: Hello, Innova zoloft was decreased, were you facing some side effects? In my opinion zoloft is a SSRI class of drug which is one of the best anti anxiety and anti depression medicines. if you were stable on that medicine this is not a wise decision to switch it. if you had any side effect we co...  Read Full »

Which antidepressant is good to stay out of depression?

Query: Hi doctor, I am having a hard time, and I do not want it to affect my career and social life. I can make the situation better. I am always anxious and suicidal. So I had a thought of taking antidepressants. How can I get them without seeing a doctor and which is good for me?  Read Full »

Dr. Vishal Anilkumar Gandhi


Answer: Hi, Welcome to You need to consult a psychiatrist to take medications. Antidepressants are required to be taken under a doctor's supervision. There is no fixed dose for any antidepressant medicines. After taking the medication, the psychiatrist will evaluate the patient's response and...  Read Full »

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