Your doctor prescribed an antidepressant to help boost your mood or ease your anxiety. But, as soon as you feel better, you might assume you no longer need the medicine. And suddenly, you feel like you have the flu, or a stomach bug, or perhaps you find it hard to think and have disturbing thoughts. When antidepressants that affect the brain chemical serotonin are suddenly stopped, the body may respond with physical and emotional symptoms caused by the sudden absence of increased serotonin levels that occur while taking the antidepressant. These symptoms are not technically the same thing as physical "withdrawal" from a drug. Physiological withdrawal happens when someone is taking a drug that can be addictive. Antidepressants are not addictive or habit-forming. Unlike drug withdrawal, antidepressant discontinuation effects are not related to addiction but can reflect physiological consequences of stopping a drug, just as when someone with diabetes stops insulin. About one in five people who take an antidepressant for six or more weeks may experience discontinuation symptoms if they suddenly stop taking the medicine. Tapering down your medication gradually under the supervision of your health care provider can help avoid or minimize symptoms. However, it is still possible in those who decrease their dose too rapidly or sometimes even slowly quit the medicine. Those taking sertraline, also known under the brand name Zoloft, for major depressive disorder (MDD) should continue their regular prescribed dosage, even if they feel better. Missing doses of sertraline run the risk of relapsing into the symptoms being treated in the first place. Discontinuing sertraline abruptly can cause withdrawal symptoms like irritability, nausea, dizziness, vomiting, nightmares, headache and a prickly, tingling sensation on the skin known as paresthesias. Even without abrupt discontinuation of sertraline, withdrawal symptoms may still occur to some extent depending on the time span of use, dosage, individual physiology and the length of time taken to taper off sertraline. These include all the withdrawal symptoms above and may also include concentration problems, bouts of crying, depression, fatigue, diarrhea, memory problems, mood swings, suicidal thoughts and weight changes. These symptoms will generally subside within a month, though doctors say that they can last up to 90 days. We know the struggle, which is why we're uniquely qualified to help. Your call is confidential, and there's no pressure to commit to treatment until you're ready.
Serotonin reuptake inhibitors (SSRIs) are fairly well known for having a discontinuation syndrome when the medication is stopped suddenly or if it is rapidly weaned. This is more notable with SSRIs with shorter half-lives such as Paxil (paroxetine) and Zoloft (sertraline) and less common with long half-life medications, such as Prozac (fluoxetine). That means that for every day that passes without taking the medication, the level in the blood falls by 50 percent. After one day, the level is reduced to 50 percent of the original level, after two days to 25 percent, after three days to 12.5 percent, and so on. Because Zoloft leaves your body so quickly, stopping it too abruptly can cause discontinuation syndrome to develop. Among the symptoms that may be experienced are nausea, tremor, dizziness, muscle pains, weakness, insomnia, and anxiety. While many people coming off Zoloft have none of these symptoms, some people do have one or more. The symptoms usually last one to two weeks, but, in some instances, they may gradually decrease over a period as long as a month. When you’re considering medication for a child with emotional or behavioral problems, how you start is very important. With most psychoactive medications it’s important to taper off gradually rather than stopping quickly. This does not mean that your child is addicted to the medication, but that the brain has become used to a stable level of medication and needs time to adjust gradually to functioning without it. If you move too abruptly, it can cause unpleasant or confusing side effects.“The brain doesn’t like to be pushed or pulled any direction quickly,” observes Dr. Ron Steingard, a child and adolescent psychiatrist at the Child Mind Institute. “So even if there are no known withdrawal symptoms associated with a particular medication, it’s usually not a good idea to stop abruptly.”There are some exceptions to the go-slow rule—medications that are so fast-acting that they leave your child’s system within hours, rather than building up in the brain to produce the therapeutic effect. Stimulant medications for ADHD, for instance, leave the child’s body overnight, explains Dr. The child is essentially off the medication when he gets out of bed each morning. But antidepressants, anti-anxiety medication and anti-psychotic medications are designed to accumulate in order to maintain a desirable level in the brain, and those should be reduced gradually.
Zoloft received an overall rating of 6 out of 10 stars from 1297 reviews. See what. The only problem is coming off don't come off alone n to fast it's just a mess. Jan 17, 2019. Weaning off antidepressants, including Lexapro, Zoloft, Paxil, and others. Keeping these tips in mind can help the process go as smoothly as.