Re: Depression,zoloft, asymetrical pupils...

Posted By Ty on May 02, 1999 at 01:49:07
I have been 'diagnosed' with depression. I have been on Zoloft for all of 4 days.  It has made me very tired.  Today I went from being very tired to quite alert and almost normal in a matter of minutes.  At the end of the work day, I ate and felt nauseous  again in a matter of minutes.  The drive home was bad as I realized I may need this med to keep me out of a depressed state which made me all the more depressed.
  I have had bouts with depression for a while, but never this long (2 weeks) and never this bad.  Not to mention alot of good things have happened recently that I really don't care about. I have had a huge career decision to make that has kept me up nights as well.  I am on 50milligrams per day and now have 3 little 'sores' on my neck and my chest.  Could this be related to the Zoloft?
Also, I had a CT for the asymetrical pupils 6 months ago, and everything was normal, but recently there is a huge difference in the size of my pupils .  Again, zoloft? the depression? the stress? Help?

[HFHS M.D.-JK]

Posted By HFHS M.D.-JK on May 04, 1999 at 18:07:28
Dear Ty,
I am glad to see that you are getting treatment for your depressive symptoms.  Sometimes, it takes a few days to get used to a medication.  However, if you feel that you cannot tolerate the side effects of a medication or are seeing some unusual effects, it is best to consult your physician right away.  Do not wait until your next appointment date.  
Zoloft (also known as sertraline) can cause rash in some people.  Fatigue and nausea can occur, but for most people these symptoms diminish within days to weeks. Again, consult your physician, especially if the symptoms worsen.  Some people will have side effects with one drug, but not with others, so there are options available to you if the side effects do not diminish.
It appears that you may have the condition of 'anisocoria', meaning having pupils of unequal size.  In some people, this is a totally benign condition.  I have not seen any literature to date that states Zoloft can cause further differences in pupil size.  Good luck.

To set up a confidential psychiatric consultation at Henry Ford Behavioral Services, call [phone].
This information is provided for general medical education purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.

[Ty__0]

Posted By Ty on May 05, 1999 at 01:48:01
Totally benign is good, but is there anything else I can do to find out?
Again, the CT scan showed nothing (nothing I was told anyway).   Most sites I have seen say that asymetrical pupils are medically significant.










Follow Ups: