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Mental Health  (Expert Forum)
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Zoloft Issues?
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

Zoloft Issues?

by 345medhelpFAN, Dec 04, 2005 12:00AM
Hello -

I am a 28 year old male, in good physical shape.  

At the end of Oct. / early Nov. I was working on a project that was not going well, and the level of stress and anxiety was new to me as I have never had that much of an issue with work.  The project ended on a Monday and that nite I felt some pressure or tightness in my chest, nothing I would call pain, just noticable.  After a few days of it not going away I went to see my doctor.  All my vitals were normal and he thought we should try an SSRI (Zoloft, 25 mg).  I was on Zoloft a few years ago for anxiety and it worked well, I ended it after about 12 months.  

About day 3 of the Zoloft I really hadn't noticed the chest tightness or pressure anymore (which I am guessing went away not because of the zoloft), but I did feel like my heart was pounding all the time.  After 8 days of Zoloft I decided to stop.  The heart pounding thing just didn't make sense to me and seemed to start with the Zoloft.  Sure enough I saw a sharp decline in the heart pounding and it was gone by the third day of being off Zoloft.  

Well, on the fourth day of stopping the Zoloft I noticed symptoms:  some pins and needles in my hands, some numbness in my right arm, sleep issues, mild hand tremors.  I decided to go back on the Zoloft, after two days of being back on the Zoloft my symptoms lessned.  Then I read about Zoloft side effects and withdrawal symptoms.  The heart pounding was listed as a side effect of Zoloft, not a top 5 side effect, but a side effect.  Then I read if you stop all of a sudden, especially if you had taken the medicine for at least one week, you can get withdrawal symptoms, and they read just as I described them above.  

All of this made sense so I stopped the Zoloft and after about a week and half, my withdrawal symptoms had faded away.  Now its been two weeks since I was last on the Zoloft but this weekend the heart pounding seems to have returned.  Its not as strong as it was, but it is there for sure.

My question - is the heart pounding thing just a symptom of my zoloft withdrawal...i read that any side effect of the zoloft can also manifest itself as a withdrawal symptom.  

I am gonna give it a few more days and if I am not back to normal I will return to my doctor, but I wanted to get your take on it.

thanks

by Roger Gould, M.D., Dec 09, 2005 12:00AM
I would guess that the heart pounding is unrelated, and in fact, probably related to the stress that started all of this.  If I were you I would try to avoid Zoloft or anything like it, and deal with the issues that are bothering you without medication...its a bad habit, and at your age, you would be so much better off keeping your mental hygiene as well tuned as your physical shape.
Member Comments (9)

by leigh47, Dec 06, 2005 12:00AM
Hi!

I'm sorry that you are going through such a rough time.
Antidepressants can cause all sorts of side effects.

When I was on Wellbutrin, my heart was pounding so loud that I could hear it when I was sitting watching TV! And I used to get this weird shaky tremor in my chest. I also had it when I was taking Zoloft. And I had pins and needles in my legs and feet all day long when I was on Zoloft. I work out in a gym four times a week and I have had an echo cardiogram done, so I know my heart is fine.

My "heart pounding" lasted for a couple of months after I stopped the Zoloft.

Be patient...it takes a while for the antidepressants to leave your system. Try not to worry!

Good luck!

by bmccormack, Dec 09, 2005 12:00AM
I've been on zoloft for about 3 weeks now. The doctor prescribed it to help with the sleeping problems I was having. I'm feeling more anxious than ever. My stomach feels jumpy for a few hours after I take a pill, 50 mg. This symptom combined with weight loss and chronic diarrhea is starting to make me re-evaluate whether I should be on this med, however, I do enjoy the weight loss. Has anyone else had similar symptoms and how long do they last? Most posts that I've read are from those that have gained weight so I'm wondering if this is a short-lived perk...

barb

by FredsChic, Dec 20, 2005 12:00AM
I have been on Zoloft for several years now.  My doctor said I need to take it for a chemical imbalance in my brain. It does help me keep from dwelling on negative thoughts (for the most part) but it also prevents me from concentrating on things I really need to concentrate on.  I'm very forgetful now and more clumsy than ever.  I've also been having severe stomach and digestive problems for about a year or so.  Could this be side effects of Zoloft?  I was taking Xanax as well, but I have almost weaned myself from taking those.  Perhaps I need a new Psych doctor??  Help if you can.  Thanks.

by Rutegaard, Jan 08, 2006 12:00AM
Stomach and digestive problems can certainly be from Zoloft. SSRIs are known to affect the digestive system.

by joss26, Jan 20, 2006 12:00AM
I hate zoloft. I was given it during the time that some unbearable things happened. All I know is that I just was angry I wanted to kill people I was throwing plates and breaking them. I would feel this intense irritability and wanted to hurt something which i have a problem without these drugs that I have kept under controlled. it also did that to my boyfriend to he was a major *** something I have never seen this mild mannered man act.  And how dare they sentence that boy for killing his grandparents to life in prison because I know how zoloft made me feel and my boyfriend feel and saying there is no link makes me mad. I hate the drug companies that lie and that was a flat out lie

by Jopagoat, Feb 16, 2006 12:00AM
Hi, I am 45 yrs old, and I started Zoloft the end of January.  So far the side effects that I am experiencing are a pounding heart rate and nervousness.  I was on 50 mg. of Zoloft, and my Dr. said I could take it down to 25 mg.  The first day I was depressed a little bit, but today I am feeling much better.  I was burned out at work, felt I was operating behind a wall of fog.  This scared me, I felt that I was not functioning well mentally,  which is why I went to see a Dr. and got put on Zoloft.  So far it has not been too bad.  I can sleep, but am a little sleepy about half an hour after I take it.  Also sometimes I feel very nervous, but that goes away after a while.  I feel that Zoloft has helped me, but I do not wish to go back to work at this point.  Am doing light office work for my husband.  Anyone else having the same symptoms?

by jacks2, Feb 19, 2006 12:00AM
I am happy to say that I am totally off the zoloft. I'm not saying the medication did not help for awhile. It did. But the side effects from the medication were getting worse. I had tremendous weight gain,sexual side effects and really really bad night sweats. So I opted to stop taking the meds. Then the **** really hit the fan!!! The withdrawl symptoms were so severe that I would never ever take another SSR again. I suffered really bad mood swings. (felt as though I was Mommy Dearest to my children) Also felt something weird in front of my eyes as though I was not in my own body. Sort of like I was not really there. But the mood swings were the worst. I am glad to say it's been three weeks and I feel so much better. I personally feel that anyone should really try without taking any of these meds. Just for the sheer fact of the really bad side effects. I talked with four mothers at my son's nursery school and every single one of them was taking one of these SSRI's. What do we think our mothers did when we were kids. They certainly didn't take any medications. I am really going to try and cope with normal everyday life!!! Just want everyone to know just be very cautious when taking any of these meds they do come with some nasty side effects and the withdrawl symptoms are 100 times worse. Good luck to all!!!

by 2rescuedmutts, Feb 20, 2006 12:00AM
I also strongly recommend trying all other options to cure depression and/or anxiety before taking an SSRI.  I was on 25mg of zoloft for about a year and half for post traumatic stress from a really bad accident.  It helped a little but I gained about 15 lbs. in 8 months.  I’m only 5’3 so that’s a lot of weight!!  I tried to stop taking it a couple months ago but I became really dizzy after missing 3 doses.  So I decided to go back on it.  I stayed on the drug for another 6 months to prevent the withdrawal instead of to cure my post traumatic stress!!  

Recently I switched jobs and lost my insurance.  I knew this was coming so I started cutting my pills to wean myself off of the drug.  After about 4 months I was successfully down to 6 mg.  I thought 6mg was low enough so I decided to stop taking zoloft altogether.  I saved a few extras just in case.  

After about 4 days of being off zoloft, I started to become dizzy, I had really bad headaches, and was severely depressed. I also felt like I was having a panic attack.  I woke up and my heart was going 120 bpm.  Not good!  I’d never had a panic attack before (luckily).  They are not fun!!!   My symptoms only worsened for the next 7 days.  Everyday I would say to myself “At least tomorrow can’t be any worse than today!” and I would be wrong.  I was so dizzy! I couldn’t turn my head at all or the entire world would start spinning.  I actually went to an acupuncturist to help with the anxiety and depression.  It helped a lot.  I strongly recommend trying it!! Everyday I wanted to take a zoloft and make it all stop but I kept on fighting.  I knew I could do it.  I knew I could beat the drug.  I told myself that the pain was only temporary, it will eventually go away and I will be able to move on with my life.  And I did!!!  

After 7 days of withdrawal my symptoms started to improve.  I could turn my head without getting dizzy, my headache was going away and I wasn’t having panic attacks.  It has been 12 days since the withdrawal symptoms started and I finally feel normal!!!! I feel better now than I did for the entire time I was on Zoloft!!  I did it and you can too!!!  My best advice is to be ready for withdrawal no matter how slowly you wean off of the drug!! Make sure you have sick time.  You will probably need to take at least 2-3 days off of work.  i wish i would have never taken zoloft.  unfortunatly you can't change the past but you can improve your future!!!    
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