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Q: Does Zoloft cause weight gain if food consumption and exercise don't change?. A: These medications are used together to help treat medical conditions. As long as your health care provider has prescribed you these medications, then he or she thinks this is the best course of treatment for you. Do not take these medications other than the way you have been instructed to, and if you develop any strange feelings, let your provider know. Gerald Levy, RPh. Q: Should someone take Xanax and Zoloft? If not, why?. Q: I was reading somewhere that Zoloft can lead to breast cancer. Is this true? A: The supplements and medications you list (vitamin B-12, omega 3, zinc, vitamin D, Zoloft, and atenolol) appear to be safe when taken together. But if you start experiencing any symptoms out of the ordinary, you should check in with your doctor. Q: I would like to stop taking Zoloft, which I've been taking for five years. How do I wean myself off of it gradually? My doctor agrees with the idea but said I must not stop abruptly. A: Zoloft (sertraline) is an SSRI, or selective serotonin reuptake inhibitor. Zoloft has been around since 1993 as the only alternative to Prozac (fluoxetine) in that class of medication. It effectively raises certain neurotransmitters at the postsynaptic cleft, so that your brain seems to have more serotonin (a feel-good chemical), dopamine (another feel-good chemical), and to a certain extent, norepinephrine (important for motivation and focus). This medication tries to stabilize your serotonin at a normal level so that you no longer bounce between mania and depression. At times, Zoloft will work by itself for this diagnosis; at other times, adjunct medication may need to be added. Feel free to visit us here: //www.everydayhealth.com/drugs/zoloft. Matt Curley, PharmD. Monoamine oxidase inhibitors (MAOIs) are among the many drugs that can affect the way Zoloft works. Nonsteroidal anti-inflammatory drugs ( NSAIDs ) can also cause you to bruise or bleed easily. That's why it's important to tell your doctor if you are taking any of the following drugs: A: Zoloft (sertraline) is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI). It is commonly used to treat depression, social anxiety disorder, posttraumatic stress disorder (PTSD), panic disorder and obsessive-compulsive disorder (OCD). The most common side effects with Zoloft include dry mouth, insomnia, sexual side effects, diarrhea, nausea, and sleepiness. Weight increase and appetite increase are also among the possible side effects. Your dosage will be different depending upon what condition you are treating and your age. Adults: Major depressive disorder/obsessive compulsive disorder: Take 50 mg once a day Panic disorder, posttraumatic stress disorder (PTSD), and social anxiety disorder: Begin with one 25 mg dose daily. After you are using the drug for one week, the dose should be increased to 50 mg per day. Premenstrual dysphoric disorder: Take one 50 mg per day, either daily throughout the menstrual cycle or during the latter phase of the menstrual cycle based on your doctor's recommendation. TEENren and Adolescents: Q: I have been diagnosed with bipolar disorder and have been put on Zoloft. May I please ask exactly what it does? A: The studies show that weight gain occurs in around 1 percent of people who take Zoloft. Given this small percentage, for individual situations it is difficult to say whether weight gain is actually caused by the medicine itself, another medical condition, a change in eating habits and/or physical activity, a combination of these factors, or something else. It is generally not safe to take over-the-counter diet aids, as they will interact with your medication. It is best to consult with your physician as to the safest way to lose weight based on your medical history, as he or she knows it best. A: Generic drug products are evaluated by the FDA for bioequivalency, meaning they have similar blood levels as the brand name drug. The FDA allows for very small variabilities in the performance of generic drugs. However, approval by the FDA indicates that the generic product is the same with respect to identity, strength, quality, purity, and potency, as the brand name drug. The inactive ingredients are what can differ from product to product. This may contribute to differences in tolerability or side effects. Sarah Lewis, PharmD. A: According to the literature available, Zoloft (sertraline) can cause changes in weight. If you have been experiencing unexplained changes in weight, with no changes in diet or activity level, you may want to contact your health care provider. For more information on Zoloft (sertraline) or weight management you may want to visit our Web site at: //www.everydayhealth.com/drugs/zoloft or //www.everydayhealth.com/weight/facts-about-calories.aspx. Ibuprofen (Advil, Motrin) Naproxen (Aleve, Naprosyn, Naprelan, Treximet) Aspirin, celecoxib ( Celebrex ) Indomethacin (Indocin) Meloxicam (Mobic) Diclofenac (Arthrotec, Cambia, Cataflam, Voltaren, Flector Patch, Pennsaid, Solareze) Be sure to mention other medications that you might take regularly like cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, and other medicines that make you tired like muscle relaxers or drugs to prevent seizures or anxiety. These can increase the tired feeling that Zoloft can produce. It's important that you provide a complete list of prescription and over-the-counter (OTC) products that you use, including vitamins and herbal products. There is a long list of drugs that your doctor must know about, including: A: Changes in weight and appetite are common side effects to selective serotonin reuptake inhibitors (SSRIs), the class of drugs that includes Zoloft (sertraline). Patients should report any changes in their medical condition, including unusual weight gain, to their health care provider. For more specific information, consult your physician or health care provider. You may also find helpful information at: //www.everydayhealth.com/drugs/zoloft. Q: Will I notice a change in the effectiveness of Zoloft with a different generic?. Q: Is it okay to just stop taking Zoloft?. Zoloft, like other drugs, is not without side effects. However, some are more severe than others and require immediate attention. Common Side Effects of Zoloft: If you are experiencing dry mouth, increased sweating, nausea, diarrhea, upset stomach as well as drowsiness, trouble sleeping or dizziness that persists or gets worse, contact your doctor right away. Serious Side Effects of Zoloft: Zoloft can cause more serious side effects in some patients. These may include: Decreased interest in sex Decrease in sexual ability Muscle cramps/weakness Bruising or bleeding easily Shaking/tremor Unusual weight loss Seek help right away if you notice that your stool is black or bloody or if your vomit looks like coffee grounds. On occasion, taking Zoloft leads to a very serious condition called serotonin syndrome, which requires emergency help. The risk of developing serotonin syndrome is greater if you are also taking other medications that increase serotonin. The symptoms range from fast heartbeat, hallucinations, loss of coordination, and severe dizziness to twitching muscles, unexplained fever, nausea, vomiting, diarrhea, and unusual agitation or restlessness. Other rare problems include a painful or prolonged erection (priapism) for four hours or more. If this happens, you must get medical attention right away or permanent problems could result. Serious allergic reactions are also rare but in the event this occurs seek emergency assistance right away. The symptoms may include a rash, itching, or swelling particularly of the face, tongue, or throat as well as severe dizziness and trouble breathing. Back to Top. A: According to the drug maker, abrupt discontinuation of Zoloft (sertaline) can result in severe withdrawal effects. The symptoms can include irritability, agitation, dizziness, anxiety, confusion, headache, tiredness, and insomnia. Monitoring for symptoms should be done by a medical provider for anyone stopping medication. A gradual lowering of the dose is recommended to avoid these effects. Symptoms do decrease over time, but if intolerable restarting or increasing the dose should alleviate them. A: The fact that you don't necessarily see a difference may be an indication that you may be underdosed, however, rest assured that there is an effect. There have been several misadventures by people who have stopped taking this medication cold turkey, and I do not recommend it. In 1993, we had a patient who stopped taking [ASKDEEIPSNPPET-21-23] One-Piece Dog Sweater Pattern For Small Medium & Large Dogs. Length (neck to base of tail)– 10 inches– 14 inches– 20 inches Width (without side tabs)– 9 inches– 12 inches– 18 inches. Sew in all ends. Sew enough of the hook and loop fastener to each side of the tab edges on the shoulder and under stomach to close sweater. Cast on 16 (22, 42) stitches Row 1: (Wrong Side) Purl 1 Knit 1, (P1, K 1) ribbing. Row 2: (Right Side) Increase 1stitch in the first stitch, (knit in front and. K1, P1 14 (18, 25) stitches and place these on the stitch holder. Bind off the next 15 (21, 30) stitches for neck opening. K1, P1 to the end of the row. These 14 (18, 25) stitches will form the first shoulder. The instructions are given for the smallest size. The medium and large sizes are in parentheses. K1, P1 to the last 2 stitches. Knit or Purl the last 2 stitches together as per pattern. Work in rib pattern until work measures about 2 (3, 5) inches from the bound off stitches at the neck edge. With Right side facing pattern to the last 2 stitches K2 together. Purl 2 together pattern to the end of the row. Repeat these 2 rows until 4 (7, 15) stitches remain. Bind off all stitches. Chunky Yarn â€" 2 (3,6) ounces Size 9 straight needles, (5 Â½ mm) or size required for gauge One 4inch stitch holder Crochet Hook Hook and Loop fastener such as Velcro Straight pins, needle and matching thread. Make one tab on each side. Half way between the last increase row and the neck edge mark off the center 2 (4, 6) inches. With right side facing pick up and K 11(19, 29) stitches along the center marked edge. Work in K1, P1 pattern until tab measures 2, (2, 4) inches from the side edge. To shape the tab, K or P 2 together, pattern to the last 2 stitches, K or P 2 together. Continue shaping in this way until 3(11, 13) stitches remain. Bind off all stitches. back of the stitch) and P1 K one to the last stitch. Increase 1 stitch in the last stitch. Repeat rows 1 and 2 until there are 43 (57, 80) stitches on the needle. K1, P1, evenly until work measures the required length from neck to base of tail. Slip stitches from the stitch holder onto needle with right side facing. Join wool at side. Pattern to the last 2 stitches. K or P 2 together. Continue in pattern until shoulder measures about 2 (3, 4 ) inches from the bound off stitches at the neck edge. Row 1: K or P 2 together, pattern to the end of the row. Row 2: Pattern to the last 2 stitches, K or P2 together. Repeat these 2 rows until 4(7,15) stitches remain. Bind off all stitches.