Suicidality and Antidepressant Drugs
Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of Zoloft or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Zoloft is not approved for use in pediatric patients except for patients with obsessive compulsive disorder (OCD). (See Warnings: Clinical Worsening and Suicide Risk, Precautions: Information for Patients, and Precautions: Pediatric Use)
Tablets and Oral Concentrate
ZOLOFT® (sertraline hydrochloride) is a selective serotonin reuptake inhibitor (SSRI) for oral administration.
ZOLOFT is indicated for the following:
Major Depressive Disorder- ZOLOFT® (sertraline hydrochloride) is indicated for the treatment of major depressive disorder.
Obsessive-Compulsive Disorder- ZOLOFT is indicated for the treatment of obsessions and compulsions in patients with obsessive-compulsive disorder (OCD).
Panic Disorder- ZOLOFT is indicated for the treatment of panic disorder, with or without agoraphobia.
Posttraumatic Stress Disorder (PTSD)- ZOLOFT (sertraline hydrochloride) is indicated for the treatment of posttraumatic stress disorder.
Premenstrual Dysphoric Disorder (PMDD) - ZOLOFT is indicated for the treatment of premenstrual dysphoric disorder (PMDD).
Social Anxiety Disorder - ZOLOFT (sertraline hydrochloride) is indicated for the treatment of social anxiety disorder, also known as social phobia.
Media Articles Related to Zoloft (Sertraline)
Biomarkers could help classify sub-types of depression, improve treatments
Source: Depression News From Medical News Today [2014.02.18]
New insights into the physiological causes of depression are leading to treatments beyond common antidepressants such as Prozac and Zoloft, researchers are reporting in the in the journal Current Psychiatry.Depression treatments on the horizon include new medications, electrical and magnetic stimulation of the brain and long-term cognitive behavioral therapy for stress management.
Effective treatment for youth anxiety disorders has lasting benefit
Source: Anxiety / Stress News From Medical News Today [2014.03.03]
A study published in the Journal of the American Academy of Child and Adolescent Psychiatry found that the majority of youth with moderate to severe anxiety disorders responded well to acute treatment with cognitive behavioral therapy (CBT), medication (sertraline), or a combination of both.
Published Studies Related to Zoloft (Sertraline)
Factors associated with non-completion in a double-blind randomized controlled
trial of olanzapine plus sertraline versus olanzapine plus placebo for psychotic
High rates of attrition have been reported in randomized controlled trials of
patients with severe psychiatric illness, including psychotic depression (MDpsy). The purpose of this study is to examine factors associated with overall attrition
and with subtypes of attrition in the Study of the Pharmacotherapy of Psychotic
Obstructive sleep apnea/hypopnea syndrome and poor response to sertraline in
patients with coronary heart disease. 
CONCLUSIONS: Obstructive sleep apnea/hypopnea syndrome is associated with a
Sertraline delays relapse in recently abstinent cocaine-dependent patients with
depressive symptoms. 
mg/day delays relapse in recently abstinent cocaine-dependent individuals... CONCLUSIONS: Sertraline delays time to relapse relative to placebo in
Poor response to sertraline in methamphetamine dependence is associated with sustained craving for methamphetamine. [2011.11.01]
CONCLUSIONS: Some MA-abusing individuals treated with SSRIs have sustained craving with an increased propensity to relapse during treatment despite psychosocial treatment interventions. Published by Elsevier Ireland Ltd.
Post-Treatment Outcomes in a Double-Blind, Randomized Trial of Sertraline for Alcohol Dependence. [2011.10.07]
Background: Pharmacotherapy studies in alcohol dependence (AD) are generally of short duration and do not include post-treatment follow-up... Additional studies are needed to validate these pharmacogenetic findings, which together with the effects seen during active treatment support the use of sertraline only in LOAs.
Clinical Trials Related to Zoloft (Sertraline)
A Comparison of Sertraline-Reboxetine Combination Therapy Versus Sertraline or Reboxetine Monotherapy in the Treatment of Major Depression. [Completed]
This study was designed to determine if the novel combination of the SSRI, sertraline, and
the NRI reboxetine will increase antidepressant efficacy without sacrificing the favorable
safety profile of SSRIs.
Pharmacokinetics and Pharmacodynamics of Sertraline After Low Dose Administration [Recruiting]
This study aimed to explore the pharmacokinetics and pharmacodynamics of low dose sertraline
with [11C] sertraline positron emission tomography (PET) study.
A Research Study to Compare the Treatments of a Combination of Elzasonan With Zoloft, to Zoloft Alone, or Placebo in People With Major Depressive Disorder (MDD) [Completed]
The major purpose of the study is to help determine whether giving the combination of
Elzasonan with Zoloft to people with depression is a better treatment than taking Zoloft
alone. This study will also compare the safety and tolerability of Elzasonan and Zoloft
combination to Zoloft alone or placebo.
Pharmacokinetic Properties of Sertraline Before and After Gastric Bypass Surgery [Recruiting]
This study is being conducted to evaluate how the body absorbs and processes the medication
sertraline (Zoloft®) before compared to how it is absorbed at two time points after gastric
bypass surgery. Participants will be asked to take part in this study at three time points:
1) before their bariatric surgery, 2) at three months following the surgery, and 3) twelve
months following surgery. This study will enroll approximately 30 participants.
Study of Sertraline Hydrochloride Tablets 100 mg and Zoloft® Tablets 100 mg [Completed]
The objective of this study was to investigate the bioequivalence of Mylan's sertraline
hydrochloride 100 mg tablets to Pfizer's Zoloft® 100 mg tablets following a single, oral 100
mg (1 x 100 mg) dose administered under fasting conditions.
Reports of Suspected Zoloft (Sertraline) Side Effects
Maternal Exposure Timing Unspecified (602),
Atrial Septal Defect (338),
Foetal Exposure During Pregnancy (267),
Patent Ductus Arteriosus (227),
Ventricular Septal Defect (223),
Drug Ineffective (211),
Tricuspid Valve Incompetence (182),
Heart Disease Congenital (151), more >>
PATIENT REVIEWS / RATINGS / COMMENTS
Based on a total of 52 ratings/reviews, Zoloft has an overall score of 7.56. The effectiveness score is 8 and the side effect score is 7.88. The scores are on ten point scale: 10 - best, 1 - worst. Below are selected reviews: the highest, the median and the lowest rated.
Zoloft review by 45 year old female patient
|Overall rating:|| || |
|Effectiveness:|| || Highly Effective|
|Side effects:|| || Severe Side Effects|
|Condition / reason:|| || anxiety|
|Dosage & duration:|| || 50 mg /day taken 1x day for the period of 4 years|
|Other conditions:|| || none|
|Other drugs taken:|| || none|
|Benefits:|| || Completely eliminated anxiety disorder characterized by panic attacks and generalized anxiety after dosage of 50 mg/day was taken. Downsside was that while on 25 mg/day start up dose for the first 7 days anxiety was extremely worsened and almost unbearable. |
|Side effects:|| || Initial weight loss|
|Comments:|| || Patient taking 50 mg/day for generalized anxiety disorder and panic attacks. Initial start up dose 25 mg/day for 7 days. Anxiety extremely heightened and patient almost disscontinued med because of it. Hung in there and pill started to decrease and finally eliminate anxiety. |
Zoloft review by 56 year old female patient
|Overall rating:|| || |
|Effectiveness:|| || Considerably Effective|
|Side effects:|| || No Side Effects|
|Condition / reason:|| || head injuries|
|Dosage & duration:|| || 200 mg taken once per day for the period of 12 years|
|Other conditions:|| || depression|
|Other drugs taken:|| || none|
|Benefits:|| || Due to a car accident I sustained head injuries in addition to physical body injuries (broken bones, etc.) I had terrible mood swings. Through the assistance of a Psycharist subscribing Zoloft, gradually I became calmer. I didn't cry as often for no apparent reason or get irritated at the drop of a hat. My short term memory returned and I became less self conscious.|
|Side effects:|| || Sometimes I experienced a slight ticking in my head as if I had something in my brain clicking all the time. If I do not take the Zoloft when I get up (later in the day) I get headachs. No other side effects.|
|Comments:|| || Initial dosage was 50 mg gradually over two year my span dosage increased to 200 mg. I still am taking Zoloft. I am somewhat fraid my symptoms will resurface. I am also concerned about any withdrawals or headachs.|
Zoloft review by 34 year old female patient
|Overall rating:|| || |
|Effectiveness:|| || Ineffective|
|Side effects:|| || Mild Side Effects|
|Condition / reason:|| || depression|
|Dosage & duration:|| || 1 pill a day taken every day for the period of 45 days|
|Other conditions:|| || IBS|
|Other drugs taken:|| || none|
|Benefits:|| || I had no benefits. It didn't seem to make anything better at the time. It seemed the depression was still the same and then I had side effects that affected me daily. |
|Side effects:|| || I suffered from daily Headaches and also slight nausea every once in awhile. I also felt very dried out and thirsty. It also affected me by lowering my libido.|
|Comments:|| || I was supposed to take a pill every morning with water. I felt better once I stopped taking the pills and actually just started working on myself and my goals and then also wehn I started doing volunteer work to help children.|
Page last updated: 2014-03-03