How Long Does Withdrawal From Sertraline Last? (2022)

Sertraline (Zoloft) is a commonly prescribed antidepressant. It is part of a class of drugs known as selective serotonin-reuptake inhibitors (SSRIs). It is used to treat major depression, anxiety disorders, post-traumatic stress disorder (PTSD), panic disorders, and eating disorders.

It is also used to treat severe premenstrual symptoms caused by premenstrual dysphoric disorder (PMDD) and obsessive-compulsive disorder (OCD).

More than half (56%) of people quitting antidepressants experience withdrawal symptoms. The experience is different for everyone. Some people experience mild symptoms while others have symptoms severe enough to interfere with daily life.

How Long Do Withdrawal Symptoms Last?

Sertraline withdrawal symptoms may persist for anywhere from a few days to a few weeks after your last dose.

Causes of Sertraline Withdrawal

Sertraline works by preventing the reabsorption (reuptake) of serotonin, thereby increasing the serotonin available in the brain. Serotonin, a neurotransmitter, plays an important role in moods and emotions.

When you stop or reduce your dose of sertraline, these serotonin levels will drop, eventually reaching pretreatment levels. Withdrawal symptoms happen as your mind and body adapt to this change.

Sertraline has a relatively short half-life compared to other SSRIs—about one day. This means that within a few days you will have very little sertraline in your bloodstream. Short-acting antidepressants like sertraline can cause withdrawal symptoms, as your body is essentially shocked by the absence of the drug and is trying to adapt to the change in serotonin levels.

What to Know About Antidepressant Withdrawal

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It’s important to know that discontinuing your antidepressants may lead to a relapse of your original symptoms and even to the emergence of suicidal thoughts.

Signs & Symptoms of Sertraline Withdrawal

The most common symptoms that develop during sertraline withdrawal include:

  • Flu-like symptoms
  • Insomnia
  • Nausea
  • Imbalance
  • Sensory disturbances
  • Anxiety or agitation

While these may be the most common symptoms, SSRI withdrawal affects many of the body’s systems. The full range of potential withdrawal symptoms include:

  • Digestive: Nausea, vomiting, cramps, diarrhea, or appetite loss
  • Balance: Dizziness or lightheadedness, sometimes making it difficult to walk
  • Sleep problems: Nightmares, unusual dreams, excessive/vivid dreams, or insomnia
  • Overall: Flu-like symptoms including headache, muscle pain, weakness, and tiredness.
  • Mood: Anxiety, agitation, panic, suicidal ideation, depression, irritability, anger, mania, or mood swings
  • Bizarre sensations: Brain zaps (like an electrical shock or shiver in your brain), pins and needles, ringing in the ears, strange tastes, or hypersensitivity to sound
  • Heat intolerance: Excessive sweating, flushing, or an intolerance to high temperatures
  • Motor control: Tremors, muscle tension, restless legs, unsteady gait, or difficulty controlling speech and chewing movements

For most people, sertraline withdrawal begins within three to four days of your last dose. The duration of SSRI withdrawal can vary, but you can expect it to last anywhere from a few days to a few weeks, however, sometimes it can last much longer.

Withdrawal symptoms vary from person to person. Some people have no symptoms at all, whereas others have symptoms severe enough to interfere with their responsibilities at home, work, or school.

If you do have severe withdrawal symptoms, it does not mean that you are addicted to sertraline. Addiction is characterized by the pattern of the use of substances in the face of adverse consequences. Withdrawal can happen to anyone taking sertraline for a few months or longer.

Overall, research shows that roughly one half (46%) of people going through SSRI withdrawal describe their symptoms as severe.

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To get a better idea of the range of symptoms and symptom severity, you may want to check out the Discontinuation-Emergent Signs and Symptoms Scale (DESS), which is sometimes used by clinicians to measure the severity of SSRI withdrawal symptoms.

Coping & Relief

One method that people use to quit SSRIs is a medication taper. This means gradually reducing your dose over the course of several weeks or months.

While this is an option, some doctors prefer to switch their patients to a longer-acting SSRI before beginning a taper. Because sertraline has such a short half-life, the amount of drug in your system can drop off quickly. Switching to a longer-acting SSRI, like Prozac, may help you avoid these peaks and valleys.

How to Taper Off Zoloft

In the past, doctors weren’t sure whether tapering SSRIs was an effective treatment for withdrawal. However, new research suggests that a slow taper stretched out over the course of several months may be more effective than traditional tapering schedules.

The researchers recommend continuing the taper until your dose is nearly zero—well past therapeutic levels. This means that by the end of the taper you may be breaking pills into tiny pieces or switching to a liquid dose.

If you are still experiencing withdrawal symptoms, these remedies may help.

Psychotherapy

Psychotherapy can improve mood, reduce anxiety, and help you better cope with your symptoms.

(Video) How to Taper Antidepressants to Avoid a Withdrawal (Discontinuation) Syndrome?

OTC Medications

You can treat aches and flu-like symptoms with over-the-counter pain relievers and anti-nausea medications.

Lifestyle

There are also steps you can take that might decrease your withdrawal symptoms, or at least make them easier to manage. These include:

  • Exercise. Getting at least 45 minutes of moderate activity three times a week can improve mood and reduce stress.
  • Sleep. Make sure that you are getting adequate rest each night. Focus on going to bed and waking up at the same time each day.
  • Eat well. Eat nutritious meals on a regular schedule, and stay hydrated. Try to avoid foods that may increase your anxiety, such as caffeinated beverages.

Natural Remedies

Vitamins, minerals, and herbal supplements may be helpful. However, you should always review all of these with your doctor before taking any natural supplements or home remedies.

Social Support

One of the most important factors in SSRI withdrawal management is the presence of a social support system. Having people around who can help and support you through a difficult time can reduce stress and anxiety, both of which can make withdrawal symptoms even worse.

When your friends and family understand that you are in withdrawal, they will be more forgiving of irritability and mood swings. By preventing interpersonal conflict at home, you will avoid some of the negative social effects of withdrawal.

Always Consult a Healthcare Provider Before Changing Your Dosage

Always talk to your healthcare provider before stopping/changing your Zoloft dosage or if you're having severe withdrawal symptoms/thoughts of suicide. There are several ways to find a psychiatrist, psychologist, or therapist for in-person or virtual visits (telemedicine). The Substance Abuse and Mental Health Services Administration (SAMHSA) has a searchable directory of qualified providers. You may also call 1-800-662-HELP (4357), and a knowledgeable operator will search for you.

Warnings

Sertraline, like other SSRIs, comes with a warning from the FDA about the potential for an increase in suicidal ideation and behaviors in children and young adults, particularly when medication is initiated or dosages are changed.

Recognizing the signs of suicidal ideation in yourself or someone else can help save your life or the life of a loved one. Call for help right away if you or a loved one shows any of the following symptoms:

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  • Planning how you would commit suicide if you were going to do it
  • Talking or thinking about suicide more than normal, for example, “I wish I were dead”
  • Gathering the means to commit suicide, such as bullets or pills
  • Feeling hopeless or trapped
  • Having intense mood swings
  • Engaging in risky or self-destructive activities, such as driving drunk
  • Becoming preoccupied with death, dying, or violence
  • Getting affairs in order or giving away belongings
  • Saying goodbye to people as if it were the last time

If you are having suicidal thoughts, contact theNational Suicide Prevention Lifelineat988for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

For more mental health resources, see ourNational Helpline Database.

If you are pregnant or planning to become pregnant, talk to your obstetrician/gynecologist or psychiatrist about the risks and benefits of continuing and discontinuing sertraline. There is a small risk of giving birth too early if you take antidepressants during your second and third trimesters. On the other hand, if you do discontinue sertraline while you’re pregnant, you are more likely to relapse.

Long-Term Treatment for Sertraline Withdrawal

You may require additional treatment after the withdrawal period has ended. If you are still experiencing mental illness such as depression or anxiety, you may require continued care. About 50% of people who recover from depression experience another depressive episode in their lifetimes.

Some people stay on antidepressants indefinitely to prevent such an outcome, whereas others choose different modalities of treatment, such as psychotherapy. Researchers have found that psychotherapy reduces the risk of relapse in people discontinuing antidepressants.

Resources

The National Suicide Prevention Lifeline will connect you with staff or volunteers at a crisis center near you. The people on the other end of the line can help you calm down and figure out what to do next. It is available 24/7, 365 days per year. If you are hesitant to call, you may prefer to chat with a counselor. The chat services are also open 24/7.

If you have health insurance, you can also search the company’s list of local providers who accept your insurance. Most insurance companies have at least some mental health coverage, including state and federal plans.

(Video) Sertraline withdrawal. Zoloft.

A Word From Verywell

Sertraline withdrawal symptoms are real, and discontinuing this medicine is a real challenge for lots of people. Don’t hesitate to talk to your doctor or other members of your support system about the way it’s affecting your life. And remember: Withdrawal symptoms are only temporary.

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FAQs

How Long Does Withdrawal From Sertraline Last? ›

Withdrawal symptoms usually come on within 5 days of stopping the medicine and generally last 1 to 2 weeks. Some people have severe withdrawal symptoms that last for several months or more. See your doctor if you get severe withdrawal symptoms after you stop taking antidepressants.

What are the side effects of coming off sertraline? ›

Stopping sertraline abruptly may result in one or more of the following withdrawal symptoms: irritability, nausea, feeling dizzy, vomiting, nightmares, headache, and/or paresthesias (prickling, tingling sensation on the skin). Depression is also a part of bipolar illness.

How do I overcome sertraline withdrawal? ›

When experiencing withdrawal symptoms or antidepressant discontinuation syndrome, increasing physical exercise or changing the diet to include more fresh food may help ease symptoms by making a person feel reinvigorated and less lethargic.

Is it hard to get off sertraline? ›

Zoloft (sertraline), like many other serotonin reuptake inhibitors (SSRIs), is fairly well known for resulting in a discontinuation syndrome if you stop taking it suddenly. This is, in part, because Zoloft has a short half life.

What happens if I miss sertraline 3 days? ›

If you forget to take your tablets for a few days, you may start getting your old symptoms back, or get withdrawal symptoms (feeling dizzy or shaky, sleep problems [including difficulty sleeping and intense dreams], feeling irritable or anxious, feeling or being sick, and headaches).

How do I wean off 50mg of sertraline? ›

Drop to 100mg a day for about 2 weeks; • Then drop to 50mg a day for about 2 weeks, then stop. stop. you had lots anxiety symptoms or side effects when you started it might be an idea to drop to 25mg a day (e.g. half a 50mg tablet) for a week or so, just to be on the safe side.

What supplements help with antidepressant withdrawal? ›

"But vitamins and supplements can also be useful in reducing discontinuation symptoms." Dr. Bergman says these are the mental health supplements everyone should be taking. “Natural agents like GABA, rhodiola, L-theanine, melatonin, valerian root, passionflower, zinc, and evening primrose are also great," she says.

What are the benefits of coming off antidepressants? ›

Because some medical professionals theorize that antidepressants increase hunger and food cravings by adjusting neurotransmitters, it's possible that stopping antidepressants could make you feel less hungry.

How do I wean off 50mg of sertraline? ›

Drop to 100mg a day for about 2 weeks; • Then drop to 50mg a day for about 2 weeks, then stop. stop. you had lots anxiety symptoms or side effects when you started it might be an idea to drop to 25mg a day (e.g. half a 50mg tablet) for a week or so, just to be on the safe side.

Will coming off sertraline cause weight loss? ›

If you decrease your daily calorie intake as a result, you could potentially lose weight by stopping your antidepressants. On the other hand, if you experience loss of appetite with depression, and your depression comes back after stopping antidepressants, you may also lose weight.

What is the most common side effect of sertraline? ›

Commonly reported side effects of sertraline include: diarrhea, dizziness, drowsiness, dyspepsia, fatigue, insomnia, loose stools, nausea, tremor, headache, paresthesia, anorexia, decreased libido, delayed ejaculation, diaphoresis, ejaculation failure, and xerostomia.

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