
Can Zoloft cause Panic Attacks?
I started taking the generic 50mg zoloft medication 2 days ago for postpartum depression after having a baby. Yesterday, I drank about 6 cups of coffee and took one 10mg oxycodone for the pain I have in my knees. Last night, I woke up from a dead sleep with a horrible Panic Attack. I haven’t taken anything today, and had another attack this afternoon. Did the combination of things cause it? Or I’m I withdrawling from not taking a zoloft again this morning? Please help!
Zoloft can have a number of adverse side effects, including asthenia (a feeling of weakness without an actual loss in strength), diarrhea, gas, headache, indigestion, pain, rash, sore throat, tingling sensations, vomiting, problems with vision, insomnia, gastrointestinal disturbances, confusion, dizziness, tremors, delayed ejaculation in men (anorgasmia), and decreased sex drive. It can induce mania or hypomania in a small percentage of individuals. It has also been known to cause minor weight loss.
Less common or rare side effects reported include acne, breast pain or enlargement, fainting, double vision, dry or painful eyes, lightheadedness when standing from a sitting or supine position, difficulties breathing, allergic reaction, altered taste sensation, back pain, changeable emotions, difficulty swallowing, cold clammy skin, cataracts, chest pain, fever, fluid retention, flushing, increased salivation, increased libido, inability to stay seated, hearing problems, frequent urination, hair loss, heart attack, general malaise, hot flushes, low blood pressure, migraine, kidney failure lack of coordination, nasal inflammation, hemorrhoids, hiccups, glaucoma, lack of sensation, light sensitivity, increased salivation, inflammation of the penis, depersonalization (an “unreal” feeling), abnormal dreams/thoughts, hallucinations, paranoia, rapid mood swings, tooth-grinding, worsening of depressive symptoms, memory loss, nosebleed, increased urination at night, ringing in the ears, racing heartbeat, rectal hemorrhage, respiratory infection, skin inflammation or eruptions, edema of the wrists or ankles, irregular heartbeat, twitching, yawn, sleepwalking and vaginal hemorrhage or discharge.
Due to the fact that sertraline is tightly bound to plasma protein, the use of Zoloft in patients taking another drug which is tightly bound to protein, such as digitoxin or warfarin, may cause a shift in plasma concentrations potentially resulting in an adverse effect. Conversely, adverse effects can result from displacement of protein bound Zoloft in other tightly bound drugs.
Patients taking sertraline should not drink alcohol during treatment. Over-the-counter (OTC) remedies should be used with caution. Though none is known to interact with Zoloft, interactions remain a possibility.
Concomitant use of Zoloft with other drugs may produce an increase , decrease or alteration in the effects of either drug. It is especially important to consult your physician before combining sertraline with the following:
Cimetidine (Tagamet)
Diazepam (Valium)
Digitoxin (Crystodigin)
Flecainide (Tambocor)
Lithium (Eskalith, Lithobid)
MAOIs (Nardil, Parnate)
Other serotonin-boosting drugs like Prozac or Paxil
Other antidepressants such as Serzone and Elavil
Propafenone (Rythmol)
Warfarin (Coumadin)
Sumatriptan (Imitrex)
Tolbutamide (Orinase)
If you are taking the oral concentrate form of Zoloft, do not take disulfiram (Antabuse).
P.S. My Dad’s a doctor…
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