Sertraline Weight Gain

Does Sertraline Cause Weight Gain?

Sertraline (Zoloft) may contribute to gradual weight gain, often linked to increased appetite or fluid retention. Not everyone is affected, and changes usually appear over several months. Monitoring lifestyle habits can help manage this side effect.

Sertraline Weight Gain
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Dr. Chrysoula I. Liakou MD, PhD Google Scholar LinkedIn

Internal Medicine Specialist
Cancer Immunology Researcher

Sertraline and Weight Gain: Key Facts for Patients


Zoloft, under its brand name, sells Sertraline, an antidepressant that Pfizer manufactures. Sertraline, an antidepressant, comes in a group of drugs called SSRIs (Selective Serotonin Reuptake Inhibitors). It works by increasing the amount of serotonin present and active in our brain. The working function of Sertraline is almost similar to other antidepressant drugs, just that the side effects caused by Sertraline may vary.


It is a drug prescribed for major depressive disorder, major obsessive-compulsive disorder, post-traumatic stress disorder, social anxiety disorder, premenstrual dysphoric disorder, and panic disorder. It is not prescribed for children unless it is the case of obsessive-compulsive disorder. 


Serotonin is a neurotransmitter. Hence, one of the primary compounds present in the brain helps control anxiety, stress, and happiness. The increase in usage of Sertraline or other SSRI drugs is also believed to increase the risk of suicidal thoughts in people under the age of 25. Thereby increasing the risk of suicides.


If the level of serotonin in the human brain decreases, it causes anxiety and depression. The serotonin amount can be regulated and increased by using antidepressant drugs, thereby controlling anxiety and reducing depression. The increase in serotonin caused by medication is believed to decrease arousal. Serotonin is also one of the reasons that causes Nausea.


Sertraline consumption can cause various side effects such as increased weight gain, higher chances of nausea, diarrhoea, insomnia, ejaculation failure, dry mouth, drowsiness, seizures, tremor, and sexual side effects. The chances of one having diarrhoea are prominent when a higher dose of Sertraline is prescribed. However, there is no exact reason why the consumption of Sertraline causes weight gain. Another question is whether or not alcohol must be consumed after using Seroquel.



Does Sertraline (Zoloft) Cause Weight Gain?


No such direct evidence could directly relate the consumption of Sertraline to weight gain. Sertraline, just like other antidepressants, has been linked with the probable aspects of weight gain.

But one of the most promising theories related to this is that antidepressants like Sertraline may not directly affect your thyroid, limiting their effect on metabolism, but they can make one feel hungrier.


The more one feels hungry. There would be a change in their appetite. One may feel hungrier and would not be satisfied with the regular portion of food. Hence, it may take more significant portions, increasing the amount of calorie intake.

 

Common and Serious Side Effects of Sertraline

Common Side Effects of Sertraline

 
 
 
 
Side Effect Frequency Notes
Weight gain Occasional Linked to appetite and fluid retention
Nausea Common Often dose-related
Fatigue/drowsiness Common Worse with alcohol use
Sexual dysfunction Possible Low libido, ejaculation issues
Insomnia Possible Report if persistent
Anxiety or suicidal thoughts Rare but serious Higher risk under age 25
 

 

Can You Drink Alcohol While on Sertraline?


Zoloft, under its brand name, sells Seroquel, an antidepressant that Pfizer manufactures. Sertraline, an antidepressant, comes in a group of drugs called SSRIs (Selective Serotonin Reuptake Inhibitors). It works by increasing the amount of serotonin present and active in our brain. The working function of Sertraline is almost similar to other antidepressant drugs, just that the side effects caused by Sertraline may vary.


It is a drug prescribed for major depressive disorder, major obsessive-compulsive disorder, post-traumatic stress disorder, social anxiety disorder, premenstrual dysphoric disorder, and panic disorder. It is not prescribed for children unless it is the case of obsessive-compulsive disorder. 


Serotonin is a neurotransmitter. Hence, one of the primary compounds present in the brain helps control anxiety, stress, and happiness. The increase in usage of Sertraline or other SSRI drugs is also believed to increase the risk of suicidal thoughts in people under the age of 25. Thereby increasing the risk of suicides.


If the level of serotonin in the human brain decreases, it causes anxiety and depression. The serotonin amount can be regulated and increased by using antidepressant drugs, thereby controlling anxiety and reducing depression. The increase in serotonin caused by medication is believed to decrease arousal. Serotonin is also one of the reasons that causes Nausea.


Sertraline consumption can cause various side effects such as increased weight gain, higher chances of nausea, diarrhoea, insomnia, ejaculation failure, dry mouth, drowsiness, seizures, tremor, and sexual side effects. The chances of one having diarrhoea are prominent when a higher dose of Sertraline is prescribed. However, there is no exact reason why the consumption of causes weight gain. Another question is whether or not alcohol must be consumed after using Sertraline.



How Sertraline Can Influence Weight Over Time


No such direct evidence could directly relate the consumption of Sertraline to weight gain. Sertraline, just like other antidepressants, has been linked with the probable aspects of weight gain. But one of the most promising theories related to this is that antidepressants like Sertraline may not directly affect your thyroid, limiting their effect on metabolism, but they can make one feel hungrier.


The more one feels hungry. There would be a change in their appetite. One may feel hungrier and would not be satisfied with the regular portion of food. Hence, it may take more significant portions, increasing the amount of calorie intake.


There is no sudden impact on weight gain observed. It is relatively gradual, maybe over six months, that too at a rate of 0.1% only, but as we know, even a tiny change in appetite leads to significant impacts over the long term. Weight gain might be helpful if the person suffering from depression or anxiety has lost weight or has reduced their appetite. In this case, the weight gained will be from low to back to normal, thereby indicating a patient's recovery.


Another possible aspect is that the group of SSRIs (Selective Serotonin Reuptake Inhibitors), antidepressant drugs, could block the effect of hormones that control the sodium and fluids in our body. Hence, causing the fluid to remain in our body. 


Though with minor chances of weight gain, Sertraline has no significant effects on one's body composition.



Managing Weight Gain While Taking Sertraline


The following precautions can be taken as a step to avoid unnecessary weight gain due to the consumption of Sertraline or any other antidepressant drug from the group of SSRI (Selective Serotonin Reuptake Inhibitors) drugs:


- Keep a check on your weight before you start consuming Sertraline. A proper weight report would help one easily track down the changes, rather than weight gain or weight loss in some cases. Also, for accurate results, check your weight before eating, after eating, and after going to the bathroom. This would help track any minor changes that might have occurred from the drug usage.


- We will struggle with your old habit, the diet structure is tight. As discussed, Sertraline might make one feel hungrier and unsatisfied with the portion consumed. But if we try to keep up with our old eating habits, we will struggle with the portions, timing of food, and food choices. It might help us to keep a check on our weight. Maintain your old eating habits, as even a slight change in your diet or eating habits can have a lasting effect on your weight gain.


- Stay healthy and keep yourself active. If you exercise regularly now, you should try to maintain the same routine after consuming drugs (unless you are advised not to exercise by your doctor). It would help keep a check on weight gain and is also closely associated with reducing depression and anxiety. You can even start exercising, if not already, with approval from the doctor. It would be best to start slowly to avoid other major issues.


- Keep your doctor updated about the changes. If there is an observable increase or a drastic weight change, gained or lost, after using Sertraline or any other SSRI drugs, the best practice would be to inform your doctor. Your doctor might help you keep a healthy weight by changing your diet plans, suggesting some exercise to keep you active, or even changing the structure of the dosage of Sertraline 
In the case of weight loss, a proper diet plan would be implemented. Again, you must try keeping up with your old eating habits and consuming the exact portions you used to drink before the medication Sertraline started.


- In any case, if you find yourself losing weight, which is generally not the pattern observed. But if so, you can consult your doctor, as there might be some minor changes in your appetite due to the consumption of Sertraline. Try maintaining your eating habits and consuming the same portion or more than what you used to eat before the medication and consumption of Sertraline started.


Though there is no certainty with Sertraline being associated directly with weight gain, following the above tips and tricks would help one keep a check on one's weight.



Risks of Mixing Sertraline and Alcohol


One might be consuming alcohol occasionally at some party, during dinner, or in any other case, which is normal. But if you are consuming an antidepressant like sertraline, an SSRI drug (Selective Serotonin Reuptake Inhibitors) group. It would be best to have second thoughts before opening the next bottle.


Sertraline, just like other SSRIs (Selective Serotonin Reuptake Inhibitors), is used to treat depression, anxiety, post-traumatic stress disorder, and various other conditions. It works by increasing the amount of serotonin that is actively present in our brains.


The manufacturer of Sertraline also suggests not consuming alcohol after using Sertraline, as it is shown that alcohol potentially increases the amount of serotonin in our body, which would worsen the side effects caused by Sertraline.


The increased amount of serotonin in our body causes a decrease in arousal and also causes nausea. Also, Pfizer, the manufacturer of Zoloft, suggests that combining Sertraline with alcohol can cause drowsiness.


Specific questions that arise in mind while barring the consumption of alcohol and Sertraline together are: Should one skip the next dose of Sertraline to consume and enjoy alcohol? The answer would be a big NO. 


Generally, Sertraline is an antidepressant drug prescribed to treat those with post-traumatic stress disorder, anxiety, stress, or obsessive-compulsive disorder. 


In either of the scenarios, the dosage of the drug must not be altered without a doctor's consultation. As every drug has dosage periods and side effects, limiting its prescribed usage without consultation with a doctor may cause serious issues. 

Also, some mild discontinuation syndrome symptoms are observed in patients if the drug consumption is stopped abruptly. Some mild discontinuation syndrome symptoms include nausea, fatigue, headaches, anxiety, irritability, etc.


It would be better if one chooses to skip alcoholic beverages rather than skipping the drug dose if one is suffering from depression or anxiety and being prescribed Sertraline for the same. Not to forget that alcohol has both depressant and stimulant effects, which may worsen the state, triggering more depression and anxiety. 


It is recommended to avoid consuming both alcohol and Sertraline together. It makes one feel drowsier than before and might also cause nausea.


Hopefully, the above points will solve and clear the doubts related to the consumption of alcohol and Sertraline together. And remember it is NOT recommended to consume alcohol and Sertraline as it might add to the side effects caused by consumption of Sertraline or other SSRIs (Selective Serotonin Reuptake Inhibitors).



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Sertraline Weight Gain

Yes, sertraline may cause weight gain in some patients, typically developing gradually over months.

Maintain healthy eating habits, track weight regularly, and exercise. Discuss concerns with your doctor if changes occur.

Alcohol can worsen drowsiness, nausea, and mood changes. It’s best to avoid drinking while taking SSRIs.

No. Never skip or stop medication for alcohol use. Stopping suddenly can cause withdrawal and worsen symptoms.

If it occurs, weight gain often begins after 6 months of continuous use.

Yes. In some cases, weight gain reflects recovery from poor appetite during depression, rather than a harmful side effect.

Consult your doctor. They may adjust your dose, recommend lifestyle changes, or consider alternative medications.


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