Treatment FAQ

how long does it take zoloft to work for pms treatment

by Marcia Rowe Published 3 years ago Updated 2 years ago

While it may take 4 to 6 weeks of treatment with an SSRI for people with depression to feel benefit, women with PMDD can get results almost immediately.May 22, 2002

Full Answer

How long does it take for Zoloft to work for PMDD?

Interestingly, while it may take 4 to 6 weeks of treatment with Zoloftor Prozacfor people with other forms of depression to feel benefit, women with severe PMSor PMDD(premenstrual dysphoric disorder) can feel results almost immediately.

How effective is Zoloft for PMS?

Zoloft takes that agitation and highs/lows away. If your pms is extreme get help, it's pmdd don't stop until you find a doctor that will listen. Zoloft might not be part of your success story but don't stop until you get your happy ending.”

How long does it take for Zoloft to kick in?

Only a small percentage of users administering therapeutically-relevant doses of Zoloft will require more than 8 weeks to notice an effect. Note: Not everyone derives therapeutic benefit from Zoloft. Some users report that it makes them feel “numb” or even more depressed than before.

How does Zoloft work for menstrual cramps?

Zoloft works by altering the action of the neurotransmitter serotonin. Serotonin generates calming, sedative feelings. Zoloft blocks the body's re-absorption of serotonin, making it more available to brain cells and therefore preventing or reducing feelings of anxiety and depression during PMS.

Does Zoloft help with PMS symptoms?

Researchers found that of 447 women in clinical trials testing sertraline (Zoloft) for PMS, those with “mixed” symptoms -- multiple physical and psychological symptoms -- were the most likely to see an improvement.

How much Zoloft should I take for PMDD?

SSRIStarting dose (half suggested effective dose)Usual effective dosesEscitalopram5 to 10 mg10 to 20 mgFluoxetine10 mg20 mgParoxetine (IR)10 mg20 to 30 mgSertraline25 mg50 to 150 mg1 more row

When should I take sertraline for PMS?

Herein we report the results of a clinical trial that evaluated symptom-onset dosing of sertraline for the treatment of PMDD. Sertraline is an effective treatment when given only in the luteal phase at doses of 50–100 mg/day.

Does Zoloft help regulate hormones?

They found that Prozac (fluoxetine), Paxil (paroxetine) and Zoloft (sertraline) all made the enzyme work more efficiently, thus enhancing brain levels of the anxiety-relieving hormone.

Which SSRI is best for PMS?

Selective serotonin reuptake inhibitors — Selective serotonin reuptake inhibitors (SSRIs) are a highly effective treatment for the symptoms of PMS and PMDD. The SSRIs include fluoxetine (Prozac and Sarafem), sertraline (Zoloft), citalopram (Celexa), and paroxetine (Paxil).

What is the best PMS medicine for irritability?

Selective serotonin reuptake inhibitors (SSRIs) — which include fluoxetine (Prozac), paroxetine (Paxil, Pexeva), sertraline (Zoloft) and others — have been successful in reducing mood symptoms. SSRIs are the first line treatment for severe PMS or PMDD . These medications are generally taken daily.

What are the side effects for PMS sertraline?

Side effectsit may cause dryness of the mouth;it may cause diarrhea;it may cause dizziness -- use caution when getting up from a lying or sitting position;it may cause either drowsiness or excitability -- use caution until you know how you will react;it may cause nausea or, rarely, vomiting;More items...

Will I gain weight on Zoloft?

Experts say that for up to 25% of people, most antidepressant medications -- including the popular SSRI (selective serotonin reuptake inhibitor) drugs like Lexapro, Paxil, Prozac, and Zoloft -- can cause a weight gain of 10 pounds or more.

Does sertraline make periods worse?

Prescription Medication An antidepressant, such as Prozac (fluoxetine) or Zoloft (sertraline), can be an effective way to relieve symptoms of depression—but it's not right for everyone. In addition to possible side effects, some antidepressants can even cause your period to be late or delayed.

Does Zoloft have immediate effects?

For example, it's important not to expect immediate results when taking Zoloft. People typically notice some improvement within a week or two, but it may take several weeks until you feel the full effects of the drug. If any of these side effects don't go away or are causing significant problems, contact your doctor.

Is Zoloft a mood stabilizer?

Zoloft is effective in treating depression, but it can have some side effects. If you have bipolar disorder and you're taking an antidepressant, such as Zoloft, without a mood stabilizer, you may be at risk for shifting into a manic or hypomanic episode.

Does Zoloft effect estrogen?

Fluoxetine and sertraline presented weak estrogenic effects.

How Long Does It Take For Zoloft to Work – Or “Kick In”?

It depends on the user. Although Zoloft starts working immediately in terms of exerting a neurophysiologic effect, it may take weeks for the medica...

Why Zoloft Might Work Immediately (Possible Reasons)

Included below is a list of explanations as to why Zoloft may start working immediately (within the first day or week of treatment). Possible reaso...

Why Zoloft Might Take A Longer Time to Start Working (Possible Reasons)

If Zoloft doesn’t work as quick as you were expecting, below are some potential reasons as to why it might take a longer duration to “kick in.” Pos...

Variables That Influence The Onset of Zoloft’S Action

There are likely multiple variables that influence the length of time it takes for Zoloft to start working OR a person to notice Zoloft working. Va...

How Long Did Zoloft Take to “Kick In” For Me?

Years ago when I was prescribed Zoloft by a psychiatrist, I initiated treatment at the lowest therapeutic dose (50 mg) and titrated upwards to high...

How Long Did It Take For Zoloft to Work For You?

If you’ve used Zoloft, also known as sertraline, how long did it take for the medication to “work”? More specifically, how long did it take for you...

Why does Zoloft take so long to work?

If Zoloft doesn’t work as quick as you were expecting, below are some potential reasons as to why it might take a longer duration to “kick in.” Possible reasons as to why Zoloft may take a while to fully alleviate your symptoms include: adaptations that require weeks to occur (e.g. downregulation of 5-HT1A receptors and neuroplastic changes) and/or dosage adjustments (e.g. titrating the dosage upwards).

How long does it take for Zoloft to kick in?

On the other hand, a person who starts treatment at too low of a dose and/or lacks self-awareness might not notice any effect until 4 to 8 weeks of treatment.

Why does Zoloft work so quickly?

Possible reasons as to why Zoloft may work much quicker than expected include: the placebo response; immediate neurochemical action (particularly in serotonin systems); and rapid alteration of neural connectivity. Keep in mind that there may be other reasons as to why Zoloft takes immediate effect besides the few listed below.

How to comment on Zoloft?

To help others better understand your experience with Zoloft – and its onset of action, provide details in your comment such as: your starting dose; whether you titrated the dosage upwards (or maintained); and whether you had a history of antidepressant use prior to taking Zoloft. Be sure to also note things like: the specific condition for which you were using Zoloft; whether you have any preexisting medical conditions that might influence its effect (e.g. hepatic dysfunction); and/or whether you’re using any other substances (medications, supplements, etc.) along with Zoloft.

Why do high doses affect serotonin?

This is because high doses deliver a greater amount of the drug to the brain, allowing for more upfront and substantial neurochemical modulation than lower doses. As a result, serotonergic signaling will be more pronounced in high dose users – and adaptations may occur at a faster rate (e.g. 5-HT1A downregulation and hippocampal neurogenesis) compared to lower dose users.

What happens to serotonin after 5-HT1A downregulation?

After 5-HT1A downregulation occurs, serotonergic neurons become disinhibited or increase in firing rate – stimulating postsynaptic receptors with a greater concentration of serotonin, leading users of the medication to perceive it as finally working.

How much does Zoloft cost?

Because Zoloft is an effective treatment option for numerous conditions, and is sold for a low cost due to its generic status (approximately $1.50 for a monthly prescription) – it remains a popular medication.

When will you start feeling the effects of Zoloft?

The length of time it takes for Zoloft to work varies from person to person, but in general, people start feeling better in at least six weeks on average. For some people, it may take as soon as one to two weeks to start feeling some of the benefits of Zoloft but it could be much longer for others.

What To Do If Zoloft Is Not Working Anymore?

If you find that Zoloft is not working for you anymore, it is important to take note of the following advice to avoid serious consequences such as drug overdose or harmful side effects.

How long does it take for Zoloft to show symptoms?

Zoloft takes around two to six weeks to show positive symptoms in the body. In order to completely eliminate the anxiety issues, you must take the dose at the same time of the day as prescribed by the doctor. In case you skip a dose, take it as soon as you remember. However, don’t overdose the medicine.

How effective is Zoloft for anxiety?

Recent studies have revealed that Zoloft is quite effective in treating anxiety disorders among children. Children suffering from social phobias, generalized anxiety, and separation anxiety can be treated with substantial dosage and psychotherapy. To treat anxiousness in children, the dosage is started low that tend to go higher if needed. Generally, kids aging 6 to 12 years are given 25 mg at the beginning. The number of pills may increase weekly up to the eighth week. Effectively, the dosage may reach 146 mg daily in case of severe anxiety.

What is sertraline used for?

It elevates the mood and controls the anxiety. It is used for various anxiety treatments as below: Pain disorder. Social phobia such as sweating, dry mouth, blushing or extreme disorder.

What is Zoloft used for?

Zoloft is a common Sertraline based drug that is used to alleviate anxiety and restore serotonin levels in the brain. It is a prescription drug that treats disorders, anxiety, depression, and other mental problems. The drug is manufactured by Pfizer and approved by the food and administration department.

What is the treatment for anxiety disorder?

At this stage, the patient becomes exhausted physically and emotionally. Doctors treat such patients with sertraline based drugs to bring the anxiety under control.

Is Zoloft safe for children?

After undertaking various researches at the National Institute of Mental Health, it was zeroed that Zoloft is one of the safest and most effective drug to cure comprehensive disorders among children. The symptoms of anxiety almost disappear, thus comforting the parents as well.

Is Zoloft a prescription drug?

Zoloft is a prescription drug approved to alleviate different types of anxiety disorders. Anxiety is an unwanted disorder that is characterized by a nerve disorder, worry, overreaction, mood swings, unwanted thoughts, feelings of guilt and unpleasant fear. Sertraline is a selective serotonin reuptake inhibitor in the form ...

What is Sertraline used for?

Sertraline (Zoloft, Pfizer Inc.) is a selective serotonin re-uptake inhibitor (SSRI) which has been approved by the US FDA for the treatment of premenstrual dysphoric disorder (PMDD). PMDD is a severe form of premenstrual syndrome (PMS) which affects at least 5 - 8% of women of reproductive age. It …

Is sertraline a SSRI?

Sertraline (Zoloft, Pfizer Inc.) is a selective serotonin re-uptake inhibitor (SSRI) which has been approved by the US FDA for the treatment of premenstrual dysphoric disorder (PMDD). PMDD is a severe form of premenstrual syndrome (PMS) which affects at least 5 - 8% of women of reproductive age. It is characterised by cyclic appearance at the late luteal phase of the menstrual cycle, and disappearance following the beginning of menses, with no symptoms during at least 1 week of the cycle - usually during the mid-follicular phase. Due to the cyclic luteal occurrence of PMDD, luteal phase dosing of SSRIs has been suggested and proven effective for sertraline as well as several other SSRIs. The clinical response of sertraline is reported to be within several days following initiation of treatment. Despite repeated cyclic discontinuation, no significant discontinuation adverse effects have been reported. In addition to its proven clinical efficacy, luteal-phase dosing may offer the advantages of minimising adverse effects of SSRIs while reducing the personal and economic burden of taking a prescription medication continuously for long periods and thus increasing compliance.

Who analyzed studies looking at these antidepressants in almost 4,400 women with PMDD or premenstrual?

Trevino and Maharaj analyzed studies looking at these antidepressants in almost 4,400 women with PMDD or premenstrual syndrome. Their recommendations were published in the September issue of the Journal of Psychiatric Practice.

What is the first treatment for premenstrual syndrome?

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Antidepressants are the first treatment choice for a severe type of premenstrual syndrome associated with suicidal thoughts, according to a new research review.

What is the best treatment for PMDD?

They recommended that antidepressants called selective serotonin reuptake inhibitors, or SSRIs, should be the first choice for a woman with PMDD. This class of drugs includes Paxil, Zoloft and Prozac.

What are the symptoms of PMDD?

In general, PMDD differs from premenstrual syndrome by involving several symptoms just before a period starts, including mood-related problems such as anger, anxiety or depressed mood, and physical symptoms such as low energy or appetite, headaches or sleeplessness, Trevino said.

What are some ways to treat PMDD?

Options for treating PMDD include birth control pills, psychiatric drugs like antidepressants, and supplements such as saffron, calcium and ginkgo biloba, the researchers say in background notes.

Can calcium supplements help with PMDD?

The researchers found that calcium supplementation appears helpful for women with PMDD.

Can you incorporate multiple modalities such as SSRI and calcium?

For other patients, "I may incorporate multiple modalities, such as SSRI and calcium, and recommend an exercise regimen," said Isaacs. "It requires some trial and error at first and close follow-up with a trusted provider."

What antidepressants slow down serotonin reuptake?

Options include selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa) and fluoxetine (Prozac); the serotonin and norepinephrine reuptake inhibitor (SNRI) venlafaxine (Effexor); and a tricyclic antidepressant that has a strong effect on serotonin, called clomipramine (Anafranil). Studies report that 60% to 90% of women with PMDD respond to treatment with drugs that block reuptake of serotonin, compared with 30% to 40% of those who take a placebo.

What supplements can help with PMDD?

Supplements. Vitamin B6, calcium, magnesium supplements, and herbal remedies have all been studied for use in PMDD — but as yet there is no consistent or compelling evidence leading to consensus about their efficacy.

Can antidepressants treat PMDD?

Other types of antidepressants, which target neurotransmitters other than serotonin, have not proven effective in treating PMDD. This suggests that serotonin reuptake inhibitors work in some way independent of their antidepressant effect — but their mechanism of action in PMDD remains unclear.

Do women have to take PMDD every day?

These drugs also alleviate symptoms of PMDD more quickly than depression, which means that women don't necessarily have to take the drugs every day. Instead, women can take them on an intermittent basis, also known as luteal-phase dosing because it coincides with the roughly 14-day span that begins just after ovulation and ends when menstruation starts.

Does hormone therapy work in PMDD?

Hormone therapies may be helpful for some women. They seem to work in PMDD act not by countering hormonal abnormalities, but by interrupting aberrant signaling in the hypothalamic-pituitary-gonadal circuit that links brain and ovaries and regulates the reproductive cycle

Can serotonin reuptake inhibitors cause nausea?

Side effects of serotonin reuptake inhibitors are usually relatively mild and transient. Nausea, for example, typically subsides after several days of taking a drug for the first time — and the problem tends not to recur even when the drug is taken intermittently.

How It Works

Upsides

Downsides

  • If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: 1. A headache, nausea, diarrhea, weight loss, insomnia, and sexual dysfunction. 2. May cause drowsiness, but not as likely as with some other antidepressants; however, caution should still be used when driving or operating ma…
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Bottom Line

  • Zoloft is an effective antidepressant with less potential for drowsiness than many other antidepressants.
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Tips

  1. Administer once daily either morning or evening. If Zoloft makes you drowsy, take it at bedtime. May be taken with or without food; however, this needs to be consistent.
  2. Talk to your doctor if your mood worsens or you experience any suicidal thoughts particularly during the first few months of therapy.
  3. Seek urgent medical advice if symptoms consistent with serotonin syndrome (such as agitati…
  1. Administer once daily either morning or evening. If Zoloft makes you drowsy, take it at bedtime. May be taken with or without food; however, this needs to be consistent.
  2. Talk to your doctor if your mood worsens or you experience any suicidal thoughts particularly during the first few months of therapy.
  3. Seek urgent medical advice if symptoms consistent with serotonin syndrome (such as agitation, hallucinations, fast heart rate, dizziness, flushing, nausea, diarrhea) develop.
  4. Do not stop suddenly as withdrawal symptoms may occur. When the time comes to discontinue Zoloft, your doctor will advise you how to taper the dose down.

Response and Effectiveness

  • Peak effects are seen within 4.5 to 8 hours. Some reduction in symptoms of depression or anxiety may be seen within the first week of taking Zoloft; however, it may take up to six weeks for the ful...
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Interactions

  • Medicines that interact with Zoloft may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with Zoloft. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Speak to your doctor about how drug interactions should be managed. Com…
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References

  • Zoloft (sertraline hydrochloride) [Package Insert]. Revised 10/2021. Roerig https://www.drugs.com/pro/zoloft.html
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Further Information

  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Zoloft only for the indication prescribed. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Copyright 1996-2022 Drugs.com. Revision date: February 11, 2022. Medical Disc…
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