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Pristiq vs. Zoloft

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Desvenlafaxine (Pristiq) and Zoloft (sertraline) are both medications used to treat depression, but they belong to different classes. Desvenlafaxine is a serotonin and norepinephrine reuptake inhibitor (SNRI), while Zoloft is a selective serotonin reuptake inhibitor (SSRI). Desvenlafaxine is only approved for treating depression in adults, whereas Zoloft is approved for a wider range of conditions, including depression, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, premenstrual dysphoric disorder, and social anxiety disorder. Desvenlafaxine is typically taken as a tablet once a day, while Zoloft is available in both tablet and liquid forms and is also taken once daily. Desvenlafaxine can raise blood pressure and isn't recommended for those with uncontrolled high blood pressure or heart problems, whereas Zoloft is less likely to cause weight gain compared to other SSRIs but can cause more diarrhea. Both medications can cause withdrawal symptoms if stopped abruptly and have a risk of increasing suicidal thoughts, especially in people under 25 years old.

Desvenlafaxine

(Pristiq)

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Sertraline

(Zoloft)

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Summary for Pristiq

Prescription only

Desvenlafaxine (Pristiq) is a medication used to treat depression in adults. It's only available as a tablet that's typically taken once a day. This medication can raise your blood pressure, so it might not be the best choice if you have uncontrolled high blood pressure or heart problems.

Indications for Pristiq

  • Depression

Pros and Cons for Pristiq

Pros

Cons

  • Can take up to 8 weeks for effects to fully kick in
  • Can raise your blood pressure
  • Must lower dose slowly to stop the medication to avoid withdrawal symptoms
  • Not approved for use in children

Common Side Effects for Pristiq

  • Nausea (22%)
  • Dizziness (13%)
  • Dry mouth (11%)
  • Excessive sweating (10%)
  • Constipation (9%)
  • Trouble sleeping (9%)
  • Feeling tired (7%)
  • Loss of appetite (5%)
  • Sleepiness (4%)
  • Low sex drive (4%)

Warnings for Pristiq

  • Suicidal thoughts and behaviors
  • Serotonin syndrome
  • High blood pressure
  • Higher bleeding risk
  • Worsening of glaucoma
  • Emergence of mania
  • Withdrawal symptoms
  • Seizures
  • Low sodium levels in the blood
  • Lung problems and pneumonia

Summary for Zoloft

Prescription only

Sertraline (Zoloft) is a selective serotonin reuptake inhibitor (SSRI). It's used to treat different mental health conditions, including depression and certain types of anxiety disorder, such as panic disorder. It's typically taken by mouth once per day. This medication is available as both a tablet and liquid. Common side effects of sertraline (Zoloft) include nausea, diarrhea, and dry mouth. It's best to avoid alcohol while taking sertraline (Zoloft) because this combination can worsen side effects of sertraline (Zoloft).

Indications for Zoloft

Pros and Cons for Zoloft

Pros

Cons

  • Can take up to 2 months before you feel the full benefits
  • More likely to cause diarrhea compared to other SSRIs
  • Might make it more difficult for you to fall asleep
  • Can cause withdrawal symptoms if you suddenly stop taking it
  • The liquid form contains alcohol

Common Side Effects for Zoloft

  • Nausea (26%)
  • Diarrhea (20%)
  • Difficulty sleeping (20%)
  • Dry mouth (14%)
  • Sleepiness (12%)

Warnings for Zoloft

  • Worsening depression, suicidal thoughts, and unusual behavior
  • Serotonin syndrome
  • Risk of bleeding
  • Not for use alone in bipolar disorder
  • Glaucoma
  • Life-threatening abnormal heart rhythm (QT prolongation)
  • Low blood sodium levels

Prices with our coupons for Pristiq vs. Zoloft

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Desvenlafaxine Succinate ER30 tablets / 50mg
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Sertraline30 tablets / 50mg
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