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Trintellix vs. Zoloft

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

Key takeaways

Trintellix (vortioxetine) and sertraline (Zoloft) are both medications used to treat depression, but they belong to different drug classes. Trintellix is an atypical antidepressant, while Zoloft is a selective serotonin reuptake inhibitor (SSRI). Trintellix is only approved for treating depression in adults, whereas Zoloft is approved for a wider range of conditions, including major depressive disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, premenstrual dysphoric disorder, and social anxiety disorder. Trintellix is taken once a day and is not available as a generic, while Zoloft is also taken once a day and is available in both tablet and liquid forms, including a generic version. Common side effects for both include nausea and diarrhea, but Zoloft is more likely to cause difficulty sleeping and dry mouth. Both medications can cause withdrawal symptoms if stopped abruptly and have risks of serious side effects like suicidal thoughts and serotonin syndrome.

Trintellix

(vortioxetine)

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Sertraline

(Zoloft)

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Summary for Trintellix

Prescription only

Trintellix, the brand name for vortioxetine, belongs to a drug class called atypical antidepressants. It's used to treat depression in adults. This medication comes as a tablet that you take by mouth once a day. Common side effects include nausea, diarrhea, and dry mouth. Sexual side effects can also happen, but it's usually less likely than with some other antidepressants. As of 2025, there's no generic version of Trintellix (vortioxetine) available yet.

Indications for Trintellix

Pros and Cons for Trintellix

Pros

Cons

  • Can take up to a month or more before you feel the full effects
  • Not approved for use in children
  • Not approved to treat anxiety

Common Side Effects for Trintellix

  • Nausea (21-32%)
  • Diarrhea (7-10%)
  • Dizziness (6-9%)
  • Dry mouth (6-8%)
  • Vomiting (3-6%)
  • Constipation (3-6%)

Warnings for Trintellix

  • Suicidal thoughts or behavior
  • Serotonin syndrome
  • Higher risk of bleeding
  • Not for use alone for bipolar disorder
  • Withdrawal symptoms
  • Worsening of glaucoma in certain people
  • Low sodium levels
  • Sexual side effects

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 Trintellix vs. Zoloft

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Trintellix30 tablets / 10mg
$299.10$642.69
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Sertraline30 tablets / 50mg
$9.26$33.64
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