Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Sertraline (Zoloft) and amitriptyline (Elavil) are both used to treat depression, but they belong to different classes of medications. Sertraline (Zoloft) is a selective serotonin reuptake inhibitor (SSRI), while amitriptyline is a tricyclic antidepressant (TCA). Sertraline (Zoloft) is also approved for several anxiety disorders, including panic disorder and social anxiety disorder, whereas amitriptyline is often used off-label for nerve pain and migraine prevention. Sertraline (Zoloft) is typically taken once daily and is available in both tablet and liquid forms, while amitriptyline can be taken in divided doses throughout the day or as a single dose at bedtime. Common side effects of sertraline (Zoloft) include nausea, diarrhea, and dry mouth, whereas amitriptyline often causes sleepiness, weight gain, and dizziness. Both medications can cause withdrawal symptoms if stopped abruptly, but amitriptyline has more interactions with other medications compared to sertraline (Zoloft). Additionally, sertraline (Zoloft) is less likely to cause weight gain compared to other SSRIs, while amitriptyline is known for its higher risk of weight gain.
Sertraline (Zoloft)
Amitriptyline
Sertraline (Zoloft)
Amitriptyline
Summary of Zoloft vs. Elavil
Summary for SSRI
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).
Summary for Tricyclic antidepressant
Prescription only
Amitriptyline is FDA approved to treat depression. But it isn't as commonly used today as other antidepressants because it can cause a lot of side effects, such as sleepiness and weight gain. In addition, amitriptyline has many interactions with other medications, including other antidepressants, sedatives, and antihistamines. But despite the side effects and interactions, amitriptyline is often used off label for nerve pain due to diabetes and migraine prevention. While its brand name Elavil is no longer available, amitriptyline is available as a generic medication.