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Common Side Effects Nausea Diarrhea Insomnia Indigestion Dry mouth Drowsiness Less Common and Serious Side Effects Irregular heartbeat Loss of appetite Vision changes Tremor Sexual dysfunction Serious allergic reactions (hives, swelling, breathing difficulty) Worsening depression or suicidal thoughts (especially in young adults) Serotonin syndrome (fever, confusion, muscle stiffness) Increased bleeding risk (with anticoagulants or NSAIDs) Glaucoma worsening Abnormal heart rhythms Low sodium levels (confusion, headache, weakness) Precautions Do not take Zoloft with MAOIs or pimozide

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