[24F] Experiencing heart rhythm changes post-Zoloft discontinuation

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

1. Withdrawal from Zoloft (Sertraline): Stopping Zoloft, especially if done abruptly, can lead to withdrawal symptoms, sometimes referred to as "discontinuation syndrome." Symptoms can include dizziness, changes in heart rhythm, and shortness of breath. These symptoms usually resolve over time as your body adjusts.

   • Treatment typically involves monitoring symptoms and, if necessary, consulting with your healthcare provider about possibly restarting the medication at a lower dose and tapering off more gradually.

2. Propranolol Effects: Propranolol is a beta-blocker that can affect heart rate and rhythm. While it is often used to manage high pulse rates, it can sometimes cause side effects like dizziness or changes in how you perceive your heart rhythm.

   • If propranolol is contributing to your symptoms, your doctor might adjust the dosage or consider alternative medications.

3. Anxiety or Stress: Even if you haven't noticed changes in mood, the physical symptoms of anxiety can sometimes manifest as changes in heart rhythm or shortness of breath, especially during periods of stress or medication changes.

   • Techniques such as deep breathing exercises, mindfulness, or relaxation techniques can be helpful.

What you can do

1. Consult Your Healthcare Provider: It's important to discuss these symptoms with your doctor, especially since they started after stopping Zoloft. They can provide guidance on managing withdrawal symptoms or adjusting your current medications.

2. Monitor Your Symptoms: Keep track of when these symptoms occur, their duration, and any potential triggers. This information can be valuable for your healthcare provider. You can use MDandMe to journal your symptoms, track progress, and share insights with your provider.

3. Stay Hydrated and Rested: Ensure you're drinking enough water and getting adequate rest, as dehydration and fatigue can exacerbate symptoms.

4. Avoid Sudden Movements: Since your symptoms occur mostly when moving around, try to move slowly and deliberately to minimize dizziness and changes in heart rhythm.

What you should look out for

Seek medical attention if you experience:

• Severe or worsening shortness of breath
• Chest pain or pressure
• Fainting or severe dizziness
• Any new or concerning symptoms

Remember, while this information can be helpful, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.