Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/7/2025

Effects of Sertraline on Weight and Sleep

Introduction to Sertraline Side Effects

  • Sertraline can cause weight changes and sleep disturbances, including insomnia and somnolence, as common side effects, according to the American College of Clinical Pharmacology 1

Effects on Weight

  • Sertraline is preferred over paroxetine for patients concerned about weight gain, as paroxetine causes significantly more weight gain compared to sertraline and fluoxetine, as recommended by the British National Formulary 2

Effects on Sleep

  • Taking sertraline in the morning rather than evening may help reduce insomnia, as suggested by the American Academy of Sleep Medicine 1
  • For patients experiencing excessive daytime sleepiness, evening dosing may be preferable, according to the American Academy of Family Physicians 3

Drug Interactions and Precautions

  • Combining sertraline with other serotonergic medications can increase the risk of serotonin syndrome, a potentially life-threatening condition, as warned by the National Institute of Mental Health 1

REFERENCES

1

Common Side Effects of Sertraline [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025