### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i  am on zoloft for eleventh day most of the demons have gone to the dr [as my psychiatrist asked me to get something to help me sleep] before she tackles the anxiety] gave me imovane to take last nigt as not sleeping very well and very anxious today  so went back to the dr told him it didnt work so he gave me stilnox 10 mg anxiety is really bad today is that ok          pauline

### output:

Thank you for your query. Zoloft (Sertraline) is an SSRI (Selective Serotonin Reuptake Inhibitor) regularly prescribed for treatment of depression and or anxiety. However, during initiation of treatment, it can paradoxically worsen anxiety, also cause some Gastrointestinal disturbance like dyspepsia, nausea etc. which passes away within one to two weeks on its own. Moreover, it takes around two to four weeks for the onset of action of Zoloft, as the actions are brought about by causing structural changes at a genetic and molecular level in the brain. Usually, most Psychiatrists prescribe a sedative hypnotic or anxiolytic (like Imovane-Zopiclone, Stilnoct-Zolpidem etc. or a benzodiazepine like clonazepam) together with Zoloft in the initial phase during treatment to cover for these events. If a patient with your complaints had come to me, I would have reassured her that there is nothing to worry, and these effects will pass of in a week or too. Also, I would have prescribed her a benzodiazepine anxiolytic/ sedative (like Clonazepam or Mizoram) instead of Stint(Collided, a Z Chat Doctor. Hope I've been able to satisfy your query. Please feel free to contact me for any further clarifications if needed. Best of luck.