### Human:\nis my vertigo related to zoloft withdrawal or an inner ear problem? . i lowered my dose of zoloft from 100 mg to 50 mg ive been on 50 for 3 weeks. i was doing great but yesterday and today ive had really bad vertigo and felt detached. like everything around me is surreal. its affecting my appetite and i get drowsy but when i lay down the vertigo gets worse and feels like bedspins. i don't drink (for years now) and i don't do any drugs. is this vertigo related to zoloft somehow or is it something new in the form of an ear infection? (i do use qtips by the way)\n\n### Assistant: vertigo can have hundreds of different causes. it would be impossible to determine a specific cause blindly over the internet. you will need to see your medical provider so you can be properly examined to narrow down the many many possibilities.