Anonymous wrote:Hope this helps someone, as I came here with the same experience as the OP:
Solution: Always take a bite of food, take the Zoloft pill, take another bite of something and drink water.
If you forget or the pill gets stuck/dissolves in your esophagus, you will feel awful for about 30-60 minutes. Take deep breaths, calm the gag reflex if you can. Lie down to relax your esophagus so it can push the pill to your stomach. Drinking water helps but will also dissolve the pill.
Eat a bit of dairy or starch to soothe your burned esophagus.
Why: The carrier in Zoloft pills is hydrochloride, which becomes hydrochloric acid when dissolved (a strong acid, same as what's in your stomach). That is why Zoloft burns your esophagus when it gets stuck and dissolves there. The pill tends to get stuck in the sphincter muscle at the top of your esophagus if you haven't "exercised" the muscle by swallowing food first. Take another bite after the pill to keep esophageal peristalsis going (the automatic pushing of food down to your stomach). The gag reflex makes you nauseous, etc, trying to eject the stuck pill. I have successfully calmed myself to avoid vomiting, which would bring more HCl acid into the burned area, by taking slow breaths and literally praying for help. It's doable. Water further dissolves the acid, so something basic like starch (rice) or dairy (milk, ice cream) will neutralize the acid and soothe the ulcerated esophagus. Zoloft doses need to be titrated up to a full pill, so at first you have to take a cut pill with the HCl exposed on the cut side. It is even more important to take Zoloft with food at those times.
Good luck!
Thank you, PP! This just happened last night to DD, who got into the habit of dry-swallowing her Zoloft, and I was worried. She seemed to be in a lot of pain, and this (especially the bit on the caustic ingredient) was super helpful to I understand why it would cause more than a few minutes of discomfort. Thank you!