Side effects reported with sertraline include nausea, diarrhea, vomiting, anorexia, abdominal cramps, tremor, anxiety, agitation, dizziness, nervousness, blurred vision, dryness of mouth and palpitations. Other side effects rarely reported with sertraline include fever, rash, weight loss, decreased sexual drive, delayed ejaculation, mania and insomnia.
Asymptomatic elevations in serum transaminases (SGOT and SGPT) have been reported infrequently (approximately 0.8%) in association with sertraline administration. The abnormalities usually occurred within the first 1 to 9 weeks of drug treatment and promptly diminished upon drug discontinuation.