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Synthroid vs Zoloft: side-by-side comparison

Synthroid (Levothyroxine) 25mcg tablet
Synthroid
vs
Zoloft (Sertraline) 25mg tablet
Zoloft

Synthroid (Hormones et contraception) and Zoloft (Antidépresseurs) belong to different therapeutic classes and are rarely interchangeable. This page compares the medications' purposes, mechanisms and the situations where each is used.

Property Synthroid Zoloft
Active ingredient Levothyroxine Sertraline
Manufacturer AbbVie Pfizer
Class Hormones et contraception Antidépresseurs
Strengths 25mcg, 50mcg, 75mcg, 100mcg, 150mcg 25mg, 50mg, 100mg
Forms tablet tablet

What's the same

Synthroid and Zoloft are used in very different patients, and the points in common are limited. The main shared element is that both meet regulatory standards for efficacy and safety and benefit from pharmacist oversight.

Key differences

Synthroid belongs to Hormones et contraception while Zoloft belongs to Antidépresseurs. Indications, mechanisms and target populations differ. The comparison is most useful when a clinician has mentioned both medications and the patient wants to understand where each fits.

Mechanism and action

Synthroid: La lévothyroxine remplace la thyroxine endogène déficitaire, convertie dans les tissus en hormone active, la triiodothyronine (T3), par les enzymes désiodases. Zoloft: La sertraline agit en bloquant sélectivement le transporteur de la sérotonine, empêchant la recapture de la sérotonine depuis la fente synaptique et augmentant sa concentration synaptique.

When Synthroid is preferred

Synthroid est autorisé dans l'hypothyroïdie de toute cause (thyroïdite de Hashimoto, post-thyroïdectomie, post-iode radioactif, congénitale), dans le goitre et dans la freination de la TSH après cancer thyroïdien différencié.

When Zoloft is preferred

Zoloft est autorisé chez l'adulte dans la dépression caractérisée, le trouble panique avec ou sans agoraphobie, le trouble obsessionnel compulsif, l'état de stress post-traumatique, l'anxiété sociale et le trouble dysphorique prémenstruel.

Questions fréquentes

Is Synthroid or Zoloft better?

Synthroid and Zoloft are not interchangeable — they treat different conditions. Asking which is "better" is meaningful only when a clinician has weighed both for the same specific clinical scenario.

Can I switch from Synthroid to Zoloft?

Switching between Synthroid and Zoloft is rarely an appropriate decision since they belong to different classes and treat different conditions. The real question is usually whether the diagnosis calls for one medication or the other — which the prescriber resolves.

Do Synthroid and Zoloft have the same side effects?

No — they belong to different classes and have distinct side-effect profiles. Each medication has its own prescribing information.

More Synthroid comparisons

Les informations publiées sur ce site sont fournies à titre documentaire et pédagogique. Elles ne remplacent pas l'avis d'un professionnel de santé qualifié.