The 24 hours have not been great for me. I called my psychiatrist and he suggested quitting Zoloft (at first he didn't even suggest stepping down!) and starting Remeron. I vomit when I have panic attacks and I explained to him that I don't think the Zoloft is what is causing my nausea. He said he understood but it should not be so severe to be vomiting. I don't know what to think? It makes me nervous that he so quickly is ready to switch around meds. I have an appt with a new psychiatrist on Monday, so I think I will wait to see what she thinks before making changes. (Seeing her bc she is in the same practice as my psychologist and wanted to streamline things, will tell my psychiatrist if I like her)