Suspect poisoning? US: ASPCA Poison Control (888) 426-4435 · UK: 01202 509 000 · Severe symptoms → nearest emergency vet now.

My 7 kg dog on thyroid medication accidentally ate a sertraline tablet — is this more dangerous than for a healthy dog?

Dogs · Emergency guide

Last reviewed: 2026-09-05 · Reference ranges: ASPCA, Pet Poison Helpline & Merck Veterinary Manual

Short answer

Yes, pre‑existing conditions amplify risk. Kidney or liver disease slows drug clearance, while concurrent medications can interact unpredictably with SSRIs. Serotonin syndrome — agitation, tremors, hyperthermia — can develop faster and be more severe. Call your vet or poison control immediately, bring the pill bottle, and do not give any home remedies. Hospital care with fluids, cooling, and specific medications is often needed.

What is serotonin syndrome?

Drugs such as SSRIs (fluoxetine/Prozac, sertraline), SNRIs and tricyclics raise serotonin levels. When a pet swallows too much, the excess causes agitation, tremors and a dangerously high body temperature — serotonin syndrome.

Why speed matters

Delaying care significantly worsens outcomes. Some signs appear hours or days later, so "looks fine right now" is not a reason to wait.

Signs to watch for

  • Restlessness, agitation, pacing
  • Tremors or shaking, muscle twitching
  • Very high body temperature, panting
  • Vomiting, diarrhoea
  • Seizures, severe rigidity (emergency)

What to do right now

  1. Call your vet or poison control immediately.
  2. Tell them exactly which drug and dose — many are different medicines under one name.
  3. Do not give anything else and do not try home treatment for "calming".
  4. Serotonin syndrome is treatable but needs urgent hospital care — fluids, cooling and specific medicines.
If your pet shows any of the signs above, go to the nearest emergency vet now and call ahead.

The step-by-step response, from the first minute to the vet visit, is in our Antidepressant (SSRI) Poisoning emergency guide.

Open the full emergency guide: Antidepressant (SSRI) Poisoning →