There is 1 alcohol/food/lifestyle interaction with sertraline:
sertraline ↔ food
Moderate Food Interaction
You should avoid or limit the use of alcohol while being treated with sertraline. Alcohol can increase the nervous system side effects of sertraline such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment. Talk to your doctor or pharmacist if you have any questions or concerns.
SS most often occurs when two medicines that affect the body's level of serotonin are taken together at the same time. The medicines cause too much serotonin to be released or to remain in the brain area.
For example, serotonin syndrome may occur if you take an antidepressant with a migraine medication. It may also occur if you take an antidepressant with an opioid pain medication.
A number of over-the-counter and prescription drugs may be associated with serotonin syndrome, especially antidepressants. Illicit drugs and dietary supplements also may be associated with the condition. These drugs and supplements include:
Selective serotonin reuptake inhibitors (SSRIs), antidepressants such as citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine, paroxetine (Paxil) and sertraline (Zoloft)
Serotonin and norepinephrine reuptake inhibitors (SNRIs), antidepressants such as trazodone, duloxetine (Cymbalta) and venlafaxine (Effexor)
Bupropion (Wellbutrin, Zyban), an antidepressant and tobacco-addiction medication
Tricyclic antidepressants, such as amitriptyline and nortriptyline (Pamelor)
Monoamine oxidase inhibitors (MAOIs), antidepressants such as isocarboxazid (Marplan) and phenelzine (Nardil)
Anti-migraine medications such as triptans (Axert, Amerge, Imitrex), carbamazepine (Tegretol) and valproic acid (Depakene)
Pain medications such as opioid pain medications including codeine (Tylenol with codeine), fentanyl (Duragesic), hydrocodone meperidine (Demerol), oxycodone (Oxycontin, Percocet, Percodan) and tramadol (Ultram).
Lithium (Lithobid), a mood stabilizer
Illicit drugs, including LSD, Ecstasy, cocaine and amphetamines
Herbal supplements, including St. John's wort, ginseng and nutmeg
Over-the-counter cough and cold medications containing dextromethorphan (Delsym, Mucinex DM, others)
Anti-nausea medications such as granisetron, metoclopramide (Reglan), droperidol (Inapsine) and ondansetron (Zofran)
Linezolid (Zyvox), an antibiotic
Ritonavir (Norvir), an anti-retroviral medication used to treat HIV/AIDS
Serotonin syndrome symptoms usually occur within several hours of taking a new drug or increasing the dose of a drug you're already taking. Signs and symptoms include:
Agitation or restlessness
Rapid heart rate and high blood pressure
Loss of muscle coordination or twitching muscles
Severe serotonin syndrome can be life-threatening. Signs and symptoms include:
Source: Mayo Clinic
You are still on a low dose so I would not worry so much, someone very close to me takes 150mgs., and she has never had a problem and takes more than one medication, including NSAIDs, etc.. Having said that, we are unique so medications affect everyone differently (benefits, potential side effects, interactions, etc... )
Always check with your Dr. or Pharmacist before you take any supplements, or any other medication, it is important not to self medicate and also not to worry so much to the point that it begins to stress you out , you need to take your AD and try to enjoy life a bit, stay away from alcohol, not even one beer, alcohol, as you is a depressant , and you do not need it, I have not drank a single drop of alcohol for 14 years.
All the best, masso.-