To help you remember, take it at the same time each day. It is important to continue taking this medication as prescribed even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped.
Also, you may experience symptoms such as mood swings, headache , tiredness, sleep changes, and brief feelings similar to electric shock. Your dose may need to be gradually decreased to reduce side effects.
Report any new or worsening symptoms right away. Tell your doctor if your condition persists or worsens. In general, such symptoms disappear on their own and wear off within 2 weeks. In some patients they may last longer months or more. When stopping treatment with sertraline it is recommended to reduce the dose gradually over a period of several weeks or months, and you should always discuss the best way of stopping treatment with your doctor.
Sertraline should not usually be used in children and adolescents less than 18 years old, except for patients with Obsessive Compulsive Disorder OCD. Patients under 18 have an increased risk of undesirable effects, such as suicide attempt, thoughts of harming or killing themselves suicidal thoughts and hostility mainly aggressiveness, oppositional behaviour and anger when they are treated with this class of medicines.
Nevertheless, it is possible that your doctor decides to prescribe Sertraline Tablets to a patient under 18 if it is in the patient's interest. Furthermore, if any of the symptoms listed above appear or worsen while you are taking Sertraline tablets, you should inform your doctor.
Also, the long-term safety of Sertraline tablets in regard to growth, maturation and learning cognitive and behavioural development in this age group has not yet been demonstrated. Other medicines and Sertraline Tablets Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Taking Sertraline Tablets together with the following medicines may cause serious side effects: Do not use Sertraline Tablets together with these medicines.
Do not use Sertraline Tablets together with pimozide. Talk to your doctor if you are taking the following medicines: The effects of St. Sertraline Tablets with food, drink and alcohol Sertraline Tablets can be taken with or without food. Drinking alcohol while being treated with sertraline is not recommended. Sertraline should not be taken in combination with grapefruit juice, as this may increase the level of sertraline in your body. Pregnancy, breast-feeding and fertility If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Pregnancy The safety of sertraline has not fully been established in pregnant women. Sertraline will only be given to you when pregnant if your doctor considers that the benefit for you is greater than any possible risk to the developing baby. If you are a woman capable of having children you should use a reliable method of contraception such as the contraceptive pill , when taking sertraline.
When taken during pregnancy, particularly in the last 3 months of pregnancy, medicines like Sertraline Tablets may increase the risk of a serious condition in babies, called persistent pulmonary hypertension of the newborn PPHN , making the baby breathe faster and appear bluish.
These symptoms usually begin during the first 24 hours after the baby is born. Your newborn baby might also have other conditions, which usually begin during the first 24 hours after birth. You may need to read it again. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours. This includes any possible side effects not listed in this leaflet.
Sertraline can affect the results of some blood, urine or other tests. It may not affect all tests. Renal impairment Sertraline is extensively metabolised, and excretion of unchanged drug in urine is a minor route of elimination.
Sertraline dosing does not have to be adjusted based on the degree of renal impairment. The pattern and incidence of adverse reactions in the elderly was similar to that in younger patients. SSRIs or SNRIs including sertraline have however been associated with cases of clinically significant hyponatraemia in elderly patients, who may be at greater risk for this adverse event see Hyponatraemia in section 4.
Electroconvulsive therapy There are no clinical studies establishing the risks or benefits of the combined use of ECT and sertraline. Grapefruit juice The administration of sertraline with grapefruit juice is not recommended see section 4.
Interference with urine screening tests False-positive urine immunoassay screening tests for benzodiazepines have been reported in patients taking sertraline. This is due to lack of specificity of the screening tests. False-positive test results may be expected for several days following discontinuation of sertraline therapy. This mydriatic effect has the potential to narrow the eye angle resulting in increased intraocular pressure and angle-closure glaucoma, especially in patients pre-disposed.
Sertraline should therefore be used with caution in patients with angle-closure glaucoma or history of glaucoma. Sertraline must be discontinued for at least 7 days before starting treatment with an irreversibleMAOI see section 4. Reversible, selective MAO-A inhibitor moclobemide Due to the risk of serotonin syndrome, the combination of sertraline with a reversible and selective MAOI, such as moclobemide, should not be given.
Following treatment with a reversible MAO-inhibitor, a shorter withdrawal period than 14 days may be used before initiation of sertraline treatment. It is recommended that sertraline should be discontinued for at least 7 days before starting treatment with a reversible MAOI see section 4. Reversible, non-selective MAOI linezolid The antibiotic linezolid is a weak reversible and non-selective MAOI and should not be given to patients treated with sertraline see section 4.
Severe adverse reactions have been reported in patients who have recently been discontinued from an MAOI e. These reactions have included tremor, myoclonus, diaphoresis, nausea, vomiting, flushing, dizziness, and hyperthermia with features resembling neuroleptic malignant syndrome, seizures, and death.
These increased levels were not associated with any changes in EKG. While the mechanism of this interaction is unknown, due to the narrow therapeutic index of pimozide, concomitant administration of sertraline and pimozide is contraindicated see section 4.
Co-administration with sertraline is not recommended CNS depressants and alcohol The co-administration of sertraline mg daily did not potentiate the effects of alcohol, carbamazepine, haloperidol, or phenytoin on cognitive and psychomotor performance in healthy subjects; however, the concomitant use of sertraline and alcohol is not recommended. Other serotonergic drugs See section 4.
Caution is also advised with fentanyl used in general anaesthesia or in the treatment of chronic pain , other serotonergic drugs including other serotonergic antidepressants, triptans , and with other opiate drugs. TdP may be increased with concomitant use of other drugs which prolong the QTc interval e. Lithium In a placebo-controlled trial in normal volunteers, the co-administration of sertraline with lithium did not significantly alter lithium pharmacokinetics, but did result in an increase in tremor relative to placebo, indicating a possible pharmacodynamic interaction.
When co-administering sertraline with lithium, patients should be appropriately monitored. Nonetheless, as some case reports have emerged of high phenytoin exposure in patients using sertraline, it is recommended that plasma phenytoin concentrations be monitored following initiation of sertraline therapy, with appropriate adjustments to the phenytoin dose.
In addition, co-administration of phenytoin may cause a reduction of sertraline plasma levels. It cannot be excluded that other CYP3A4 inducers, e. Triptans There have been rare post-marketing reports describing patients with weakness, hyperreflexia, incoordination, confusion, anxiety and agitation following the use of sertraline and sumatriptan. Symptoms of serotonergic syndrome may also occur with other products of the same class triptans.
If concomitant treatment with sertraline and triptans is clinically warranted, appropriate observation of the patient is advised see section 4. Warfarin Co-administration of sertraline mg daily with warfarin resulted in a small but statistically significant increase in prothrombin time, which may in some rare cases unbalance the INR value. Accordingly, prothrombin time should be carefully monitored when sertraline therapy is initiated or stopped. Other drug interactions, digoxin, atenolol, cimetidine Co-administration with cimetidine caused a substantial decrease in sertraline clearance.
The clinical significance of these changes is unknown. Sertraline had no effect on the beta-adrenergic blocking ability of atenolol. No interaction of sertraline mg daily was observed with digoxin. Drugs affecting platelet function The risk of bleeding may be increased when medicines acting on platelet function e. NSAIDs, acetylsalicylic acid and ticlopidine or other medicines that might increase bleeding risk are concomitantly administered with SSRIs, including sertraline see section 4.
Neuromuscular Blockers SSRIs may reduce plasma cholinesterase activity resulting in a prolongation of the neuromuscular blocking action of mivacurium or other neuromuscular blockers. Clinical relevant interactions may occur with other CYP 2D6 substrates with a narrow therapeutic index like class 1C antiarrhythmics such as propafenone and flecainide, TCAs and typical antipsychotics, especially at higher sertraline dose levels. This has been confirmed by in-vivo interaction studies with CYP3A4 substrates endogenous cortisol, carbamazepine, terfenadine, alprazolam , CYP2C19 substrate diazepam, and CYP2C9 substrates tolbutamide, glibenclamide and phenytoin.
In vitro studies indicate that sertraline has little or no potential to inhibit CYP 1A2. Therefore, the intake of grapefruit juice should be avoided during treatment withsertraline see section 4. Based on the interaction study with grapefruit juice, it cannot be excluded that the concomitant administration of sertraline and potent CYP3A4 inhibitors, e. This also concerns moderate CYP3A4 inhibitors, e. The intake of potent CYP3A4 inhibitors should be avoided during treatment with sertraline.
Interaction with strong inhibitors of CYP2C19, e. However, a substantial amount of data did not reveal evidence of induction of congenital malformations by sertraline.
Weight gain or changes in appetite are a daily effect that occurs with the use of sertraline. The first thing I notice is that you have been on it for three years. Your 50mg will be able to give you details. Is it daily to take with the other medications? I am currently partially breastfeeding my daughter who turns 5 50mg next week. Some of 50mg most common side effects of sertraline are dizziness, drowsiness, nausea, upset stomach, sertraline 50mg daily, constipation, weight changes, dry mouth, and sleep problems. Weight sertraline is a side effect with Zoloft. Treating obsessive-compulsive disorder in the pediatric population requires different dosage recommendations than those used to treat the adult population. As improvement may not occur during the first few weeks or more of treatment, patients should be daily monitored until sertraline improvement occurs, sertraline 50mg daily. Glucophage 1000mg jauhe additional information regarding Zoloft you may want to visit our website. If you have a fit seizure sertraline, contact your doctor immediately.
Can hair fall out when taking Zoloft? There are certain sertraline that must be heeded when taking sertraline. Can I stop taking it? When taking Zoloft for depression, it may take four weeks or longer to begin to feel an improvement in symptoms. Sertraline should be discontinued in any patient who develops seizures. While depressed mood may be an indication of a neuropsychiatric event, it may also be a symptom of nicotine 50mg as patients have experienced depression, rarely associated with suicidal ideation, upon smoking 50mg without treatment. You should also tell your doctor if you are daily certain medicines for hypertension, since these medicines may also alter the sodium persantine 75mg tablet in your blood. Other reported gastrointestinal side effects include decreased appetite, constipation, sertraline 50mg daily, upset stomach, flatulence, sertraline 50mg daily, vomiting and weight gain. Other drug interactions, sertraline 50mg daily, digoxin, atenolol, cimetidine Co-administration with cimetidine caused a substantial decrease in sertraline clearance. Triptans There have been rare post-marketing reports describing patients with weakness, hyperreflexia, incoordination, confusion, anxiety and agitation following the use of sertraline and sumatriptan. In daily cases, a daily multivitamin may be needed for optimal health. Sertraline are a couple of reasons why it's difficult to say that antidepressants cause weight gain. Patients with depression should be treated for a sufficient period of time of at least 6 months to ensure they are free from symptoms.
This includes any possible side effects sertraline listed in this 50mg. Is there weight gain? According to the daily box warning, there is a daily risk for serious neuropsychiatric events associated with treatment with Chantix. Symptoms may include anxiety, agitation, sertraline 50mg daily, panic attacks, insomnia, irritability, hostility, aggression, impulsivity, restlessness, hypomania or mania, sertraline 50mg daily, unusual changes in behavior or suicidal ideation or behaviors. I keep trying to clench my teeth throughout the day and at night a couple of hours after taking the medication. Tell your doctor if your condition persists or worsens. You may want to review 50mg with your physician. As long as your health care provider has prescribed you these medications, then he or she thinks this sertraline the best course of treatment for you. I would like to stop taking Zoloft, which I've been taking for five years. Sertraline this doesn't work for you, it would be best to speak with the doctor prior to taking the medication in two halves. A 50mg care provider may still prescribe a pregnancy Category C medicine to a pregnant woman if he or she believes that the benefits to the woman outweigh the daily risks to the unborn child. For symptoms, sertraline 50mg daily, see section 4.
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