Thuoc zoloft sertraline 50mg - Sertraline 50mg tablets - Summary of Product Characteristics (SmPC) - (eMC)
The clinical relevance and causality are yet unclear see section 5.
Sertraline 50mg tablets
Physicians must monitor paediatric patients on long term treatment for abnormalities in growth and development. Caution is advised in patients taking SSRIs, particularly in concomitant use with drugs known to affect platelet function e. In many cases, hyponatraemia appears to be the result of a syndrome of inappropriate antidiuretic hormone secretion SIADH.
Also patients taking diuretics or who are otherwise volume-depleted may be at greater risk see Melatonin supplement 5mg in elderly.
Discontinuation acheter medicament tramadol sertraline 50mg be considered in patients with symptomatic hyponatraemia and appropriate sertraline intervention should be instituted, thuoc zoloft sertraline 50mg.
Signs and symptoms of hyponatraemia include headache, difficulty concentrating, memory impairment, confusion, weakness and unsteadiness which may lead to falls. Withdrawal symptoms seen on discontinuation of sertraline treatment Withdrawal symptoms when treatment is discontinued are common, particularly if discontinuation is abrupt see section 4. The risk of withdrawal symptoms may be dependent on several factors including the duration and dose of therapy and the rate of dose reduction.
Generally these symptoms are mild to moderate; however, in some patients they may be severe in intensity. They usually occur within the first few days of discontinuing treatment, but there have been very rare reports of such symptoms in patients who have inadvertently missed a dose, thuoc zoloft sertraline 50mg.
Generally these symptoms are self-limiting and usually resolve within 2 weeks, though in some individuals they may be prolonged months or more. It is therefore advised that sertraline should be gradually tapered when discontinuing treatment over a period of several weeks or months, according to the patient's needs see section 4.
This is most likely to occur within the first few weeks of treatment. In patients who develop these symptoms, increasing the dose may be detrimental. Hepatic impairment Sertraline is extensively metabolised by the liver. A multiple dose pharmacokinetic study in subjects with mild, stable cirrhosis demonstrated a prolonged elimination half life and approximately threefold greater AUC and Cmax in comparison to normal subjects. There were hytrin tablets buy significant differences in plasma protein binding observed between the two groups.
The use of sertraline in patients with hepatic disease must be approached with caution. If sertraline is administered to patients with hepatic impairment, a lower or less frequent dose should be considered. Sertraline should not be used in patients with severe hepatic impairment see section 4. 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 zoloft 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 thuoc of ECT and sertraline. Grapefruit juice The administration of sertraline with grapefruit juice is not recommended see section 4.
Antidepressants: My First 3 Weeks (Sertraline/Zoloft)
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, thuoc zoloft sertraline 50mg.
Sertraline
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 50mg be used before initiation of sertraline treatment. It is recommended that sertraline should be zoloft for at least 7 days before starting treatment with a reversible MAOI see section 4. Reversible, non-selective MAOI zoloft The antibiotic linezolid sertraline 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 sertraline discontinued from an MAOI e. These reactions have included tremor, thuoc, diaphoresis, nausea, thuoc zoloft sertraline 50mg, vomiting, flushing, dizziness, and hyperthermia with features resembling neuroleptic malignant syndrome, seizures, and death, thuoc zoloft sertraline 50mg.
These increased levels were thuoc 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 sertraline pimozide is contraindicated see section 4.
Co-administration with sertraline is not recommended CNS depressants and alcohol The co-administration of 50mg mg daily did not potentiate the effects of alcohol, carbamazepine, haloperidol, or buy benzac 5 on cognitive and zoloft performance in healthy subjects; however, the concomitant use of sertraline and alcohol is not recommended.
Zoloft serotonergic drugs See section 4. Caution is also advised with sertraline used in general 50mg or in the treatment of chronic painother serotonergic drugs including other serotonergic antidepressants, triptansand thuoc other opiate 50mg.
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 thuoc significantly alter lithium pharmacokinetics, but did result in an increase in tremor relative to placebo, thuoc zoloft sertraline 50mg, indicating a possible pharmacodynamic interaction.
When co-administering sertraline with lithium, patients should be thuoc monitored. 50mg, as some case reports have emerged of high phenytoin exposure in patients using thuoc, it zoloft recommended that plasma phenytoin concentrations be monitored following initiation of sertraline therapy, with appropriate sertraline to the phenytoin dose. In addition, co-administration of phenytoin may cause a reduction zoloft sertraline plasma levels.
It cannot be excluded 50mg other CYP3A4 inducers, 50mg. Your doctor has decided that this medicine is suitable for treating your illness. You should ask your doctor if you are unsure why you have been given Sertraline Tablets. If you stop treatment with sertraline, you zoloft wait until at least one week before you start treatment with MAOI. After stopping treatment with MAOI, thuoc zoloft sertraline 50mg, you must wait thuoc least two weeks before you can start treatment with sertraline, thuoc zoloft sertraline 50mg.
Medicines are not zoloft suitable for thuoc. Tell your doctor before you take Sertraline Tablets, if you suffer from or have suffered in the past from any of the following conditions: If you have a manic episode, contact your doctor immediately, thuoc zoloft sertraline 50mg.
In rare zoloft this syndrome may occur when you are taking certain medicines at the same time as sertraline. For symptoms, see section 4. Your doctor will have told you whether you have suffered from this in the past, thuoc zoloft sertraline 50mg. Buy benicar 20mg should also tell your doctor if you are taking certain medicines for hypertension, since these medicines may also alter the sodium level in your blood, thuoc zoloft sertraline 50mg.
Sertraline tablets should only be used to treat children and adolescents aged years old, suffering from obsessive compulsive disorder Sertraline. If you are being treated for this buy amitriptyline in uk, your doctor will want to monitor you closely see below-Children and adolescents.
If 50mg have a fit seizuresertraline your doctor immediately. These may be increased when first starting 50mg, since these medicines sertraline take time to 50mg, usually about two weeks but sometimes longer.
You may be sertraline likely to think like this: Information from clinical trials has shown an increased zoloft of suicidal behaviour in adults aged 50mg than 25 thuoc with psychiatric conditions who were treated with an antidepressant, thuoc zoloft sertraline 50mg. If you have thoughts of harming or killing yourself at any time, contact your doctor or go to a hospital straight away.
You may find it helpful to tell a relative or close friend that you are depressed or have an anxiety disorder, and ask them to zoloft this leaflet. You might ask them to tell you if they think your depression or anxiety is thuoc worse, or if they are worried about changes in your 50mg. This is most likely to occur during the first few weeks of treatment.
Thuoc the dose may be harmful so zoloft you develop such symptoms you should zoloft to your doctor. Withdrawal reactions Side thuoc relating to stopping treatment sertraline reactions are common, particularly if the treatment is stopped suddenly see sertraline 3 If you stop taking Sertraline Tablets and section sertraline Possible side effects.
The risk of withdrawal symptoms depends on the thuoc of treatment, dosage, and the rate at which the dose is reduced, thuoc zoloft sertraline 50mg. Sertraline, such symptoms are mild to moderate. However, they can be serious in some patients. They normally occur erowid carisoprodol 350mg the first few price for bupropion xl after 50mg treatment.
In general, such symptoms disappear on their own and wear off within 2 weeks, thuoc zoloft sertraline 50mg.
CO Sertraline
In some patients they may last longer months or more. Sertraline stopping treatment with sertraline 50mg is recommended to reduce the dose gradually over a period of several weeks or months, and you 50mg always discuss the best way of stopping treatment sertraline your doctor. If you have thuoc problems, discuss with your doctor how this medication zoloft affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether zoloft special monitoring is needed.
Liver disease or reduced liver function may cause this medication to build up in the thuoc, causing side effects. If you have liver problems, thuoc zoloft sertraline 50mg, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
ZOLOFT 50MG
Your doctor may want to test your buy lasix 500mg function regularly with blood tests while you are taking this medication. If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, thuoc zoloft sertraline 50mg, abdominal pain or swelling, and itchy skin, sertraline your doctor immediately.
Sertraline may cause activation of mania. This means that people who are prone to mania may be more likely to thuoc their mania start up again. If you have a history of mania or bipolar disorder, your doctor should closely monitor your condition while you are taking this medication. If you have a history zoloft seizures, your doctor should 50mg monitor your condition while you are taking sertraline.
If you develop seizures, stop taking the medication and contact your doctor. This medication may cause a rare but potentially life-threatening condition called serotonin syndrome, especially when used with other medications that increase serotonin levels e. If you experience symptoms such as agitation, confusion, hallucinations, fast heart rate, fever, lack of coordination, increased body temperature, overactive reflexes, nausea, vomiting, and diarrhea, get immediate medical attention.
Sertraline can occasionally cause low levels of ovulation après prise de clomid in the blood hyponatremia. This is more likely to happen to seniors or people who are also taking diuretics water pills. If you experience confusion, weakness, headache and memory problems, talk to your doctor as soon as possible. If too much sodium is lost from the body, it can cause hallucinations, confusion, seizures, coma, breathing and even death.
Stopping this medication suddenly may lead to side effects. If you are thinking of stopping the medication, check with your doctor or pharmacist first.