Sertraline

Pronunciation

Generic Name: sertraline (SER-tra-leen)
Brand Name: Zoloft

Antidepressants may increase the risk of suicidal thoughts or actions in children, teenagers, and young adults. However, depression and certain other mental problems may also increase the risk of suicide. Talk with the patient's doctor to be sure that the benefits of using sertraline outweigh the risks.

Family and caregivers must closely watch patients who take sertraline. It is important to keep in close contact with the patient's doctor. Tell the doctor right away if the patient has symptoms like worsened depression, suicidal thoughts, or changes in behavior. Discuss any questions with the patient's doctor.

Sertraline is not approved for use in CHILDREN except for patients with obsessive-compulsive disorder (OCD).


Sertraline is used for:

Treating depression or OCD. It may be used to treat panic disorder or posttraumatic stress disorder (PTSD). It may also be used to treat premenstrual dysphoric disorder (PMDD) (a severe form of premenstrual syndrome) or social anxiety disorder. It may also be used for other conditions as determined by your doctor.

Sertraline is a selective serotonin reuptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural substance in the brain, which helps to improve certain mood problems.

Do NOT use sertraline if:

  • you are allergic to any ingredient in sertraline
  • you are taking or have taken linezolid or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine, selegiline) within the last 14 days
  • you are taking pimozide
  • you are taking another medicine that contains sertraline

Contact your doctor or health care provider right away if any of these apply to you.

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Before using sertraline:

Some medical conditions may interact with sertraline. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you or a family member has a history of bipolar disorder (manic depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
  • if you have a history of seizures, heart problems (eg, slow heartbeat, a heart attack), high blood pressure, stroke, liver or kidney problems, stomach or bowel bleeding, other bleeding problems, glaucoma or increased eye pressure, or metabolism problems
  • if you are dehydrated, have low blood volume or low blood sodium levels, or drink alcohol
  • if you will be having electroconvulsive therapy (ECT)
  • if you are taking a medicine that contains methylene blue

Some MEDICINES MAY INTERACT with sertraline. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Anorexiants (eg, phentermine), bupropion, buspirone, fenfluramine derivatives (eg, dexfenfluramine), fentanyl, linezolid, lorcaserin, MAOIs (eg, phenelzine, selegiline, rasagiline), meperidine, metoclopramide, nefazodone, sibutramine, SNRIs (eg, duloxetine, venlafaxine), other SSRIs (eg, citalopram, fluoxetine), St. John's wort, trazodone, triptans (eg, sumatriptan), or tryptophan because severe side effects, such as a reaction that may include fever, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
  • Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen, ketorolac) because the risk of bleeding, including stomach bleeding, may be increased
  • Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood sodium levels may be increased
  • Tramadol because the risk of seizures may be increased
  • Cimetidine because it may increase the risk of sertraline's side effects
  • Phenothiazines (eg, chlorpromazine, thioridazine) because severe heart problems, including irregular heartbeat, may occur
  • Carbamazepine or cyproheptadine because they may decrease sertraline's effectiveness
  • Aripiprazole, beta-blockers (eg, propranolol), clozapine, diazepam, digoxin, flecainide, lithium, phenytoin, pimozide, propafenone, risperidone, tolbutamide, tricyclic antidepressants (eg, amitriptyline), or valproate (eg, valproic acid) because the risk of their side effects may be increased by sertraline
  • Tamoxifen because its effectiveness may be decreased by sertraline

This may not be a complete list of all interactions that may occur. Ask your health care provider if sertraline may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use sertraline:

Use sertraline as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Sertraline comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get sertraline refilled.
  • Take sertraline by mouth with or without food.
  • Taking sertraline at the same time each day will help you remember to take it.
  • Continue to take sertraline even if you feel well. Do not miss any doses.
  • Do not suddenly stop taking sertraline without checking with your doctor. Side effects may occur. They may include mental or mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual tiredness. If you need to stop sertraline, your doctor may need to gradually lower your dose.
  • If you miss a dose of sertraline, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use sertraline.

Important safety information:

  • Sertraline may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use sertraline with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Do not drink alcohol while you are taking sertraline.
  • Check with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are taking sertraline; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
  • Several weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, change your dose, or use sertraline for longer than prescribed without checking with your doctor.
  • Children and teenagers who take sertraline may be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk may be greater in patients who have had suicidal thoughts or actions in the past. The risk may also be greater in patients who have had bipolar (manic-depressive) illness, or if their family members have had it. Watch patients who take sertraline closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.
  • If your doctor tells you to stop taking sertraline, you will need to wait for several weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone). Ask your doctor when you should start to take your new medicines after you have stopped taking sertraline.
  • Sertraline may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
  • Certain antidepressants, including sertraline, may increase the risk of bleeding. Sometimes, bleeding can be life-threatening. Discuss any questions or concerns with your doctor.
  • Some people may be at risk for eye problems from sertraline. Your doctor may want you to have an eye exam to see if you are at risk for these eye problems. Call your doctor right away if you have eye pain, vision changes, or swelling or redness in or around the eye.
  • Serotonin syndrome is a possibly fatal syndrome that can be caused by sertraline. Your risk may be greater if you take sertraline with certain other medicines (eg, triptans, MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor at once if you have any of these symptoms.
  • Sertraline may interfere with certain lab tests, including certain urine tests for benzodiazepines. Be sure your doctor and lab personnel know you are taking sertraline.
  • Caution is advised when using sertraline in the ELDERLY; they may be more sensitive to its effects, especially low blood sodium levels.
  • Sertraline may cause weight changes. CHILDREN and teenagers may need regular weight and growth checks while they take sertraline.
  • CHILDREN and TEENAGERS who take sertraline may be more likely to experience abnormal muscle movement, agitation, aggression, nosebleeds, heavy menstrual periods, increased urination, or decreased bladder control while taking sertraline.
  • PREGNANCY and BREAST-FEEDING: Sertraline may cause harm to the fetus if it is used during the last 3 months of pregnancy. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using sertraline while you are pregnant. It is not known if sertraline is found in breast milk. If you are or will be breast-feeding while you use sertraline, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of sertraline:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; diarrhea; dizziness; drowsiness; dry mouth; increased sweating; loss of appetite; nausea; tiredness; trouble sleeping; weight loss.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness; joint pain); bizarre behavior; black or bloody stools; chest pain; confusion; decreased bladder control; decreased concentration; decreased coordination; decreased sexual desire or ability; exaggerated reflexes; fainting; fast or irregular heartbeat; fever; hallucinations; memory loss or other memory problems; new or worsening agitation, anxiety, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; persistent or severe ringing in the ears; persistent, painful erection; red, swollen, blistered, or peeling skin; seizures; severe or persistent headache; severe or persistent trouble sleeping; stomach pain; suicidal thoughts or attempts; tremor; unusual bruising or bleeding; unusual or severe mental or mood changes; unusual weakness or unsteadiness; worsening of depression; vomiting.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of sertraline:

Store sertraline at room temperature, between 59 and 86 degrees F (15 and 30 degrees C) in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep sertraline out of the reach of children and away from pets.

General information:

  • If you have any questions about sertraline, please talk with your doctor, pharmacist, or other health care provider.
  • Sertraline is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take sertraline or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about sertraline. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to sertraline. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using sertraline.

Issue Date: September 3, 2014
Database Edition 14.3.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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