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What is/are Zoloft?

SERTRALINE is used to treat depression. It may also be used to treat obsessive compulsive disorder, panic disorder, post-trauma stress, premenstrual dysphoric disorder (PMDD) or social anxiety. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care providers before I take this medicine?

They need to know if you have any of these conditions:


bipolar disorder or a family history of bipolar disorder
diabetes
heart disease
liver disease
receiving electroconvulsive therapy
seizures (convulsions)
suicidal thoughts, plans, or attempt by you or a family member
an unusual or allergic reaction to sertraline, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You can take it with or without food. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.

A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 7 years for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following:


cisapride
medicines called MAO Inhibitors like Nardil, Parnate, Marplan, Eldepryl
pimozide
procarbazine
St. John's wort
thioridazine

This medicine may also interact with the following:


amphetamine or dextroamphetamine
aspirin and aspirin-like drugs
certain diet drugs like dexfenfluramine, fenfluramine, phentermine, sibutramine
certain migraine headache medicines like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
linezolid
medicines for sleep
medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin
medicines to control heart rhythm like flecainide or propafenone
metoclopramide
NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
other medicines for depression, anxiety, or psychotic disturbances
pentazocine
ritonavir
tolbutamide
tramadol

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:


allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
black or bloody stools, blood in the urine or vomit
fast, irregular heartbeat
feeling faint or lightheaded, falls
hallucination, loss of contact with reality
seizures
suicidal thoughts or other mood changes
unusual bleeding or bruising
unusually weak or tired
vomiting

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):


change in appetite
change in sex drive or performance
diarrhea
increased sweating
indigestion, nausea
tremors

This list may not describe all possible side effects.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. Continue to take your medicine even if you do not feel better right away. It can take several weeks before you feel the full effect.

Patients and their families should watch out for worsening depression or thoughts of suicide. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of antidepressant treatment or after a change in dose, call your health care professional.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

Do not treat yourself for coughs, colds or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

Where should I keep this medicine?

Keep out of the reach of children.



Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

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