Sertraline
Post-Traumatic Stress Disorders, Depressive Disorder ... show more
Drug Status
Government Approvals
US(FDA), UK(BNF)
WHO Essential Medicine
NO
Known Teratogen
NO
Pharmaceutical Class
Serotonin Reuptake Inhibitor
Controlled Drug Substance
NO

Sertraline
Summary
Sertraline is used to treat a range of mental health conditions. These include major depressive disorder, generalized anxiety disorder, panic disorder, social anxiety disorder, obsessive-compulsive disorder, posttraumatic stress disorder, and premenstrual dysphoric disorder. It helps manage symptoms like low mood, excessive worry, panic attacks, intrusive thoughts, and emotional distress.
Sertraline works by increasing the levels of serotonin, a chemical messenger in the brain. It inhibits the reuptake of serotonin, which means more of this chemical is available in the brain. This helps to improve mood, reduce anxiety, and alleviate symptoms of mental health conditions over time.
The usual starting dose of Sertraline for adults is 50 mg once daily. This can be gradually increased by a doctor if needed, up to a maximum of 200 mg per day. Sertraline can be taken with or without food, preferably at the same time each day. Swallow the tablet or capsule whole with water, and do not crush or chew it.
Common side effects of Sertraline include nausea, headache, insomnia, drowsiness, dry mouth, and sexual dysfunction. Less common but significant adverse effects can include serotonin syndrome symptoms like agitation, fever, and rapid heart rate, suicidal thoughts, and severe allergic reactions. Always report any unusual symptoms to your doctor.
Sertraline should be used with caution in people with a history of suicidal thoughts, especially in young adults. It is contraindicated in patients taking monoamine oxidase inhibitors, or within 14 days of stopping them, as this can lead to dangerous serotonin syndrome. It should also be used cautiously in people with liver or kidney problems, seizure disorders, or a history of bipolar disorder.
Indications and Purpose
How does Sertraline work?
Sertraline works by inhibiting the reuptake of serotonin, a neurotransmitter, in the brain. This increases the amount of serotonin available in the synaptic space, helping to regulate mood, emotions, and anxiety. By restoring the balance of serotonin, Sertraline helps alleviate symptoms of depression, anxiety, and related mental health disorders over time.
Is Sertraline effective?
Clinical studies have shown that Sertraline is effective in treating depression and anxiety disorders, with significant improvement in symptoms compared to a placebo. Trials demonstrate its ability to reduce feelings of sadness, anxiety, and obsessive-compulsive behaviors. Long-term studies also confirm that Sertraline helps maintain symptom relief and prevent relapses, proving its efficacy in managing chronic mental health conditions.
What is Sertraline?
Sertraline is an antidepressant commonly used to treat depression, anxiety disorders, obsessive-compulsive disorder (OCD), panic disorder, and post-traumatic stress disorder (PTSD). It works by increasing the levels of serotonin, a chemical messenger in the brain, to improve mood and reduce anxiety. By restoring the balance of serotonin, it helps alleviate symptoms of mental health conditions over time.
Directions for Use
For how long do I take Sertraline?
The typical duration of use for sertraline varies based on the condition being treated. For most patients, it is recommended to continue treatment for at least 4 to 6 months after achieving symptom relief. In cases of chronic conditions like depression or OCD, long-term use may be necessary, often extending beyond 12 months based on individual patient needs and responses.
How do I dispose of Sertraline?
If you can, bring unused medicines to a drug take-back program or collection site at a pharmacy or hospital. They will dispose of this medicine properly so they don't harm people or the environment. If you can't find a take-back program, you can throw most medicines in the trash at home. But first, take them out of their original containers, mix them with something undesirable like used coffee grounds, seal the mixture in a plastic bag and throw it away.
How do I take Sertraline?
Sertraline can be taken with or without food, but taking it with food may reduce the chance of stomach upset. It should be taken at the same time each day for consistency. There are no major food restrictions, but alcohol should be avoided, as it can increase the risk of side effects like drowsiness. Always follow your doctor’s advice for safe and effective use.
How long does it take for Sertraline to start working?
Sertraline may take 1 to 2 weeks to start showing initial improvements in symptoms like mood or anxiety. However, the full effects can take 4 to 6 weeks or longer, depending on the condition being treated. It’s important to take the medication consistently and continue follow-ups with your doctor to monitor progress and adjust the dosage if needed.
How should I store Sertraline?
Sertraline should be stored at room temperature (20°C to 25°C or 68°F to 77°F), away from moisture, heat, and direct sunlight. Keep the medication in its original container, tightly closed, and out of reach of children. Avoid storing it in bathrooms or areas with high humidity. Dispose of expired or unused medication properly. Always check the expiration date before use.
What is the usual dose of Sertraline?
The usual daily dose of sertraline for adults is 50 mg once daily, with a maintenance range of 50 to 200 mg. For children aged 6 to 12, the initial dose is 25 mg daily, potentially increasing to 50 mg after one week. For those aged 13 to 17, the initial dose is 50 mg, with a maximum of 200 mg daily.
Warnings and Precautions
Can I take Sertraline with other prescription drugs?
Significant prescription drug interactions with Sertraline include:
- Monoamine oxidase inhibitors (MAOIs): Combining these with Sertraline can lead to serotonin syndrome, a potentially life-threatening condition.
- Other SSRIs or SNRIs: Using multiple serotonin-boosting medications together increases the risk of serotonin syndrome.
- Anticoagulants (e.g., warfarin): Sertraline can increase the risk of bleeding, especially when combined with blood thinners.
- Tricyclic antidepressants (TCAs): Can increase the side effects of both medications, such as sedation or heart issues.
- CYP450 inhibitors (e.g., ketoconazole, ritonavir): These can raise Sertraline levels, increasing the risk of side effects.
Can Sertraline be taken safely while breastfeeding?
Sertraline is considered safe during lactation as only small amounts of the medication pass into breast milk. Studies suggest that the levels in breast milk are generally low and unlikely to harm the infant. However, as with any medication, it is important to monitor the baby for any signs of side effects, such as irritability or changes in feeding patterns. Always consult a healthcare provider before using Sertraline while breastfeeding.
Can Sertraline be taken safely while pregnant?
Sertraline is classified as a Category C drug during pregnancy, meaning that there are potential risks to the fetus based on animal studies, but no well-controlled human studies. It should only be used during pregnancy if the benefits outweigh the risks. Sertraline may increase the risk of preterm birth or low birth weight in some cases. Pregnant women should consult their doctor to carefully weigh the potential benefits and risks before using Sertraline.
Does Sertraline have adverse effects?
Adverse effects, which are unwanted or harmful reactions to a medicine, can occur with any medication. For this medicine, common adverse effects might include nausea, headache, dizziness, fatigue, and dry mouth. These effects can vary in frequency, with some people experiencing them more often than others. There are also serious adverse effects that, although rare, require immediate medical attention. These might include severe allergic reactions, which can cause difficulty breathing or swelling, or signs of liver damage, such as yellowing of the skin or eyes. It's important to report any new or worsening symptoms to your healthcare provider. Never stop taking a medicine without first consulting your doctor, as they can provide guidance on how to manage side effects safely.
Does Sertraline have any safety warnings?
To determine if a medicine has safety warnings, you should first check the prescription information provided with the medicine. This information often includes a section on warnings and precautions. For example, if the medicine is a blood thinner, it may have a warning about increased risk of bleeding. This is because blood thinners prevent blood clots, which can lead to excessive bleeding if not monitored. Possible consequences of ignoring this warning include serious bleeding events, such as internal bleeding or bleeding in the brain. Symptoms to watch for include unusual bruising, prolonged bleeding from cuts, blood in urine or stools, and severe headaches. If any of these symptoms occur, it is important to seek medical attention immediately. Always follow the guidance of a healthcare professional when taking any medication.
Is it safe to drink alcohol while taking Sertraline?
It is generally advised to limit alcohol consumption while taking Sertraline, as it can increase the risk of side effects like drowsiness, dizziness, or impaired judgment. Speak to your doctor for guidance based on your specific condition.
Is it safe to exercise while taking Sertraline?
Exercise is usually safe with Sertraline, but be cautious if you experience dizziness, fatigue, or coordination issues. Inform your doctor if these symptoms interfere with physical activities.
Is it safe to stop Sertraline?
To determine if it's safe to stop a medicine, first consider its purpose. If it's for managing a chronic condition like hypertension or diabetes, stopping it suddenly can lead to serious health risks, such as uncontrolled blood pressure or blood sugar levels. If the medicine is for symptomatic relief or treating an acute condition, like an infection, stopping it might lead to a return of symptoms or incomplete treatment. Some medicines can cause withdrawal or rebound symptoms if stopped abruptly, which can be uncomfortable or even dangerous. It's crucial to consult with a doctor before stopping any medicine, as they can provide guidance on how to safely discontinue it, if appropriate. This ensures that your health is not compromised and that any necessary adjustments to your treatment plan are made.
Is Sertraline addictive?
This medicine does not have any known potential for dependence or addiction. It is considered safe in terms of habit-forming properties. Therefore, there is no need to worry about physical or psychological dependence when using this medication as prescribed. However, it is always important to follow the dosage instructions provided by your healthcare provider to ensure safe and effective use. If you have any concerns or experience any unusual symptoms, it is advisable to consult with your healthcare professional for further guidance.
Is Sertraline safe for the elderly?
- Safety Profile: Sertraline is generally safe and well tolerated, with a lower risk of drug interactions compared to other SSRIs. It is effective for treating depression in older adults.
- Hyponatremia Risk: Elderly patients are more prone to hyponatremia (low sodium levels), necessitating monitoring.
- Caution with Comorbidities: Age-related kidney, liver, or heart conditions may require dose adjustments and careful monitoring.
- Individual Assessment: Each patient should be evaluated individually to weigh the benefits against potential risks. Regular follow-ups are essential for managing side effects and treatment efficacy.
What are the most common side effects of Sertraline?
A side effect is an unwanted or unexpected symptom caused by a medicine. For this medicine, common side effects may include nausea, which is feeling sick to your stomach, dizziness, which is feeling lightheaded or unsteady, headache, which is pain in the head, fatigue, which is feeling very tired, and dry mouth, which is a lack of saliva. The frequency of these side effects can vary, but they are generally considered common. It's important to note that when starting a new medicine, people might experience new symptoms that could be coincidental, unrelated, or temporary. These symptoms might also be due to another health issue. Always talk to a healthcare provider before stopping any medicine, as they can provide guidance on managing side effects and ensure your treatment is safe and effective.
Who should avoid taking Sertraline?
Sertraline should be used with caution in people with a history of suicidal thoughts or behavior, especially in young adults. It is contraindicated in patients taking monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping them, as this can lead to dangerous serotonin syndrome. It should also be used cautiously in people with liver or kidney problems, seizure disorders, or a history of bipolar disorder. Always consult a healthcare provider before starting Sertraline, particularly if any of these conditions apply.