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Sertraline
Brand Name: Zoloft
Overview
Zoloft
is the brand name for Sertraline, and antidepressant, antiobsessional,
and antipanic agent. It is an SSRI - Selective Serotonin
Reuptake Inhibitor, which is a class of drugs that increase
the levels of serotonin in a patient.
Zoloft
may take effect in one to three weeks or more.
Why
is this drug prescribed?
Zoloft
is used in children to treat obsessive-compulsive disorder
(OCD). The obsessions or compulsions must cause marked distress,
are time-consuming, or significantly interfere with social
or occupational functioning.
Other
uses of Zoloft include:
- depression
- panic
attacks / panic disorder
- post-trauma
stress
- social
phobia
- obesity
- premenstrual
syndrome
Warnings
and Precautions
Zoloft
has been tested in children 6 to 17 years of age with obsessive-compulsive
disorder, and has not been shown to cause different side
effects or problems than it does in adults. Because Zoloft
can cause decreased appetite, children taking Zoloft long-term
should have their growth and body weight measured regularly.
Zoloft
does not have a known sedative effect, but people taking
Zoloft should not drive or operate heavy machinery until
the effects of Zoloft are known.
For
Pregnant or Nursing Mothers: Research indicates that Zoloft
has no harmful effects during pregnancy. Zoloft passes into
breast milk; no adverse effects on the infant have been
reported, but the long-term effects are not known. As with
all medications, pregnant or nursing women should be cautious
when using this drug.
Contraindications
Zoloft
should not be used for people with the following
medical conditions:
- an
allergic or negative reaction to this drug in the past
- a
history of seizures
- recent
heart attack
- kidney
disease
- Parkinson's
disease
- liver
disease
- epilepsy
Adverse
Reactions
Zoloft
may cause the following reactions:
- fast
heart rate, palpitations
- dizziness
or lightheadedness
- fast
talking, excited feelings
- skin
rash, itching (hives)
- unusual
tiredness or weakness
- confusion
- flushing
- sweating
- muscle
spasms
- nausea,
vomiting
- diarrhea
- decreased
appetite
- weight
loss
- dry
mouth
- vaginitis
- insomnia
- headache
- indigestion,
- fatigue
- insomnia
- nervousness
- stupor
Interactions
with Drugs and Other Substances
Drugs
or substances that may interact with Zoloft are:
- cimetidine
- diazepam
- furazolidone
- molindone
- MAO
inhibitors such as phenelzine (Nardil®), tranylcypromine
(Parnate®), isocarboxazid (Marplan®) - serious,
even fatal, interactions can occur when these medications
are taken with Zoloft
- medicines
for mental depression, mania, anxiety, psychosis or difficulty
sleeping
- procarbazine
- selegiline
- tolbutamide
- Valium
(diazepam), Orinase (tolbutamide), and Coumadin (warfarin)
their effects may be increased
- illicit
drugs (LSD, cocaine, methamphetamine)
- antihistamines
(Seldane, Histmanal)
- certain
antibiotics
- calcium
channel blockers
- Antidiabetic
drugs - risk of hypoglycemic reactions may increase when
taken with Zoloft
- Tambocor
(flecainide) may lead to flecainide toxicity
- Norvir
(ritonavir) can lead to toxicity
- alcohol
Sources
http://www.rxlist.com/scripts/patient/piumore.pl?mononum=856&dc_category=
Depression&order=0&type=&item=
http://www.graylab.ac.uk/cgi-bin/omd?Zoloft
http://www.mentalhealth.com/drug/p30-z02.html
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