Antidepressant Medications Anti-depressant Drugs Antidepressant: sertraline, Zoloft, Sercerin, Tolrest, Lustral, Altruline
Antidepressant: sertraline, Zoloft, Sercerin, Tolrest, Lustral, Altruline
Generic Name: sertraline
Brand Name(s): Zoloft, Sercerin, Tolrest, Lustral, Altruline
Common Use: Antidepressant
Antidepressant
For the symptomatic relief of depressive illness.
However, the antidepressant action of sertraline in hospitalized
depressed patients has not been adequately studied.
Contraindications are Patients with known hypersensitivity
to the drug.
No clinical data are available on the effects of
the combined use of sertraline and MAO inhibitors; therefore,
sertraline should not be administered together with MAO inhibitors.
At least 14 days should elapse between the discontinuation of
an MAO inhibitor and the initiation of treatment with sertraline,
as well as between the discontinuation of sertraline and the initiation
of treatment with an MAO inhibitor. Administration at shorter
intervals may increase the risk of serious events.
Adverse Side Effects
The most commonly observed adverse events associated
with the use of sertraline were:
gastrointestinal complaints, including nausea, diarrhea/loose
stools and dyspepsia; male sexual dysfunction (primarily ejaculatory
delay); insomnia and somnolence; tremor; increased sweating and
dry mouth; and dizziness.
The more common events associated with discontinuation
included agitation, insomnia, male sexual dysfunction (primarily
ejaculatory delay), somnolence, dizziness, headache, tremor, anorexia,
diarrhea/loose stools, nausea and fatigue.
Infrequent:
Flushing, mydriasis, increased saliva, cold clammy
skin. Confusion.weight decrease, weight increase.Abnormal dreams,
aggressive reaction, amnesia, apathy, delusion, depersonalization,
depression, aggravated depression, emotional lability, euphoria,
hallucination, neurosis, paranoid reaction, suicide attempt (including
suicidal ideation), teeth-grinding, abnormal thinking. intermenstrual
bleeding,
Infrequent: Postural dizziness, hypertension, hypotension,
postural hypotension, edema, dependent edema, periorbital edema,
peripheral edema, peripheral ischemia, syncope, tachycardia.Ataxia,
abnormal coordination, abnormal gait, hyperesthesia, hyperkinesia,
hypokinesia, migraine, nystagmus, vertigo. Acne, alopecia, pruritus,
erythematous rash, maculopapular rash, dry skin. muscle cramps,
muscle weakness, urinary retention.
Rare: Pallor. Precordial chest pain, substernal
chest pain, aggravated hypertension, myocardial infarction, varicose
veins. Local anesthesia, coma, convulsions, dyskinesia, dysphonia,
hyporeflexia, hypotonia, ptosis.Bullous eruption, dermatitis,
erythema multiforme, abnormal hair texture, hypertrichosis, photosensitivity
reaction, follicular rash, skin discoloration, abnormal skin odor,
urticaria. breast enlargement , female breast pain , leukorrhea
, menorrhagia , atrophic vaginitis .
Overdose
There are no specific antidotes for sertraline.
In managing overdose, the possibility of multiple drug involvement
must be considered. Establish and maintain an airway, insure adequate
oxygenation and ventilation. Activated charcoal, which may be
used with sorbitol, may be as or more effective than emesis or
lavage, and should be considered in treating overdose.
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