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Zoloft - Generic
Name: Sertraline
(ser' tra leen)
Why is this medication
prescribed?
Zoloft is used to treat depression,
obsessive-compulsive disorder, panic attacks, and posttraumatic stress
disorder. It is also used to relieve the symptoms of premenstrual
dysphoric disorder, including mood swings, irritability, bloating, and
breast tenderness. Zoloft is in a class of medications called selective
serotonin reuptake inhibitors (SSRIs). It works by increasing the amounts
of serotonin, a natural substance in the brain that helps maintain mental
balance.
How should this medicine be
used?
Zoloft comes as a tablet and a concentrate
(liquid) to take by mouth. It is usually taken once daily in the morning
or evening. To treat premenstrual dysphoric disorder, Zoloft is taken once
a day, either every day of the month or on certain days of the month. To
help you remember to take Zoloft, take it around the same time every day.
Follow the directions on your prescription label carefully, and ask your
doctor or pharmacist to explain any part you do not understand. Take
Zoloft exactly as directed. Do not take more or less of it or take it more
often than prescribed by your doctor.
Zoloft concentrate must be diluted before use.
Immediately before taking it, use the provided dropper to remove the
amount of concentrate your doctor has directed you to take. Mix the
concentrate with 4 ounces (1/2 cup) of water, ginger ale, lemon or lime
soda, lemonade, or orange juice. Do not mix the concentrate with any
liquids other than the ones listed. Drink immediately.
Your doctor may start you on a low dose of
Zoloft and gradually increase your dose, not more than once a week.
It may take a few weeks or longer before you
feel the full benefit of Zoloft. Continue to take Zoloft even if you feel
well. Do not stop taking Zoloft without talking to your doctor.
Other uses for this medicine
Zoloft is also used sometimes to treat social
phobia, headaches, and sexual problems. Talk to your doctor about the
possible risks of using this medication for your condition.
This medication may be prescribed for other
uses; ask your doctor or pharmacist for more information.
What special precautions
should I follow?
Before taking Zoloft,
tell your doctor and pharmacist if you are allergic to Zoloft or any
other medications. Before taking Zoloft liquid concentrate, tell your
doctor if you are allergic to latex.
do not take Zoloft if you are taking monoamine oxidase (MAO) inhibitors,
including phenelzine (Nardil) and tranylcypromine (Parnate), or have
stopped taking them within the past two weeks, or if you are taking
pimozide (Orap).
do not take disulfiram (Antabuse) while taking Zoloft concentrate.
tell your doctor and pharmacist what other prescription and
nonprescription medications, vitamins, nutritional supplements, and
herbal products you are taking. Be sure to mention any of the following:
anticoagulants ('blood thinners') such as warfarin (Coumadin);
antidepressants (mood elevators) such as amitriptyline (Elavil),
amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin),
doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl,
Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil);
cimetidine (Tagamet); diazepam (Valium); digoxin (Lanoxin); lithium (Eskalith,
Lithobid); medications for anxiety, mental illness, Parkinson's disease,
and seizures; medications for irregular heartbeat such as flecainide (Tambocor)
and propafenone (Rythmol); oral medications for diabetes such as
tolbutamide (Orinase); sedatives; sleeping pills; sumatriptan (Imitrex);
and tranquilizers. Your doctor may need to change the doses of your
medications or monitor you carefully for side effects.
tell your doctor if you have recently had a heart attack and if you have
or have ever had seizures, bipolar disorder, or liver or heart disease.
tell your doctor if you are pregnant, plan to become pregnant, or are
breast-feeding. If you become pregnant while taking Zoloft, call your
doctor.
you should know that Zoloft may make you drowsy. Do not drive a car or
operate machinery until you know how this medication affects you.
ask your doctor about the safe use of alcoholic beverages while you are
taking Zoloft.
What should I do if I forget a
dose?
Take the missed dose as soon as you remember
it. However, if it is almost time for the next dose, skip the missed dose
and continue your regular dosing schedule. Do not take a double dose to
make up for a missed one.
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