A small number of children, teenagers, and young adults (up to 24 years of age) who took antidepressants ('mood elevators') such as sertraline during clinical studies became suicidal (thinking about harming or killing oneself or planning or trying to do so). Children, teenagers, and young adults who take antidepressants to treat depression or other mental illnesses may be more likely to become suicidal than children, teenagers, and young adults who do not take antidepressants to treat these conditions. However, experts are not sure about how great this risk is and how much it should be considered in deciding whether a child or teenager should take an antidepressant. You should know that your mental health may change in unexpected ways when you take sertraline or other antidepressants even if you are an adult over 24 years of age. You may become suicidal, especially at the beginning of your treatment and any time that your dose is increased or decreased. You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: new or worsening depression; thinking about harming or killing yourself, or planning or trying to do so; extreme worry; agitation; panic attacks; new or worsening anxiety; difficulty falling asleep or staying asleep; aggressive behavior; irritability; acting without thinking; severe restlessness; and frenzied abnormal excitement. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own. metoprolol nursing implications Monitoring Therapeutic Response During Dose Adjustments During dose adjustment, a weekly phone check-in or appointment is preferred, when possible. Standardized rating scales, such as the Patient Health Questionnaire-9 (PHQ-9) Modified for Teens for depression and the Screen for Anxiety Related Disorders (SCARED) for anxiety, may be helpful in systematically assessing symptom change. Vital Signs, Physical Examination, and Laboratory Monitoring What if the First SSRI Is Ineffective or Not Tolerated? If adverse effects limit sufficient dose escalation or if the initial SSRI is not considered sufficiently beneficial, discontinuation of the SSRI is recommended. Discontinuing an SSRI and Possible Withdrawal Adverse Effects Boxed Warnings Boxed warnings address findings that are relatively rare in children and adolescents treated with SSRIs and include suicidal thoughts and behaviors. Monitor for worsening or emergence of suicidal thoughts and behaviors. Warnings and precautions Most warnings and precautions are related to findings that are relatively rare in children and adolescents treated with SSRIs. Metformin stopping Kamagra thailand Overdose with sertraline and alprazolam after death-scene investigation. References. 1. Zoloft sertraline hydrochloride tablets, package insert, Pfizer Inc. sildenafil citrate 20 mg The active compound of Zoloft and associated names is sertraline. of Product Characteristics, labelling and package leaflet are set out in Annex III for Zoloft. Patients should be advised that the use of any OTC product should be initiated cautiously according to the directions of use given for the OTC product. What is the most important information I should know about ZOLOFT? ZOLOFT and other antidepressant medicines may cause serious side effects. Call your healthcare provider right away if you have any of the following symptoms, or call 911 if there is an emergency.: ZOLOFT and other antidepressant medicines may increase your risk of bleeding or bruising, especially if you take the blood thinner warfarin (Coumadin®, Jantoven®), a non-steroidal anti-inflammatory drug (NSAIDs, like ibuprofen or naproxen), or aspirin. Many antidepressant medicines including ZOLOFT may cause a certain type of eye problem called angle-closure glaucoma. Call your healthcare provider if you have eye pain, changes in your vision, or swelling or redness in or around the eye. You may want to undergo an eye examination to see if you are at risk and receive preventative treatment if you are. It is important to talk with your healthcare provider about the risks of treating depression and also the risks of not treating it. You should discuss all treatment choices with your healthcare provider. WARNING: SUICIDALITY AND ANTIDEPRESSANT DRUGS ZOLOFT and other antidepressant medicines may increase suicidal thoughts or actions in some people 24 years of age and younger, especially within the first few months of treatment or when the dose is changed. Watch for these changes and call your healthcare provider right away if you notice new or sudden changes in mood, behavior, actions, thoughts, or feelings, especially if severe. Pay particular attention to such changes when ZOLOFT is started or when the dose is changed. Depression or other serious mental illnesses are the most important causes of suicidal thoughts or actions. Watch for these changes and call your healthcare provider right away if you notice new or sudden changes in mood, behavior, actions, thoughts, or feelings, especially if severe. Keep all follow-up visits with your healthcare provider and call between visits if you are worried about symptoms. Before taking ZOLOFT, tell your doctor and pharmacist about all prescription and over-the-counter medications and supplements you take or plan to take including: those to treat migraines, psychiatric disorders (including other antidepressants or amphetamines) to avoid a potentially life-threatening condition called serotonin syndrome; aspirin, other NSAID pain relievers, or other blood thinners because they may increase the risk of bleeding. Sertraline package insert Zoloft Sertraline - Side Effects, Dosage, Interactions - Drugs, Zoloft; INN sertraline Propecia litigation Sertraline hydrochloride is a selective serotonin reuptake inhibitor SSRI for oral. slightly increased when drug was administered with food but the Cmax was. Zoloft - FDA Zoloft® sertraline HCL - PfizerPro Sertraline MedlinePlus Drug Information SERTRALINE HYDROCHLORIDE 50 & 100 mg TABLETS. Read all of this leaflet carefully before you start taking this medicine because it contains. If you have any further questions on the use of this product, ask your doctor or pharmacist. viagra death Please read this leaflet carefully. Keep it somewhere safe so that you can read it again. Name of drug. Sertraline. Brand names Lustral®. Why is it important for. Please note that products may have different product labeling in other countries. The information is not intended as medical advice. Responsibility for patient.