REX MD - A Healthcare and Medication Solution For Men (2024)

What Should You Know Before Taking Viagra

Disclaimer: Sertraline and other antidepressant medicines may cause serious sideeffects. Call your healthcare provider right away if you have any of the following symptoms, orcall 911 if there is an emergency.

Suicidal thoughts or actions:

Sertraline and other antidepressant medicines may increase suicidal thoughts oractions in some people 24 years of age and younger, especially within the first fewmonths of treatment or when the dose is changed.
Depression or other serious mental illnesses are the most important causes of suicidalthoughts or actions.
Watch for these changes and call your healthcare provider right away if you notice newor sudden changes in mood, behavior, actions, thoughts, or feelings, especially ifsevere.
- Pay particular attention to such changes when sertraline is started or whenthe dose is changed.
- Keep all follow-up visits with your healthcare provider and call betweenvisits if you are worried about symptoms.

Call your healthcare provider right away if you have any of the following symptoms, or call 911if an emergency, especially if they are new, worse, or worry you:

attempts to commit suicide
acting aggressive or violent
new or worse depression
feeling agitated, restless, angry or irritable
an increase in activity or talking more than what is normal for you
acting on dangerous impulses
thoughts about suicide or dying
new or worse anxiety or panic attacks
trouble sleeping
other unusual changes in behavior or mood

Serotonin Syndrome

This condition can be life-threatening and symptoms may include:

agitation, hallucinations, coma, or other changes in mental status
coordination problems or muscle twitching (overactive reflexes)
racing heartbeat, high or low blood pressure
nausea, vomiting, or diarrhea
sweating or fever
muscle rigidity

Increased chance of bleeding

Sertraline and other antidepressant medicines may increase your risk of bleeding or bruising,especially if you take the blood thinner warfarin (Coumadin®, Jantoven®), a non-steroidalanti-inflammatory drug (NSAIDs, like ibuprofen or naproxen), or aspirin.

Manic episodes

Symptoms may include:

greatly increased energy
racing thoughts
unusually grand ideas
severe trouble sleeping
reckless behavior
excessive happiness or irritability
talking more or faster than usual

Seizures or Convulsions

Glaucoma (angle-closure glaucoma)

Many antidepressant medicines including sertraline may cause a certain type of eye problem calledangle-closure glaucoma. Call your healthcare provider if you have eye pain, changes in yourvision, or swelling or redness in or around the eye. Only some people are at risk for theseproblems. You may want to undergo an eye examination to see if you are at risk and receivepreventative treatment if you are.

Changes in appetite or weight

Children and adolescents should have height and weight monitored during treatment.

Low salt (sodium) levels in the blood

Elderly people may be at greater risk for this. Symptoms may include:

Headache
weakness or feeling unsteady
confusion, problems concentrating or thinking, or memory problems

Do not stop sertraline without first talking to your healthcare provider. Stopping sertraline tooquickly may cause serious symptoms including:

anxiety, irritability, high or low mood, feeling restless or changes in sleephabits
headache, sweating, nausea, dizziness
electric shock-like sensations, shaking, confusion

What is sertraline (ZOLOFT)?

Sertraline is a prescription medicine used to treat:

Major Depressive Disorder (MDD)
Panic Disorder
Social Anxiety Disorder
Obsessive Compulsive Disorder (OCD)
Posttraumatic Stress Disorder (PTSD)
Premenstrual Dysphoric Disorder (PMDD)

It is important to talk with your healthcare provider about the risks of treating depression andalso the risks of not treating it. You should discuss all treatment choices with your healthcareprovider.

Who should not take sertraline (ZOLOFT)?

Do not take sertraline if you:

take a monoamine oxidase inhibitor (MAOI). Ask your healthcare provider or pharmacistif you are not sure if you take an MAOI, including the antibiotic linezolid.
have taken an MAOI within 2 weeks of stopping sertraline unless directed to do so byyour healthcare provider.
have stopped taking an MAOI in the last 2 weeks unless directed to do so by yourhealthcare provider.
take any other medicines that contain sertraline (such as sertraline HCl or sertralinehydrochloride).
take the antipsychotic medicine pimozide (Orap®) because this can cause serious heartproblems.
are allergic to sertraline or any of the ingredients in sertraline. See the end ofthis Medication Guide for a complete list of ingredients in sertraline.
take Antabuse® (disulfiram) (if you are taking the liquid form of sertraline) due tothe alcohol content.

People who take sertraline close in time to an MAOI may have serious or even life-threateningside effects. Get medical help right away if you have any of these symptoms:

high fever
rapid changes in heart rate or blood pressure
uncontrolled muscle spasms
confusion
stiff muscles
loss of consciousness (pass out)

What should I tell my healthcare provider before taking sertraline (ZOLOFT)?

Before starting sertraline, tell your healthcare provider if you have:

liver problems
heart problems
bipolar disorder or mania
kidney problems
or have had seizures or convulsions
a history of a stroke
high blood pressure
or have had bleeding problems

Are pregnant or plan to become pregnant. Your baby may have withdrawal symptoms after birth ormay be at increased risk for a serious lung problem at birth. Talk to your healthcare providerabout the benefits and risks of taking sertraline during pregnancy.

Are breastfeeding or plan to breastfeed. A small amount of sertraline may pass into your breastmilk. Talk to your healthcare provider about the best way to feed your baby while takingsertraline.

Tell your healthcare provider about all the medicines that you take, including prescription andover-the-counter medicines, vitamins, and herbal supplements. Sertraline and some medicines mayinteract with each other, may not work as well, or may cause serious side effects

Your healthcare provider or pharmacist can tell you if it is safe to take sertraline with yourother medicines. Do not start or stop any medicine while taking sertraline without talking toyour healthcare provider first.

Withholding or providing inaccurate information about your health and medical history in order toobtain treatment may result in harm, including, in some cases, death.

How should I take sertraline (ZOLOFT)?

Take sertraline exactly as prescribed. Your healthcare provider may need to change thedose of sertraline until it is the right dose for you.
Sertraline Tablets may be taken with or without food.
Sertraline Oral Solution may look cloudy or hazy after mixing, this is normal.
Sertraline Oral Solution must be diluted before use
- Do not mix sertraline until you are ready to take it.
- When diluting sertraline Oral Solution, use only water, ginger ale,lemon/lime soda, lemonade, or orange juice.
- The oral dropper contains latex. If you are sensitive or allergic tolatex, ask your healthcare provider or pharmacist about the best way tomeasure your medicine.
If you miss a dose of sertraline, take the missed dose as soon as you remember. If itis almost time for the next dose, skip the missed dose and take your next dose at theregular time. Do not take two doses of sertraline at the same time

If you take too much sertraline, call your healthcare provider or poison control center rightaway, or go to the nearest hospital emergency room right away.

What should I avoid while taking sertraline (ZOLOFT)?

Sertraline can cause sleepiness or may affect your ability to make decisions, think clearly, orreact quickly. You should not drive, operate heavy machinery, or do other dangerous activitiesuntil you know how sertraline affects you. Do not drink alcohol while you take sertraline.

What are the possible side effects of sertraline (ZOLOFT)?

The most common side effects in adults who take sertraline include:

nausea, loss of appetite,
diarrhea, or indigestion
increased sweating
tremor or shaking
agitation
change in sleep habits including increased sleepiness or insomnia
sexual problems including decreased libido and ejacul*tion failure
feeling tired or fatigued
anxiety

The most common side effects in children and adolescents who take sertraline include abnormalincrease in muscle movement or agitation, nose bleeds, urinary incontinence, aggressivereaction, possible slowed growth rate, and weight change. Your child’s height and weight shouldbe monitored during treatment with sertraline.

Tell your healthcare provider if you have any side effect that bothers you or that does not goaway.

These are not all the possible side effects of sertraline. For more information, ask yourhealthcare provider or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at1-800-FDA-1088.

How should I store sertraline?

Store sertraline at room temperature, 68°F to 77°F (20°C to 25°C).
Keep sertraline bottle closed tightly.

Keep sertraline and all medicines out of the reach of children.

General information about the safe and effective use of sertraline:

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Donot use sertraline for a condition for which it was not prescribed. Do not give sertraline toother people, even if they have the same condition. It may harm them.

This Medication Guide summarizes the most important information about sertraline. If you wouldlike more information, talk with your healthcare provider. You may ask your healthcare provideror pharmacist for information about sertraline that is written for healthcare professionals.

For more information about sertraline call 1-800-438-1985 or go to www.pfizer.com

What are the ingredients in sertraline?

Active ingredient: sertraline hydrochloride

Inactive ingredients: Tablets: dibasic calcium phosphate dihydrate, D&C Yellow #10 aluminum lake(in 25 mg tablet), FD&C Blue #1 aluminum lake (in 25 mg tablet), FD&C Red #40 aluminum lake (in25 mg tablet), FD&C Blue #2 aluminum lake (in 50 mg tablet), hydroxypropyl cellulose,hypromellose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, polysorbate80, sodium starch glycolate, synthetic yellow iron oxide (in 100 mg tablet), and titaniumdioxide.

Oral solution: glycerin, alcohol (12%), menthol, butylated hydroxytoluene (BHT)