Medication GuideSertraline Hydrochloride Tablets USP
Read the Medication Guide that comes with sertraline hydrochloride tablets before you start taking them and each time you
get a refill. There may be new information. This Medication Guide does not take the place of talking to your healthcare provider
about your medical condition or treatment. Talk with your healthcare provider if there is something you do not understand
or want to learn more about.
What is the most important information I should know about sertraline hydrochloride tablets?
Sertraline hydrochloride tablets and other antidepressant medicines may cause serious side effects, including: 1. Suicidal thoughts or actions:
- Sertraline hydrochloride tablets and other antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, or young adults within the first few months of treatment 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.
- Pay particular attention to such changes when sertraline hydrochloride tablets are started or when the dose is changed.
Keep all follow-up visits with your healthcare provider and call between visits if you are worried about symptoms.
Call your healthcare provider right away if you have any of the following symptoms, or call 911 if an emergency, especially
if they are new, worse, or worry you:
Call your healthcare provider right away if you have any of the following symptoms, or call 911 if an emergency. Sertraline
hydrochloride tablets may be associated with these serious side effects: 2. Serotonin Syndrome
- attempts to commit suicide
- acting on dangerous impulses
- acting aggressive or violent
- thoughts about suicide or dying
- new or worse depression
- new or worse anxiety or panic attacks
- feeling agitated, restless, angry or irritable
- trouble sleeping
- an increase in activity or talking more than what is normal for you
- other unusual changes in behavior or mood
This condition can be life-threatening and may include:
3. Severe allergic reactions:
- agitation, hallucinations, coma or other changes in mental status
- coordination problems or muscle twitching (overactive reflexes)
- racing heartbeat, high or low blood pressure
- sweating or fever
- nausea, vomiting, or diarrhea
- muscle rigidity
4. Abnormal bleeding:
- trouble breathing
- swelling of the face, tongue, eyes or mouth
- rash, itchy welts (hives) or blisters, alone or with fever or joint pain
Sertraline hydrochloride tablets and other antidepressant medicines may increase your risk of bleeding or bruising, especially
if you take the blood thinner warfarin (Coumadin®
), a non-steroidal anti-inflammatory drug (NSAIDs, like ibuprofen or naproxen), or aspirin. 5. Seizures or convulsions 6. Manic episodes:
7. Changes in appetite or weight.
- greatly increased energy
- severe trouble sleeping
- racing thoughts
- reckless behavior
- unusually grand ideas
- excessive happiness or irritability
- talking more or faster than usual
Children and adolescents should have height and weight monitored during treatment.
8. Low salt (sodium) levels in the blood.
Elderly people may be at greater risk for this. Symptoms may include:
Do not stop sertraline hydrochloride tablets without first talking to your healthcare provider.
- weakness or feeling unsteady
- confusion, problems concentrating or thinking or memory problems
Stopping sertraline hydrochloride tablets too quickly may cause serious symptoms including:
What are sertraline hydrochloride tablets?
- anxiety, irritability, high or low mood, feeling restless or changes in sleep habits
- headache, sweating, nausea, dizziness
- electric shock-like sensations, shaking, confusion
Sertraline hydrochloride tablets are a prescription medicine used to treat depression. 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. Sertraline hydrochloride tablets are also
used to treat:
- Major Depressive Disorder (MDD)
- Obsessive Compulsive Disorder (OCD)
- Panic Disorder
- Posttraumatic Stress Disorder (PTSD)
- Social Anxiety Disorder
- Premenstrual Dysphoric Disorder (PMDD)
Talk to your healthcare provider if you do not think that your condition is getting better with sertraline hydrochloride tablets
treatment. Who should not take sertraline hydrochloride tablets?
Do not take sertraline hydrochloride tablets if you:
People who take sertraline hydrochloride tablets close in time to an MAOI may have serious or even life-threatening side effects.
Get medical help right away if you have any of these symptoms:
- are allergic to sertraline or any of the ingredients in sertraline hydrochloride tablets. See the end of this Medication Guide
for a complete list of ingredients in sertraline hydrochloride tablets.
- take the antipsychotic medicine pimozide (Orap®) because this can cause serious heart problems.
- take a monoamine oxidase inhibitor (MAOI). Ask your healthcare provider or pharmacist if you are not sure if you take an
MAOI, including the antibiotic linezolid.
- Do not take an MAOI within 2 weeks of stopping sertraline hydrochloride tablets unless directed to do so by your physician.
- Do not start sertraline hydrochloride tablets if you stopped taking an MAOI in the last 2 weeks unless directed to do so by
What should I tell my healthcare provider before taking sertraline hydrochloride tablets?
- high fever
- uncontrolled muscle spasms
- stiff muscles
- rapid changes in heart rate or blood pressure
- loss of consciousness (pass out)
Ask if you are not sure. Before starting sertraline hydrochloride tablets, tell your healthcare provider if you:
Tell your healthcare provider about all the medicines that you take,
- Are taking certain drugs such as:
- Medicines used to treat migraine headaches such as:
- Medicines used to treat mood, anxiety, psychotic or thought disorders, such as:
- tricyclic antidepressants
- antipsychotic drugs
- Medicines used to treat seizures such as:
- Medicines used to treat pain such as:
- Medicines used to thin your blood such as:
- Medicines used to control your heartbeat such as :
- Medicines used to treat type II diabetes such as:
- Cimetidine used to treat heartburn
- Over-the-counter medicines or supplements such as:
- Aspirin or other NSAIDs
- St. John’s Wort
- have liver problems
- have kidney problems
- have heart problems
- have or had seizures or convulsions
- have bipolar disorder or mania
- have low sodium levels in your blood
- have a history of a stroke
- have high blood pressure
- have or had bleeding problems
- are pregnant or plan to become pregnant. It is not known if sertraline hydrochloride tablets will harm your unborn baby. Talk
to your healthcare provider about the benefits and risks of treating depression during pregnancy.
- are breastfeeding or plan to breastfeed. Some sertraline hydrochloride may pass into your breast milk. Talk to your healthcare
provider about the best way to feed your baby while taking sertraline hydrochloride tablets.
including prescription and non-prescription medicines, vitamins, and herbal supplements. Sertraline hydrochloride tablets
and some medicines may interact 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 hydrochloride tablets with your other
medicines. Do not start or stop any medicine while taking sertraline hydrochloride tablets without talking to your healthcare
How should I take sertraline hydrochloride tablets?
| If you take sertraline hydrochloride tablets, you should not take any other medicines that contain sertraline (sertraline
What should I avoid while taking sertraline hydrochloride tablets?
- Take sertraline hydrochloride tablets exactly as prescribed. Your healthcare provider may need to change the dose of sertraline
hydrochloride tablets until it is the right dose for you.
- Sertraline hydrochloride tablets may be taken with or without food.
- If you miss a dose of sertraline hydrochloride tablets, take the missed dose as soon as you remember. If it is almost time
for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of sertraline hydrochloride
tablets at the same time.
- If you take too much sertraline hydrochloride, call your healthcare provider or poison control center right away, or get emergency
Sertraline hydrochloride tablets can cause sleepiness or may affect your ability to make decisions, think clearly, or react
quickly. You should not drive, operate heavy machinery, or do other dangerous activities until you know how sertraline hydrochloride
tablets affect you. Do not drink alcohol while using sertraline hydrochloride tablets.
What are the possible side effects of sertraline hydrochloride tablets?
Sertraline hydrochloride tablets may cause serious side effects, including:
- See “What is the most important information I should know about sertraline hydrochloride tablets?”
- Feeling anxious or trouble sleeping
Common possible side effects in people who take sertraline hydrochloride tablets include:
- nausea, loss of appetite, diarrhea or indigestion
- change in sleep habits including increased sleepiness or insomnia
- increased sweating
- sexual problems including decreased libido and ejaculation failure
- tremor or shaking
- feeling tired or fatigued
Other side effects in children and adolescents include:
- abnormal increase in muscle movement or agitation
- nose bleed
- urinating more often
- urinary incontinence
- aggressive reaction
- heavy menstrual periods
- possible slowed growth rate and weight change. Your child’s height and weight should be monitored during treatment with sertraline
Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all the
possible side effects of sertraline hydrochloride tablets. For more information, ask your healthcare provider or pharmacist.
CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088. How should I store sertraline hydrochloride tablets?
Keep sertraline hydrochloride tablets and all medicines out of the reach of children. General information about sertraline hydrochloride tablets
- Store sertraline hydrochloride tablets at room temperature 20° to 25°C (68° to 77°F).
- Keep sertraline hydrochloride tablets bottle closed tightly.
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use sertraline hydrochloride
tablets for a condition for which it was not prescribed. Do not give sertraline hydrochloride tablets to other people, even
if they have the same condition. They may harm them.
This Medication Guide summarizes the most important information about sertraline hydrochloride tablets. If you would like
more information, talk with your healthcare provider. You may ask your healthcare provider or pharmacist for information about
sertraline hydrochloride tablets that is written for healthcare professionals.
For more information about sertraline hydrochloride tablets call 1-866-850-2876. What are the ingredients in sertraline hydrochloride tablets? Active ingredient:
sertraline hydrochloride Inactive ingredients:
microcrystalline cellulose, sodium starch glycolate, hydroxypropyl cellulose, dibasic calcium phosphate dihydrate, magnesium
stearate, hypromellose, titanium dioxide, polyethylene glycol, and polysorbate 80. Besides, 25 mg contains D&C yellow #10
aluminum lake, FD&C blue #1 aluminum lake, FD&C red #40 aluminum lake; 50 mg contains FD&C blue #2 aluminum lake; and 100
mg contains iron oxide yellow.
This Medication Guide has been approved by the U.S. Food and Drug Administration.
is a registered trademark of Teva Pharmaceuticals USA.
is a registered trademark of Bristol Myers Squibb.
is a registered trademark of Upsher-Smith Laboratories Inc.
Manufactured for:Aurobindo Pharma USA, Inc.
2400 Route 130 North
Dayton, NJ 08810
Manufactured by:Aurobindo Pharma Limited
Mahaboob Nagar (Dt)