This is not a list of all drugs or health problems that interact with Zoloft (sertraline tablets). Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Zoloft (sertraline tablets) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect: All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Sertraline is indicated for the treatment of: Major depressive episodes. Prevention of recurrence of major depressive episodes. Obsessive compulsive disorder (OCD) in adults and paediatric patients aged 6-17 years. Post traumatic stress disorder (PTSD) Depression and OCD Sertraline treatment should be started at a dose of 50 mg/day. Panic Disorder, PTSD, and Social Anxiety Disorder Therapy should be initiated at 25 mg/day. After one week, the dose should be increased to 50 mg once daily. This dosage regimen has been shown to reduce the frequency of early treatment emergent side effects characteristic of panic disorder. Depression, OCD, Panic Disorder, Social Anxiety Disorder and PTSD Patients not responding to a 50 mg dose may benefit from dose increases. Dose changes should be made in steps of 50 mg at intervals of at least one week, up to a maximum of 200 mg/day. Interactions with prednisone Xanax bulk Zoloft, a second-generation SSRI, introduced in the 90s, and similar drugs, such as Prozac, Celexa, and Paxil are designed to restore this balance and improve symptoms. Side Effects of Zoloft. Many people who take Zoloft don't notice any side effects. When they do occur, however, the side effects may be especially bothersome for seniors. The side-effects of Zoloft that are commonly observed in the elderly include insomnia difficulty in sleeping, lose motions, nausea, dizziness, dry mouth, and tremors. Some elderly patients might also experience profuse sweating and sexual problems like delayed ejaculation on prolonged use of the medicine. Zoloft Sertraline is a selective serotonin reuptake inhibitor SSRI. The side effects listed below are not experienced by everyone who takes this medication. This is more likely to happen to seniors or people who are also taking diuretics. Healthcare professionals should closely evaluate patients with cognitive decline for possible underlying treatable conditions. While most dementias are progressive with no cure, approximately 20% are reversible. 32 Dementia describes a group of symptoms resulting in a gradual and progressive decline in memory, thinking, and reasoning abilities. Medication-induced dementia is the most common cause of reversible dementia. Elders are especially vulnerable due to concomitant illnesses, reduced renal and liver function, and the simultaneous use of multiple medications.1 Other common reversible causes include depression, infection, high fever, vitamin deficiencies, poor nutrition, hypercalcemia, brain tumors, thyroid disorders, and hypoxia due to lung and heart diseases. Alzheimer’s disease (AD) is the most common type of irreversible dementia. Other irreversible types include vascular or multi-infarct dementia, dementia with Lewy bodies (DLB), frontotemporal dementias (Pick’s disease), and Parkinson’s dementia (PD). Gurvich and Cunningham state in their article1 on psychotropic drugs in nursing homes that fluoxetine (Prozac) is not recommended in the geriatric population because of its longer half-life of active metabolite relative to other selective serotonin reuptake inhibitors (SSRIs), resulting in the potential for a longer duration of side effects. We agree that selected geriatric patients respond well to fluoxetine. A placebo-controlled study1 that contributed to this recent FDA approval evaluated 671 geriatric patients with major depression. While it is true that fluoxetine's active metabolite has a half-life of up to 16 days, because of its low incidence of side effects compared with other SSRIs, it has a very low discontinuation rate compared with paroxetine (Paxil), fluvoxamine (Luvox) and sertraline (Zoloft).2 Furthermore, because fluoxe-tine has a longer half-life, a missed dose is not as significant as it is with other SSRIs, and fluoxetine is not associated with the discontinuation syndrome that is found with other SSRIs.3 Fluoxetine should not be avoided in the geriatric population and may even be the drug of choice for selected patients. A comparison of the post-marketing safety of four selective serotonin re-uptake inhibitors including the investigation of symptoms occurring on withdrawal. The study concluded that 20 mg per day of flu-oxetine is more effective than placebo and is as equally well tolerated as placebo. Food and Drug Administration (FDA) recently approved labeling for fluoxetine to be used to treat patients with depression in the geriatric population. However, the patients participating in the study were out-patients, an average age of 67 years and were considerably younger and healthier than patients in a typical skilled nursing facility. Our article2 focused on the more frail elderly patient who often responds differently to medications. Dosing titration of fluoxetine must be done carefully in this population: “The long half-lives of fluoxetine and norfluoxetine promote insidious drug accumulation, which takes considerable time to correct.”3 One way to use the long half-life to advantage, however, would be to dose fluoxetine every other day, thus reducing the risk of side effects and accumulation without compromising drug effectiveness. Patients in skilled nursing facilities are often given multiple medications, and causing new drug interactions is a constant concern. Fluoxetine and its metabolite are more potent P450 inhibitors than sertraline, and citalopram (Celexa) appears to inhibit the P450 minimally, if at all.3Tollefson GD, Holman SL. Send letters to [email protected], or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Zoloft side effects elderly Does zoloft have side effects? -, Side Effects Of Zoloft In The Elderly - Xanax dogBuy viagra las vegasCipro 500 mg tablets The most common side effects of Zoloft are similar to those associated with other SSRIs, like Lexapro. The elderly may be at greater risk for these problems. Zoloft Medication Reviews, Side Effects, and Dosage - ADDitude. Zoloft - Uses, Side Effects, Interactions -. Zoloft Sertraline Tablets Information -. The most common side effects with Zoloft include dry mouth, insomnia, sexual side effects, diarrhea, nausea, and sleepiness. Weight increase and appetite increase are also among the possible side. Feb 1, 2001. Fluoxetine and Side Effects in the Geriatric Population. fluvoxamine Luvox and sertraline Zoloft.2 Furthermore, because fluoxe-tine has a. Following the treatment modification, the patients' behaviors were tracked. Most of the studies involved SSRIs such as citalopram Celexa or sertraline Zoloft.