Sertraline
Return to Sertraline overview
The medication my doctor prescribed me has helped me to ease back into everyday life.
Sertraline can be used to treat the following conditions
Headmeds fills the medicines information gaps for young people - things you might want to know about meds like will it affect my sex life? Can I still study? Can I drink?
Headmeds does not give medical advice so this is just general information.
Each medicine has a balance of good and bad effects, and each person gets their own individual effects.
You might want to know just one thing about your medicine, but on each page we have given you the ‘safety headlines’. Please read them as they are important.
We have included lots of information about each medicine - but if you want all the details, please look at the patient information leaflet - which is inside every pack. These leaflets are also at www.medicines.org.uk - where there will be the most up-to-date information. Please be aware that the leaflets will only refer to the licensed use for your medicine. The leaflet will not mention any 'off label' use - this includes 'off label' conditions and also 'off label 'age groups.
Safety headlines
- If you have taken more sertraline than it said on the label, you must see a doctor quickly – even if you do not feel any different.
- Sertraline can make some people think about hurting themselves or committing suicide. You must go straight to hospital with your tablets if you have any of these thoughts.
- Sertraline can also cause rare but serious side effects: allergic reactions (difficulty breathing, swelling of your face or throat, itching skin lumps), a seizure (fit), serotonin syndrome (see “Warnings and Side Effects” section for description), and liver problems (which may present as yellowing of skin and eyes). Go to a hospital if you get any of these symptoms with your medicine.
- Do not take sertraline if you have taken a monoamine oxidase inhibitor antidepressant (MAOI) like moclobemide, phenelzine, isocarboxazid or tranylcypromine in the last 14 days.
- Stopping sertraline suddenly can cause serious side-effects - go to your doctor if you want to stop, or if you are having these effects. Sertraline is not addictive, however stopping it suddenly can cause problems such as: feeling dizzy or shaky, sleep problems (including difficulty sleeping and intense dreams), feeling irritable or anxious, feeling or being sick, and headaches - go to your doctor if you want to stop, or if you are having these effects.
- You might feel sleepy or restless, and may not be able to see properly, in the first few days after taking sertraline – do not drive a car, ride a bike or operate machines until you see how this affects you.
-
If you are pregnant, or thinking of becoming pregnant, please read the pregnancy section (see “Sex, drink, weight and everything else”) because sertraline may affect the developing baby.
Basic details
Sertraline is a Selective Serotonin Re-uptake Inhibitor
A Selective Serotonin Re-uptake Inhibitor (SSRI) helps make more serotonin available in your brain.
You can take sertraline as tablets
Sertraline can be used to help with low mood (depression), OCD and conditions involving anxiety.
How does sertraline work?
Sertraline is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI). Serotonin is a neurotransmitter (chemical that relays signals between the cells in your brain). In illnesses such as depression, there are fewer chemicals such as serotonin available to relay signals - serotonin is important in areas of the brain that control mood and thinking. Sertraline works by blocking the way serotonin is removed from between brain cells. By preventing serotonin from being taken away from the area between the brain cells more is available and this helps to boost the signal and the symptoms of depression and low mood get better.
You should take sertraline as agreed with your doctor
- You will get the best effects from your medicine if you take it every day.
- Make sure that you know your dose. If it is not written on the label, check it with your pharmacist or doctor.
- You will usually take it once a day. When you start treatment it is recommended that you take it in the morning and not at night, in case it affects your sleep.
- To help you to take you tablet regularly you could choose a time that you can always remember. This could be a mealtime or when you brush your teeth.
- You will start with a low dose that increases slowly to a dose that is effective for you. This may take several days or weeks.
- You can take it with or without food.
- Swallow the tablet whole with a glass of water - it tastes bitter if you chew it.
- Do not drink grapefruit juice while you are taking sertraline - the juice increases the level of the medicine in your body.
Reference sources
-
Pfizer Limited. Lustral tablets SPC. Last updated 11/2015 http://www.medicines.org.uk/emc/medicine/1467 Accessed on 16.12.16
-
Pfizer Limited. Lustral tablets PIL. Last updated 11/2016 http://www.medicines.org.uk/emc/medicine/2362 Accessed on 16.12.16
-
Taylor D, Paton C, Kapur S. Maudsley Prescribing Guidelines in Psychiatry, 12th edition. Oxford: John Wiley & Sons, 2015
-
British National Formulary (BNF) London: BMJ Group / Pharmaceutical Press, January 2017.https://www.evidence.nhs.uk/formulary/bnf/current Accessed 16.12.16
-
British National Formulary for Children (BNFc) 2013-2014. London: BMJ Group / Pharmaceutical Press / RCPCH Publications Limited, January 2017 (https://www.evidence.nhs.uk/formulary/bnfc/current) Accessed 16.12.16
-
World Anti-doping Agency Prohibited List 2017. Available at https://www.wada-ama.org/
-
Stockley’s Drug Interactions. Pharmaceutical Press. Accessed via www.medicinescomplete.com [subscription required]. Accessed on 16.12.16
-
Bumps – best use of medicines in pregnancy. Sertraline Aug 2016. Accessed via http://www.medicinesinpregnancy.org/Medicine--pregnancy/Sertraline/
-
www.choiceandmedication.org accessed 16.12.16 (normally accessible for free via your mental health trust website.)
-
Specialist Pharmacy Service. Safety in Lactation – SSRIs Updated 19/4/16 https://www.sps.nhs.uk/articles/safety-in-lactation-selective-serotonin-re-uptake-inhibitors-ssris/