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Precautions

Do NOT use Zoloft if:

• you're allergic to any ingredient in Zoloft
• you are taking or have got a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort during the last 14 days
• you are taking a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, sibutramine, or thioridazine.

Contact a medical expert or doctor right away if some of these sign up for you.

Some health conditions may connect to Zoloft. Tell a medical expert or pharmacist for those who have any health conditions, particularly if any of the following affect you:

• if you are pregnant, likely to get pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or another substances
• if you or perhaps a member of the family includes a reputation bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• in case you have a history of seizures, heart problems, liver problems, stomach or bowel bleeding, or metabolism problems
• if you happen to be dehydrated, have low blood sodium levels, or are drinking alcoholic beverages
• if you will be having electroconvulsive therapy (ECT).

Some medicines may talk with Zoloft. Tell your doctor if you consider any other medicines, especially any from the following:

• Anorexiants (eg, phentermine), fenfluramine derivatives (eg, dexfenfluramine), linezolid, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT₁ receptor agonists (eg, sumatriptan), sibutramine, St. John's wort, or trazodone because severe unwanted effects, for instance a reaction that could include fever, rigid muscles, blood pressure levels changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of bleeding, including stomach bleeding, could possibly be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that risk of high or low blood sodium levels could be increased
• Tramadol because the probability of seizures may be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart related illnesses, including irregular heartbeat, may occur
• Carbamazepine or cyproheptadine since they may decrease Zoloft's effectiveness
• Aripiprazole, clozapine, digoxin, flecainide, lithium, phenytoin, pimozide, propafenone, risperidone, tricyclic antidepressants (eg, amitriptyline), or valproate (eg, valproic acid) as the probability of their negative effects may be increased by Zoloft.

This is probably not a total set of all interactions that will occur. Ask your health care provider if Zoloft may connect to other medicines that you just take. Check together with your physician before starting, stop, or alter the dose of the medicine.

Important safety information:

• Zoloft might cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Zoloft with caution. Do not drive or perform other possible unsafe tasks unless you discover how you respond to it.
• Do not are drinking alcoholic beverages when you take Zoloft.
• Check together with your doctor before you use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) when you consider Zoloft; it could add to their effects. Ask the pharmacist if you have questions on which medicines could cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, improve your dose, or use Zoloft more than prescribed without checking together with your doctor.
• Children and teenagers taking Zoloft may be at increased risk for suicidal thoughts or actions. Adults are often affected. The risk may be greater in patients who have had suicidal thoughts or actions in the past. The risk can be greater in patients who have had bipolar (manic-depressive) illness, or if their family members also have it. Watch patients having Zoloft closely. Contact the physician immediately if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual difference in mood or behavior occur. Contact a doctor right away if any signs of suicidal thoughts or actions occur.
• If your medical professional tells you to prevent taking Zoloft, you will need to loose time waiting for many weeks prior to starting to take certain other medicines (eg, MAOIs, nefazodone). Ask your physician ought to start to consider your brand-new medicines after you've stopped taking Zoloft.
• Zoloft may rarely cause a prolonged, painful erection. This could happen even when you might be not making love. If this is not treated immediately, it could possibly result in permanent sexual dysfunctions such as impotence. Contact your medical professional immediately if this happens.
• Serotonin syndrome can be a possibly fatal syndrome that can be caused by Zoloft. Your risk might be greater with Zoloft with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor immediately for those who have all of these symptoms.
• Neuroleptic malignant syndrome (NMS) is really a possibly fatal syndrome that could be a result of Zoloft. Symptoms can sometimes include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your medical professional immediately if you have these symptoms.
• Caution is advised when working with Zoloft within the elderly; they could be more responsive to its effects, especially low blood sodium levels.
• Caution is advised when utilizing Zoloft in kids; they may be more sensitive to its effects, especially increased likelihood of suicidal thoughts or actions.
• Zoloft must be in combination with careful attention in children younger 6 years; safety and effectiveness over these children weren't confirmed.
• Zoloft could cause weight changes. Children and teenagers might require regular weight and growth checks when they take Zoloft.
• Pregnancy and breast-feeding: Zoloft may cause trouble for the fetus if it can be used over the last a couple of months of pregnancy. If you become pregnant, speak to your doctor. You will need to discuss the huge benefits and perils associated with using Zoloft while you might be pregnant. It is not known if Zoloft is situated in breast milk. If you are or is going to be breast-feeding while you use Zoloft, check along with your doctor. Discuss any possible risks to your baby.