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Precautions

Do NOT use Zoloft if:

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

Contact your doctor or health care provider immediately if some of these affect you.

Some medical conditions may communicate with Zoloft. Tell your medical professional or pharmacist when you have any medical conditions, in particular when any with the following affect you:

• if you're pregnant, planning to get pregnant, or are breast-feeding
• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, and other substances
• if you or possibly a loved one features a good bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• if you have a history of seizures, heart related illnesses, liver problems, stomach or bowel bleeding, or metabolism problems
• if you are dehydrated, have low blood sodium levels, or consume alcohol
• if you may be having electroconvulsive therapy (ECT).

Some medicines may communicate with Zoloft. Tell your medical provider if you are taking every other medicines, especially any with 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 side effects, like a reaction which could include fever, rigid muscles, blood pressure level changes, mental changes, confusion, irritability, agitation, delirium, and coma, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) as the likelihood of bleeding, including stomach bleeding, might be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) since the chance of high or low blood sodium levels could be increased
• Tramadol for the reason that risk of seizures could possibly be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart problems, including irregular heartbeat, may occur
• Carbamazepine or cyproheptadine given that they may decrease Zoloft's effectiveness
• Aripiprazole, clozapine, digoxin, flecainide, lithium, phenytoin, pimozide, propafenone, risperidone, tricyclic antidepressants (eg, amitriptyline), or valproate (eg, valproic acid) because the chance of their unwanted side effects could be increased by Zoloft.

This may not be a total listing of all interactions that could occur. Ask your health care provider if Zoloft may connect to other medicines that you just take. Check using your health care provider before starting, stop, or customize the dose of the medicine.

Important safety information:

• Zoloft might cause drowsiness or dizziness. These effects might be worse if you get it with alcohol or certain medicines. Use Zoloft with caution. Do not drive or perform other possible unsafe tasks until you discover how you react to it.
• Do not consume alcohol whilst you are taking Zoloft.
• Check along with your doctor before you use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you are taking Zoloft; it might add to their effects. Ask your friendly phamacist if you have queries about which medicines might cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take a lot more than the recommended dose, improve your dose, or use Zoloft more than prescribed without checking together with your doctor.
• Children and teenagers having Zoloft could be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk might be greater in patients who've had suicidal thoughts or actions inside past. The risk can be greater in patients who have had bipolar (manic-depressive) illness, or if their loved ones members have experienced it. Watch patients who take Zoloft closely. Contact the doctor immediately if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor without delay if any signs of suicidal thoughts or actions occur.
• If your physician lets you know to avoid taking Zoloft, you will need to watch for a few months prior to starting to take certain other medicines (eg, MAOIs, nefazodone). Ask a medical expert when you start to consider your medicines after you have stopped taking Zoloft.
• Zoloft may rarely spark a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated straight away, it may bring about permanent sexual dysfunctions such as impotence. Contact your medical professional immediately take place.
• Serotonin syndrome is often a possibly fatal syndrome that can be caused by Zoloft. Your risk might be greater invest the Zoloft with certain other medicines (eg, "triptans," MAOIs). Symptoms can sometimes include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; hyperhidrosis; and nausea, vomiting, or diarrhea. Contact your medical professional at the same time for those who have these symptoms.
• Neuroleptic malignant syndrome (NMS) is often a possibly fatal syndrome that can be brought on by Zoloft. Symptoms might include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your physician simultaneously when you have some of these symptoms.
• Caution is required when using Zoloft inside elderly; they could possibly be more sensitive to its effects, especially low blood sodium levels.
• Caution is required when you use Zoloft in youngsters; they might be more sensitive to its effects, especially increased likelihood of suicidal thoughts or actions.
• Zoloft must be in combination with extreme caution in kids younger 6 years; safety and effectiveness during these children have not been confirmed.
• Zoloft could potentially cause weight changes. Children and teenagers may need regular weight and growth checks since they take Zoloft.
• Pregnancy and breast-feeding: Zoloft could potentially cause trouble for the fetus if it is employed during the last a couple of months of being pregnant. If you become pregnant, contact your doctor. You will need to discuss the benefits and perils associated with using Zoloft while you're pregnant. It is not known if Zoloft is located in breast milk. If you're or will likely be breast-feeding as you use Zoloft, check along with your doctor. Discuss any possible risks for a baby.