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Precautions

Do NOT use Zoloft if:

• you might be allergic to the 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 consider a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, sibutramine, or thioridazine.

Contact your medical professional or doctor without delay if all of these sign up for you.

Some health concerns may talk with Zoloft. Tell your physician or pharmacist if you have any health concerns, particularly when any from the following connect with you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• when you have allergies to medicines, foods, or any other substances
• if you or a family member has a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• for those who have a history of seizures, cardiovascular disease, liver problems, stomach or bowel bleeding, or metabolism problems
• if you might be dehydrated, have low blood sodium levels, or consume alcohol
• if you'll be having electroconvulsive therapy (ECT).

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

This will not be a whole listing of all interactions which could occur. Ask your medical provider if Zoloft may communicate with other medicines that you just take. Check with your doctor before you start, stop, or alter the dose of the medicine.

Important safety information:

• Zoloft may cause drowsiness or dizziness. These effects may be worse if you get it with alcohol or certain medicines. Use Zoloft with caution. Do not drive or perform other possible unsafe tasks unless you understand how you respond to it.
• Do not are drinking alcoholic beverages when you are taking Zoloft.
• Check using your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) as you are taking Zoloft; it may well help to increase their effects. Ask your friendly phamacist when you have questions about which medicines could potentially cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take greater than the recommended dose, alter your dose, or use Zoloft for longer than prescribed without checking together with your doctor.
• Children and teenagers who take Zoloft may be at increased risk for suicidal thoughts or actions. Adults can also be affected. The risk might be greater in patients who have had suicidal thoughts or actions within the past. The risk are often greater in patients who've had bipolar (manic-depressive) illness, or if themselves members have experienced it. Watch patients who take Zoloft closely. Contact a doctor at once if new, worsened, or sudden symptoms including depressed mood; anxious, restless, or irritable behavior; anxiety attacks; or any unusual difference in mood or behavior occur. Contact your physician immediately if any warning signs of suicidal thoughts or actions occur.
• If a medical expert tells you to avoid taking Zoloft, you need to watch for many weeks before commencing to adopt certain other medicines (eg, MAOIs, nefazodone). Ask your medical professional when you should start to consider your medicines after you might have stopped taking Zoloft.
• Zoloft may rarely spark a prolonged, painful erection. This could happen even when you happen to be not having sexual intercourse. If this is not treated straight away, it could lead to permanent sexual dysfunctions such as impotence. Contact your physician right away if this happens.
• Serotonin syndrome is really a possibly fatal syndrome that can be due to Zoloft. Your risk could possibly 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 a medical expert at once in case you have any of these symptoms.
• Neuroleptic malignant syndrome (NMS) is really a possibly fatal syndrome which can be brought on by Zoloft. Symptoms can sometimes include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact a medical expert at the same time in case you have these symptoms.
• Caution is suggested when working with Zoloft inside the elderly; they may be more responsive to its effects, especially low blood sodium levels.
• Caution is advised when you use Zoloft in kids; they could possibly be more understanding of its effects, especially increased probability of suicidal thoughts or actions.
• Zoloft must be used in combination with warning in youngsters younger 6 years; safety and effectiveness during these children haven't been confirmed.
• Zoloft may cause weight changes. Children and teenagers might require regular weight and growth checks since they take Zoloft.
• Pregnancy and breast-feeding: Zoloft could cause harm to the fetus if it can be used over the last 3 months of childbearing. If you conceive, contact your doctor. You will need to discuss the benefits and risks of using Zoloft while you're pregnant. It is not known if Zoloft is found in breast milk. If you are or will likely be breast-feeding as you use Zoloft, check along with your doctor. Discuss any possible risks in your baby.