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Precautions

Do NOT use Zoloft if:

• you're 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 within the last 14 days
• you are taking a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, sibutramine, or thioridazine.

Contact your doctor or doctor straight away if some of these sign up for you.

Some medical conditions may interact with Zoloft. Tell your doctor or pharmacist when you have any medical conditions, especially if any of the following connect with you:

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

Some medicines may communicate with Zoloft. Tell your doctor if you take any other medicines, especially any of 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 side effects, say for example a reaction which could 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) as the risk of bleeding, including stomach bleeding, might be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) since the likelihood of high or low blood sodium levels may be increased
• Tramadol because the likelihood of seizures might 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 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) since the probability of their negative effects could be increased by Zoloft.

This may not be a whole report on all interactions that will occur. Ask your doctor if Zoloft may interact with other medicines that you take. Check along with your health care provider before you start, stop, or customize the dose of any medicine.

Important safety information:

• Zoloft might cause drowsiness or dizziness. These effects could possibly be worse if you go on 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 alcohol while you consider Zoloft.
• Check along with your doctor before you use medicines that could potentially cause drowsiness (eg, sleep aids, muscle relaxers) when you take Zoloft; it may well help to increase their effects. Ask your friendly phamacist in case you have questions on which medicines might cause drowsiness.
• Several weeks may pass before your symptoms improve. Do NOT take over the recommended dose, make positive changes to dose, or use Zoloft for more than prescribed without checking with your doctor.
• Children and teenagers who take Zoloft could possibly be at increased risk for suicidal thoughts or actions. Adults are often affected. The risk could possibly be greater in patients who've had suicidal thoughts or actions inside the past. The risk can be greater in patients who have had bipolar (manic-depressive) illness, or if their family members experienced it. Watch patients having Zoloft closely. Contact a doctor simultaneously if new, worsened, or sudden symptoms including depressed mood; anxious, restless, or irritable behavior; panic disorder; or any unusual alternation in mood or behavior occur. Contact your physician without delay if any signs of suicidal thoughts or actions occur.
• If your medical professional lets you know to avoid taking Zoloft, you will have to watch for a few months before beginning to consider certain other medicines (eg, MAOIs, nefazodone). Ask your medical professional when you start to consider your new medicines after you've got stopped taking Zoloft.
• Zoloft may rarely spark a prolonged, painful erection. This could happen even when you happen to be not making love. If this is not treated without delay, it may result in permanent sexual problems including impotence. Contact your physician immediately take place.
• Serotonin syndrome is often a possibly fatal syndrome which can be due to Zoloft. Your risk may be greater with Zoloft with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; sweating; and nausea, vomiting, or diarrhea. Contact a medical expert immediately for those who have any of these symptoms.
• Neuroleptic malignant syndrome (NMS) can be a possibly fatal syndrome which can be brought on by Zoloft. Symptoms might include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at the same time if you have all of these symptoms.
• Caution is required when you use Zoloft within the elderly; they might be more responsive to its effects, especially low blood sodium levels.
• Caution is required when utilizing Zoloft in kids; they could possibly be more responsive to its effects, especially increased likelihood of suicidal thoughts or actions.
• Zoloft needs to be combined with extreme caution in kids younger 6 years; safety and effectiveness over these children are not confirmed.
• Zoloft could cause weight changes. Children and teenagers may need regular weight and growth checks since they take Zoloft.
• Pregnancy and breast-feeding: Zoloft might cause harm to the fetus if it is utilized during the last 3 months of being pregnant. If you become pregnant, get hold of your doctor. You will need to discuss the advantages 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 is going to be breast-feeding as you use Zoloft, check using your doctor. Discuss any possible risks for your baby.