Buy Sertraline (Zoloft) tablets online

How and where to order Zoloft (Sertraline Hydrochloride) 25 mg, 50 mg, 100 mg tablets or capsules online:

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Indications and usage:

Zoloft (Sertraline HCl) is a selective serotonin reuptake inhibitor (SSRI) indicated for the treatment of:

  • major depressive disorder (MDD)
  • obsessive-compulsive disorder (OCD)
  • panic disorder (PD)
  • posttraumatic stress disorder (PTSD)
  • social anxiety disorder (SAD)
  • premenstrual dysphoric disorder (PMDD)
  • autism spectrum disorders
  • bipolar disorder
  • other disorders of central nervous (CNS) system associated with depression and anxiety


    Contraindications:

  • concomitant use of monoamine oxidase inhibitors (MAOIs), or use within 14 days of stopping MAOIs
  • concomitant use of pimozide
  • known hypersensitivity to sertraline or excipients
  • only for Zoloft oral solution: concomitant use of disulfiram


    Dosage forms and strengths:

  • Zoloft (Sertraline Hydrochloride) tablets 25 mg, 50 mg, 100 mg.
  • Zoloft (Sertraline Hydrochloride) oral solution 20 mg / ml.


    Dosage and administration:

    Indication Starting dosage Maximum dosage
    MDD 50 mg per day 200 mg per day
    OCD 25 mg per day (ages 6-12)
    50 mg per day (ages >= 13)
    200 mg per day
    PD, PTSD, SAD 25 mg per day 200 mg per day
    PMDD continuous dosing 50 mg per day 150 mg per day
    PMDD intermittent dosing 50 mg per day during luteal phase only 100 mg per day during luteal phase only



    Warnings and precautions:

  • serotonin syndrome: increased risk when co-administered with other serotonergic agents, but also when taken alone. If it occurs, discontinue Zoloft and serotonergic agents and initiate supportive treatment.
  • Increased risk of bleeding: concomitant use of aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), other antiplatelet drugs, warfarin, and other anticoagulants may increase this risk.
  • Activation of mania/hypomania: screen patients for bipolar disorder.
  • Seizures: use with caution in patients with seizure disorders.
  • Angle closure glaucoma: avoid use of antidepressants, including sertraline, in patients with untreated anatomically narrow angles.
  • QTc prolongation: Zoloft (Sertraline) should be used with caution in patients with risk factors for QTc prolongation.
  • Sexual dysfunction: this medication may cause symptoms of sexual dysfunction.


    Overdosage:

    The following have been reported with Zoloft (Sertraline HCl) tablets overdosage:

  • Seizures, which may be delayed, and altered mental status including coma.
  • Cardiovascular toxicity, which may be delayed, including QRS and QTc interval prolongation. Hypertension most commonly seen, but rarely can see hypotension alone or with co-ingestants including alcohol.
  • Serotonin syndrome (patients with a multiple drug overdosage with other proserotonergic drugs may have a higher risk).

    Gastrointestinal decontamination with activated charcoal should be considered in patients who present early after a sertraline overdose. Consider contacting a poison center or a medical toxicologist for additional overdosage management recommendations.


    Side effects, adverse reactions:

    Most common adverse reactions of sertraline ( >= 5% and twice placebo) in pooled placebo-controlled MDD, OCD, PD, PTSD, SAD and PMDD clinical trials were nausea, diarrhea/loose stool, tremor, decreased appetite, dyspepsia, hyperhidrosis, ejaculation failure, decreased libido.

    To report suspected side effects of Zoloft (Sertraline Hydrochloride) tablets and oral solution contact Pfizer, Viatris pharmaceutical companies or your local FDA.


    Drug interactions:

  • Protein-bound drugs: monitor for adverse reactions and reduce dosage of this drug or other protein-bound drugs (e.g., warfarin) as warranted.
  • CYP2D6 substrates: reduce dosage of drugs metabolized by CYP2D6.


    Usage in specific populations:

  • Pregnancy: third trimester use may increase risk for persistent pulmonary hypertension and withdrawal in the neonate.
  • Lactation: the developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for Zoloft and any potential adverse effects on the breastfed infant from the drug or from the underlying maternal condition.
  • Pediatric use: safety and effectiveness of this medicine in pediatric patients other than those with OCD have not been established.
  • Hepatic impairment: the recommended dosage in patients with mild hepatic impairment is half the recommended dosage due to increased exposure in this patient population.
  • Renal impairment: no dose adjustment is needed in patients with mild to severe renal impairment. Sertraline Hydrochloride exposure does not appear to be affected by renal impairment.


    Drug abuse and dependence:

    Controlled substance

    Zoloft contains sertraline, which is not a controlled substance in most of countries worldwide.

    Abuse

    In a placebo-controlled, double-blind, randomized study of the comparative abuse liability of sertraline, alprazolam, and d-amphetamine in humans, Zoloft did not produce the positive subjective effects indicative of abuse potential, such as euphoria or drug liking, that were observed with the other two drugs.


    Patient counseling information:

    Advise the patient to read the FDA-approved patient labeling (medication guide).

    Suicidal thoughts and behaviors

    Advise patients and caregivers to look for the emergence of suicidality, especially early during treatment and when the dosage is adjusted up or down, and instruct them to report such symptoms to the healthcare provider.

    Important administration instructions for oral solution

    For patients prescribed Zoloft oral solution, inform them that:

  • This medication in oral solution pharmaceutical form must be diluted before use. Do not mix in advance.
  • Use the dropper provided to remove the required amount of Zoloft oral solution and mix with 4 ounces (1/2 cup) of water, ginger ale, lemon/lime soda, lemonade or orange juice ONLY. Do not mix the oral solution with anything other than the liquids listed.
  • Take the dose immediately after mixing. At times, a slight haze may appear after mixing; this is normal.
  • The dropper dispenser contains dry natural rubber, a consideration for patients with latex sensitivity.

    Disulfiram contraindication for Zoloft oral solution

    Inform patients not to take disulfiram when taking this drug in oral solution. Concomitant use is contraindicated due the alcohol content of the oral solution.

    Serotonin syndrome

    Caution patients about the risk of serotonin syndrome, particularly with the concomitant use of sertraline with other serotonergic drugs including triptans, tricyclic antidepressants, opioids, lithium, tryptophan, buspirone, amphetamines, St. John's Wort, and with drugs that impair metabolism of serotonin (in particular, MAOIs, both those intended to treat psychiatric disorders and also others, such as linezolid). Patients should contact their health care provider or report to the emergency room if they experience signs or symptoms of serotonin syndrome.

    Increased risk of bleeding

    Inform patients about the concomitant use of Zoloft (Sertraline HCl) with aspirin, NSAIDs, other antiplatelet drugs, warfarin, or other anticoagulants because the combined use has been associated with an increased risk of bleeding. Advise patients to inform their health care providers if they are taking or planning to take any prescription or over-the-counter medications that increase the risk of bleeding.

    Activation of mania/hypomania

    Advise patients and their caregivers to observe for signs of activation of mania/hypomania and instruct them to report such symptoms to the healthcare provider.

    Discontinuation syndrome

    Advise patients not to abruptly discontinue this medicine and to discuss any tapering regimen with their healthcare provider. Adverse reactions can occur when Zoloft is discontinued.

    Sexual dysfunction

    Advise patients that use of this medication may cause symptoms of sexual dysfunction in both male and female patients. Inform patients that they should discuss any changes in sexual function and potential management strategies with their healthcare provider.

    Allergic reactions

    Advise patients to notify their healthcare provider if they develop an allergic reaction such as rash, hives, swelling, or difficulty breathing.

    Pregnancy

    Inform pregnant women that Sertraline (Zoloft) may cause withdrawal symptoms in the newborn or persistent pulmonary hypertension of the newborn (PPHN). Advise women that there is a pregnancy exposure registry that monitors pregnancy outcomes of women exposed to this medication during pregnancy.


    Where to buy sertraline online:

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    Here is a list of popular medications containing sertraline hydrochloride as a main active pharmaceutical ingredient; their trade names, forms, doses, companies - manufacturers, distributors, suppliers, researchers and developers:

    Trade name of the drug Pharmaceutical forms and doses Companies
    Daxid
  • Tablets, Film-Coated; Oral; 25 mg, 50 mg, 100 mg
  • Pfizer
  • Lustral
  • Tablets, Film-Coated; Oral; 50 mg, 100 mg
  • Pfizer
  • Sertima
  • Tablets, Film-Coated; Oral; 25 mg, 50 mg, 100 mg
  • Intas Pharmaceuticals
  • Zoloft
  • Capsules; Oral; 25 mg, 50 mg
  • Concentrate for Solution; Oral; 20 mg / ml
  • Tablets, Film-Coated; Oral; 25 mg, 50 mg, 100 mg, 150 mg, 200 mg
  • Pfizer
  • Roerig
  • Viatris
  • Zosert
  • Tablets, Film-Coated; Oral; 25 mg, 50 mg, 100 mg
  • Sun Pharmaceutical Industries