Zoloft is the brand name of the generic medication sertraline hydrochloride. Zoloft is a prescription medication used to treat depression, anxiety disorders, and other serious mental health problems. Manufactured by Pfizer, Zoloft has been approved by the Food and Drug Administration (FDA) for the treatment of social anxiety disorder (SAD) since 2003 and is the only medication approved for long-term treatment. You must combine the liquid form of Zoloft with one of the following before use: water, ginger ale, lemon-lime soda, lemonade or orange juice. Combine the prescribed amount of medication with one half cup of the chosen liquid, and be sure to prepare each dose immediately before you take it, not in advance. In general, Zoloft is taken once daily, with or without food. If you forget to take a daily dose, take it when you remember. Initial: 50 mg q Day PO given continuously throughout menstrual cycle or given during luteal phase only May increase by 50 mg at the onset of each new menstrual cycle; no more than 150 mg q Day when administered continuously or 100 mg q Day when administered during luteal phase only 25 mg PO q Day initially; may increase by 25 mg every 2-3 days; not to exceed 200 mg q Day Alzheimer dementia related depression: Start at 12.5 mg/day and titrate every 1-2 weeks to response; not to exceed 150-200 mg Renal impairment: Dose adjustment not necessary Mild hepatic impairment (Child-Pugh 5-6): Decrease recommended starting dose and therapeutic dose by 50% Moderate-to-severe hepatic impairment (Child-Pugh 7-15): Not recommended; sertraline is extensively metabolized, and the effects in patients with moderate and severe hepatic impairment have not been studied Clinical worsening and suicide ideation may occur despite medication Use caution in patients with seizure disorders May worsen mania symptoms or precipitate mania in patients with bipolar disorder Increases risk of hyponatremia and impairment of cognitive/motor functions in the elderly Increases risk of bleeding in patients taking anticoagulants/antiplatelets concomitantly Risk of mydriasis; may trigger angle closure attack in patients with angle closure glaucoma with anatomically narrow angles without a patent iridectomy Pregnancy: Conflicting evidence regarding use of SSRIs during pregnancy and increased risk of persistent pulmonary hypertension of the newborn (see Pregnancy) In neonates exposed to SNRIs/SSRIs late in third trimester: Risk of complications such as feeding difficulties, irritability, and respiratory problems Avoid abrupt withdrawal Bone fractures reported with antidepressant therapy; consider the possibility if patient presents with bone pain, bruising, or point of tenderness Coadministration with other drugs that enhance the effects of serotonergic neurotransmission (eg, tryptophan, fenfluramine, fentanyl, 5-HT agonists, St. John’s Wort) should be undertaken with caution and avoided whenever possible due to the potential for pharmacodynamic interaction (see Contraindications) May cause false-positive urine immunoassay screening tests for benzodiazepines SSRIs and SNRIs are associated with development of SIADH; hyponatremia reported Several SSRIs (eg, fluoxetine, fluvoxamine, paroxetine, sertraline) are metabolized by CYP2D6 CYP2D6 is involved in the metabolism of approximately 20% of drugs in clinical use and displays large individual-to-individual variability in activity due to genetic polymorphisms More than 80 CYP2D6 variant alleles have been identified; however, 4 of the most prevalent alleles, CYP2D6*3, *4, *5, and *6, account for 93-97% of CYP2D6 poor metabolizers CYP2D6*4, the most common variant (~25% frequency in whites), causes a splicing defect; CYP2D6*3 (2.7% frequency) causes a frameshift mutation; and CYP3D6*5 (2.6%) is an entire deletion of the CYP2D6 gene; individuals homozygous for these alleles have no CYP2D6 activity The impact of CYP2D6 activity is further complicated in some SSRIs (eg, fluoxetine, fluvoxamine, paroxetine, sertraline) because in addition to being substrates for CYP2D6, they are also known to moderately inhibit CYP2D6 activity The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. Ciprofloxacin enterococcus faecalis Viagra for ed Levitra medicine Buy cialis bangkok pharmacy But, the dose varies for other indications. Zoloft has a 24-hour elimination half-life. Initial dose of 25 mg once daily, increased to 50 mg after one week. Zoloft received an overall rating of 6 out of 10 stars from 1294 reviews. Zoloft has been quite tricky for me to find the right dose, as i started on 25mg, then 50. Int Clin Psychopharmacol. 1995 Sep;103129-41. Sertraline 50 mg daily the optimal dose in the treatment of depression. Preskorn SH1, Lane RM. Zoloft (sertraline) is an antidepressant belonging to a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Sertraline affects chemicals in the brain that may be unbalanced in people with depression, panic, anxiety, or obsessive-compulsive symptoms. Zoloft is used to treat depression, obsessive-compulsive disorder, panic disorder, anxiety disorders, post-traumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD). Zoloft may also be used for purposes not listed in this medication guide. You should not use Zoloft if you also take pimozide, or if you are being treated with methylene blue injection. Do not use Zoloft if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine. Some young people have thoughts about suicide when first taking an antidepressant. Report any new or worsening symptoms to your doctor. I've been on zoloft 25 mg for two years and every time I see my doc he tries to up it telling me its not even a therapeutic dose. When I started the med I was feeling much worse anxiety/OCD then I am now so I feel it has helped. The thing you need to watch with Zoloft is whatever dose your on leave it alone my doctor had little to no exp. I'm sure I could feel better but I am anxious to up it, it was hard enough to take it at all since taking medications is a BIG hurdle for me. with these types of medication I started at 5 mg everytime I went back he would say did you notice a difference? I would say no and he would double it next thing I know it went from doing nothing to making me a zombie couldn't every find a correct dose took myself off of it and felt a lot better. One thing you have to watch and I've never seen anyone mention this or if was just me but marijuana and Zoloft adversely effect each other and things can get really bad hope this helps The 25 mg of Zoloft is considered a child's dose. Nevertheless, while I was suffering suicidal anxiety, 25 mg helped me ENORMOUSLY. When my psychiatrist was emphatic that 50 mg was the therapeutic dose for adults, I complied. When my doctor urged me to increase the dosage to 50 mg, I felt detached and "zoned out" every chance I got. Zoloft initial dose Zoloft Adult Dosing - Epocrates Online, Zoloft Reviews Everyday Health Buy cheap viagra sydneyIs sildenafil genericFluconazole vs ketoconazolePropecia reviewIs xanax addictive Zoloft Sertraline is a selective serotonin reuptake inhibitor SSRI used to treat major depressive disorders, panic disorder, obsessive compulsive disorder. Zoloft Side Effects, Uses & Dosage - Psych Central. Sertraline 50 mg daily the optimal dose in the treatment of.. Is Zoloft 25 mg Too Small Of A Dose? PharmacistAnswers. Medscape - Depression, OCD, panic disorder, PTSD, PMDD-specific dosing for Zoloft sertraline, frequency-based adverse effects, comprehensive interactions. The thing you need to watch with Zoloft is whatever dose your on. "A dosage of 25 mg or 50 mg per day is the initial therapeutic dosage. Learn about Zoloft Sertraline Hcl may treat, uses, dosage, side effects, drug interactions, warnings, patient labeling, reviews, and related medications.