Take the sertraline packet, or the leaflet inside it, plus any remaining medicine with you. Like all medicines, sertraline can cause side effects in some people, but many people have no side effects or only minor ones. Some of the common side effects of sertraline will gradually improve as your body gets used to it.
Some people who take sertraline for panic attacks find their anxiety gets worse during the first few weeks of treatment. This usually wears off after a few weeks, but speak to your doctor if it bothers you — a lower dose may help reduce your symptoms. If you get them, keep taking the medicine, but tell your doctor if they bother you or do not go away.
Try taking sertraline with or after food. It may also help if you avoid rich or spicy food. Make sure you rest and drink plenty of fluids. Do not drink too much alcohol. Ask your pharmacist to recommend a painkiller. Headaches should usually go away after the first week of taking sertraline.
Talk to your doctor if they last longer than a week or are severe. Take sertraline in the evening and cut down the amount of alcohol you drink. Do not drive or use tools or machinery if you're feeling sleepy. If this does not help, talk to your doctor. Drink plenty of water or other fluids to avoid dehydration.
Signs of dehydration include peeing less than usual and having dark, strong-smelling pee. Do not take any other medicines to treat diarrhoea without speaking to a pharmacist or doctor.
If sertraline makes you feel dizzy, stop what you're doing and sit or lie down until you feel better. If sertraline makes you feel tired or weak, stop what you're doing and sit or lie down until you feel better. Do not drive or use tools or machinery if you're feeling tired. Do not drink alcohol as it'll make you feel worse. If these symptoms do not go away after 1 or 2 weeks, ask your pharmacist or doctor for advice.
It happens rarely in less than 1 in people , but some people may have serious side effects when taking sertraline. In rare cases, it's possible to have a serious allergic reaction anaphylaxis to sertraline. These are not all the side effects of sertraline. For a full list, see the leaflet inside your medicine packet. It's important for you and your baby that you stay well during your pregnancy. If you become pregnant while taking sertraline, speak to your doctor.
Do not stop taking your medicine unless your doctor tells you to. Sertraline has been linked to a very small increased risk of problems for your unborn baby.
But if your depression is not treated during pregnancy, this can also increase the chance of problems. You may take sertraline during pregnancy if you need it to remain well. Your doctor can explain the risks and the benefits, and will help you decide which treatment is best for you and your baby. If your doctor or health visitor says your baby is healthy, sertraline is one of the preferred antidepressants to take when breastfeeding.
It has been used by many breastfeeding mothers without any problems. Sertraline passes into breast milk in tiny amounts and has been linked with side effects in a very few breastfed babies.
But it's important to continue taking sertraline to keep you well. Breastfeeding will also benefit both you and your baby. If you notice that your baby is not feeding as well as usual or seems unusually sleepy, or if you have any other concerns about your baby, talk to your health visitor or doctor as soon as possible.
For more information about how sertraline can affect you and your baby during pregnancy, read the leaflet about the best use of medicines in pregnancy BUMPS. Some medicines and sertraline can interfere with each other and increase the chances of you having side effects.
Do not take St John's wort, the herbal remedy for depression, while you're being treated with sertraline as this will increase your risk of side effects. Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. Sertraline is one of a group of antidepressants called selective serotonin reuptake inhibitors, or SSRIs. These medicines are thought to work by increasing the levels of a mood-enhancing chemical called serotonin in the brain.
Antidepressants like sertraline help to jump start your mood so you feel better. You may notice that you sleep better and get on with people more easily because you're less anxious. You'll hopefully take in your stride little things that used to worry you.
Sertraline will not change your personality or make you feel euphorically happy. It'll simply help you feel like yourself again. Do not expect to feel better overnight, though. Some people feel worse during the first few weeks of treatment before they begin to feel better.
You may see an improvement in your symptoms after 1 or 2 weeks, although it usually takes between 4 to 6 weeks before you feel the full benefits. That's because it takes around a week for sertraline levels to build up in your body, and then a few weeks longer for your body to adapt and get used to it.
Do not stop taking sertraline just because you feel it is not helping your symptoms. Give the medicine at least 6 weeks to work. NCCIH has provided this material for your information. It is not intended to substitute for the medical expertise and advice of your health care provider s. We encourage you to discuss any decisions about treatment or care with your health care provider.
Depression and Complementary Health Approaches. How much do we know about SAMe? What do we know about the effectiveness of SAMe? What do we know about the safety of SAMe? Data on the long-term safety of SAMe and its safety for use during pregnancy are too limited to draw any conclusions. SAMe may not be safe for people with bipolar disorder. SAMe may interact with some medicines or other dietary supplements.
What Is SAMe? Overall, the evidence that oral SAMe may be helpful for depression is not conclusive. The results of research on SAMe for osteoarthritis are mixed. Liver Diseases. Cholestasis is a condition in which the flow of bile from the liver is slowed or blocked. ICP usually occurs during the third trimester of pregnancy and has itching as a characteristic symptom.
SAMe has also been studied for other liver diseases, including alcoholic liver cirrhosis , hepatitis C , various types of cholestasis, and nonalcoholic steatohepatitis, as well as for the prevention of liver cancer, but research is inconclusive.
Other Conditions. Information on the long-term safety of SAMe is limited because the participants in most studies took it only for short periods of time. However, in one study of alcohol-related liver disease, participants took SAMe for 2 years; in that study, no serious side effects were reported. People with bipolar disorder an illness characterized by mood swings, from depression to mania should not take SAMe for their depressive symptoms except under the supervision of a health care provider because SAMe may worsen symptoms of mania.
Although SAMe has been used to treat cholestasis during pregnancy, its safety during pregnancy has not been established. Escitalopram can be taken by adults over the age of Check with your doctor before starting to take escitalopram if you: have had an allergic reaction to escitalopram or any other medicines in the past have epilepsy or are having electroconvulsive treatment - escitalopram may increase your risk of having a seizure have a heart problem - escitalopram can speed up or change your heartbeat have a low heart rate, plus you have had severe diarrhoea and vomiting for a long time or take tablets that make you pee more diuretics have ever taken any other medicines for depression - some rarely used antidepressants can interact with escitalopram to cause very high blood pressure even when they have been stopped for a few weeks are trying to become pregnant, already pregnant or breastfeeding have an eye problem called glaucoma - escitalopram can increase the pressure in your eye If you have diabetes , escitalopram can make it more difficult to keep your blood sugar stable.
Take escitalopram once a day. You can take it with or without food. If you have trouble sleeping, it's best to take it in the morning. How much to take Escitalopram tablets come in different strengths ranging from 5mg to 20mg. If you have liver problems, the maximum recommended dose is 10mg a day. What if I forget to take it? Do not take a double dose to make up for forgotten doses. If you forget doses often, it may help to set an alarm to remind you.
What if I take too much? Urgent advice: Call your doctor straight away if:. Common side effects Common side effects may happen in more than 1 in 10 people. Keep taking the medicine, but talk to a doctor or pharmacist if these side effects bother you or don't go away: a dry mouth sweating a lot being unable to sleep feeling sleepy feeling tired or weak Serious side effects Serious side effects are rare and happen in less than 1 in 1, people.
These aren't all the side effects of escitalopram. For a full list, see the leaflet inside your medicines packet. Information: You can report any suspected side effect using the Yellow Card safety scheme. Visit Yellow Card for further information. What to do about: a dry mouth - chew sugar-free gum or sugar-free sweets sweating a lot - try wearing loose clothing, using a strong anti-perspirant, and keeping cool using a fan, if possible.
If this doesn't control the problem, talk to your doctor. You may need to try a different antidepressant. Do not drive or use tools or machinery if you're feeling sleepy. If this doesn't help, talk to your doctor. Do not drive or use tools or machinery if you're feeling tired. Do not drink alcohol as it'll make you feel worse. Escitalopram in pregnancy It's important for you and your baby that you stay well during your pregnancy. Escitalopram and breastfeeding If your doctor or health visitor says your baby is healthy, escitalopram can be used during breastfeeding.
Non-urgent advice: Tell your doctor if you're:. Tell your doctor if you're taking these medicines before you start escitalopram : any medicines that affect your heartbeat - escitalopram can speed up or change your heartbeat any other medicines for depression - some rarely used antidepressants can interact with escitalopram to cause very high blood pressure even when they have been stopped for a few weeks These aren't all the medicines that can interfere with escitalopram.
Mixing escitalopram with herbal remedies and supplements Do not take St John's wort, the herbal remedy for depression, while you're being treated with escitalopram as this will increase your risk of side effects. Important: Medicine safety Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements.
How does escitalopram work? When will I feel better? It usually takes between 4 and 6 weeks before you feel the full benefits. Give the medicine at least 6 weeks to work. How will it make me feel? How long will I take it for?
How do I come off escitalopram? These include: dizziness feeling sick numbness or tingling in the hands or feet trouble sleeping feeling agitated or anxious headaches shaking Important Do not stop taking escitalopram suddenly or without talking to your doctor first.
Is it safe to take it for a long time? For most people, escitalopram is safe to take for a long time. Is escitalopram better than other antidepressants? Escitalopram isn't any better or worse than other antidepressants. Talk to your doctor if you aren't feeling any better after 6 weeks.
What's the difference between escitalopram and citalopram? They may sound similar, but they're different medicines. Differences include: escitalopram doses are half that of citalopram the type and frequency of side effects you may get are different with each medicine escitalopram can be used for a wider range of health problems than citalopram.
Will I gain or lose weight? Later on, you may gain a little weight as your appetite returns. Can I drive or ride a bike? Will it affect my contraception? Will it affect my fertility? Will it affect my sex life? Some of the possible negative effects include: men having painful erections and problems getting an erection and ejaculating women having some vaginal bleeding and might not reach orgasm the same way as before a lower sex drive Sexual side effects usually pass after the first couple of weeks.
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