Sertraline hydrochloride and other antidepressant medicines may cause serious side effects, including:
1. Suicidal thoughts or actions:

Sertraline hydrochloride and other antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, or young adults within the first few months of treatment or when the dose is changed.
Depression or other serious mental illnesses are the most important causes of suicidal thoughts or actions.
Watch for these changes and call your healthcare provider right away if you notice:
New or sudden changes in mood, behavior, actions, thoughts, or feelings, especially if severe.
Pay particular attention to such changes when Sertraline hydrochloride is started or when the dose is changed.
Keep all follow-up visits with your healthcare provider and call between visits if you are worried about symptoms.
Call your healthcare provider right away if you have any of the following symptoms, or call 911 if an emergency, especially if they are new, worse, or worry you:
attempts to commit suicide
acting on dangerous impulses
acting aggressive or violent
thoughts about suicide or dying
new or worse depression
new or worse anxiety or panic attacks
feeling agitated, restless, angry or irritable
trouble sleeping
an increase in activity or talking more than what is normal for you
other unusual changes in behavior or mood
Call your healthcare provider right away if you have any of the following symptoms, or call 911 if an emergency. Sertraline hydrochloride may be associated with these serious side effects:
2. Serotonin Syndrome
This condition can be life-threatening and may include:

agitation, hallucinations, coma or other changes in mental status
coordination problems or muscle twitching (overactive reflexes)
racing heartbeat, high or low blood pressure
sweating or fever
nausea, vomiting, or diarrhea
muscle rigidity
3. Severe allergic reactions:
trouble breathing
swelling of the face, tongue, eyes or mouth
rash, itchy welts (hives) or blisters, alone or with fever or joint pain
4. Abnormal bleeding: Sertraline hydrochloride and other antidepressant medicines may increase your risk of bleeding or bruising, especially if you take the blood thinner warfarin (Coumadin®, Jantoven®), a non-steroidal anti-inflammatory drug (NSAIDs, like ibuprofen or naproxen), or aspirin.
5. Seizures or convulsions
6. Manic episodes:
greatly increased energy
severe trouble sleeping
racing thoughts
reckless behavior
unusually grand ideas
excessive happiness or irritability
talking more or faster than usual
7. Changes in appetite or weight. Children and adolescents should have height and weight monitored during treatment.
8. Low salt (sodium) levels in the blood. Elderly people may be at greater risk for this. Symptoms may include:
headache
weakness or feeling unsteady
confusion, problems concentrating or thinking or memory problems
9. Do not stop Sertraline hydrochloride without first talking to your healthcare provider. Stopping Sertraline hydrochloride too quickly may cause serious symptoms including:
anxiety, irritability, high or low mood, feeling restless or changes in sleep habits
headache, sweating, nausea, dizziness
electric shock-like sensations, shaking, confusion
What is Sertraline hydrochloride?
Sertraline hydrochloride is a prescription medicine used to treat depression. It is important to talk with your healthcare provider about the risks of treating depression and also the risks of not treating it. You should discuss all treatment choices with your healthcare provider. Sertraline hydrochloride is also used to treat:
Major Depressive Disorder (MDD)
Obsessive Compulsive Disorder (OCD)
Panic Disorder
Posttraumatic Stress Disorder (PTSD)
Social Anxiety Disorder
Premenstrual Dysphoric Disorder (PMDD)
Talk to your healthcare provider if you do not think that your condition is getting better with Sertraline hydrochloride treatment.

Sertraline hydrochloride is a prescription medicine used to treat depression. It is important to talk with your healthcare provider about the risks of treating depression and also the risks of not treating it. You should discuss all treatment choices with your healthcare provider. Sertraline hydrochloride is also used to treat:
Major Depressive Disorder (MDD)
Obsessive Compulsive Disorder (OCD)
Panic Disorder
Posttraumatic Stress Disorder (PTSD)
Social Anxiety Disorder
Premenstrual Dysphoric Disorder (PMDD)
Talk to your healthcare provider if you do not think that your condition is getting better with Sertraline hydrochloride treatment.

Do not take Sertraline hydrochloride if you:
are allergic to sertraline or any of the ingredients in Sertraline hydrochloride. See the end of this Medication Guide for a complete list of ingredients in Sertraline hydrochloride.
take the antipsychotic medicine pimozide (Orap®) because this can cause serious heart problems.
take Antabuse® (disulfiram) (if you are taking the liquid form of Sertraline hydrochloride) due to the alcohol content.
take a monoamine oxidase inhibitor (MAOI). Ask your healthcare provider or pharmacist if you are not sure if you take an MAOI, including the antibiotic linezolid.
Do not take an MAOI within 2 weeks of stopping Sertraline hydrochloride unless directed to do so by your physician.
Do not start Sertraline hydrochloride if you stopped taking an MAOI in the last 2 weeks unless directed to do so by your physician.
People who take Sertraline hydrochloride close in time to an MAOI may have serious or even life-threatening side effects. Get medical help right away if you have any of these symptoms:
high fever
uncontrolled muscle spasms
stiff muscles
rapid changes in heart rate or blood pressure
confusion
loss of consciousness (pass out)

Before starting Sertraline hydrochloride, tell your healthcare provider if you:
Are taking certain drugs such as:
Medicines used to treat migraine headaches such as:
triptans
Medicines used to treat mood, anxiety, psychotic or thought disorders, such as:
tricyclic antidepressants
lithium
diazepam
SSRIs
SNRIs
antipsychotic drugs
valproate
Medicines used to treat seizures such as:
phenytoin
Medicines used to treat pain such as:
tramadol
Medicines used to thin your blood such as:
warfarin
Medicines used to control your heartbeat such as :
propafenone
flecainide
digitoxin
Medicines used to treat type II diabetes such as:
tolbutamide
Cimetidine used to treat heartburn
Over-the-counter medicines or supplements such as:
Aspirin or other NSAIDs
tryptophan
St. John's Wort
have liver problems
have kidney problems.
have heart problems
have or had seizures or convulsions
have bipolar disorder or mania
have low sodium levels in your blood
have a history of a stroke
have high blood pressure
have or had bleeding problems
are pregnant or plan to become pregnant. It is not known if Sertraline hydrochloride will harm your unborn baby. Talk to your healthcare provider about the benefits and risks of treating depression during pregnancy.
are breast-feeding or plan to breast-feed. Some Sertraline hydrochloride may pass into your breast milk. Talk to your healthcare provider about the best way to feed your baby while taking Sertraline hydrochloride.
Tell your healthcare provider about all the medicines that you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Sertraline hydrochloride and some medicines may interact with each other, may not work as well, or may cause serious side effects.
Your healthcare provider or pharmacist can tell you if it is safe to take Sertraline hydrochloride with your other medicines. Do not start or stop any medicine while taking Sertraline hydrochloride without talking to your healthcare provider first.
If you take Sertraline hydrochloride, you should not take any other medicines that contain sertraline (sertraline HCl, sertraline hydrochloride, etc.).

Take Sertraline hydrochloride exactly as prescribed. Your healthcare provider may need to change the dose of Sertraline hydrochloride until it is the right dose for you.
Sertraline hydrochloride Tablets may be taken with or without food.
If you miss a dose of Sertraline hydrochloride T, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of Sertraline hydrochloride at the same time.
If you take too much Sertraline hydrochloride, call your healthcare provider or poison control center right away, or get emergency treatment.

Sertraline hydrochloride can cause sleepiness or may affect your ability to make decisions, think clearly, or react quickly. You should not drive, operate heavy machinery, or do other dangerous activities until you know how Sertraline hydrochloride affects you. Do not drink alcohol while using Sertraline hydrochloride.

Sertraline hydrochloride may cause serious side effects, including:
Feeling anxious or having trouble sleeping
Common possible side effects in people who take Sertraline hydrochloride include:
nausea, loss of appetite, diarrhea or indigestion
change in sleep habits including increased sleepiness or insomnia
increased sweating
sexual problems including decreased libido and ejaculation failure
tremor or shaking
feeling tired or fatigued
agitation
Other side effects in children and adolescents include:
abnormal increase in muscle movement or agitation
nose bleed
urinating more often
urinary incontinence
aggressive reaction
heavy menstrual periods
possible slowed growth rate and weight change. Your child's height and weight should be monitored during treatment with Sertraline hydrochloride.
Tell your healthcare provider if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of Sertraline hydrochloride. For more information, ask your healthcare provider or pharmacist.
CALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS. YOU MAY REPORT SIDE EFFECTS TO THE FDA AT 1-800-FDA-1088.

Store Sertraline hydrochloride at room temperature, between 59°F and 86°F (15°C to 30°C).
Keep Sertraline hydrochloride bottle closed tightly.
Keep Sertraline hydrochloride and all medicines out of the reach of children.

Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use Sertraline hydrochloride for a condition for which it was not prescribed. Do not give Sertraline hydrochloride to other people, even if they have the same condition. It may harm them.
This Medication Guide summarizes the most important information about Sertraline hydrochloride. If you would like more information, talk with your healthcare provider. You may ask your healthcare provider or pharmacist for information about Sertraline hydrochloride that is written for healthcare professionals.
For more information about Sertraline hydrochloride call 1-866-495-8330.

Active ingredient: sertraline hydrochloride