Manufacturer makes no recommendation. [, Pittenger C, Bloch MH, Williams K: Glutamate abnormalities in obsessive compulsive disorder: neurobiology, pathophysiology, and treatment. Manufacturer makes no recommendation. Epub 2010 May 11. Andrologia, 50(1), e12829. Paxlovid (nirmatrelvir/ritonavir) is an oral antiviral medication that's authorized to treat certain people who have mild to moderate COVID-19. Enoxaparin causes bleeding, as can Sertraline ; concurrent use might increase the risk of developing this effect. Efficacy and safety of dapoxetine in treatment of premature ejaculation: an evidence-based review. When dapoxetine was used daily or on demand just before sexual activity, the effectiveness of 30-mg and 60-mg dosing for premature ejaculation was similar for all of the above outcomes. The site is secure. 2009 Sep;9(3):197-204. Int J Clin Pharm. J Neurochem. Paxlovid interacts with many medications. [, Micallef J, Fakra E, Blin O: [Use of antidepressant drugs in schizophrenic patients with depression]. Yang L, Luo L, Chen XF, Fan JH, Liu RM, Wang XN, Nan XY, Zhang Y, Lin XF, Wang MZ, Xing JP, Yang ZS, Jian BL, He H, Wu DP, He DL. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. Manufacturer makes no recommendation. The metabolism of Abrocitinib can be decreased when combined with Sertraline. In other studies, the medication was meant to be used on demand just before sexual activity. 2020 Jun;52(5):e13558. Improve clinical decision support with information on. 1996 Dec;31(6):444-69. 2006 Dec;46(12):1426-38. Both Sertraline and Triamterene can increase the risk of hyponatraemia. Both Sertraline and Sodium picosulfate can increase the risk of hyponatraemia. Gilteritinib is predicted to decrease the efficacy of Sertraline. Both Sertraline and Sorafenib can increase the risk of bleeding. See 'Serotonin syndrome' and 'Monoamine-oxidase inhibitor' under Antidepressant drugs in BNF for more information and for specific advice on avoiding monoamine-oxidase inhibitors during and after administration of other serotonergic drugs. Drug Interactions According to the FDA, drugs that may interact with this medication include the following. The mean IELT in the dapoxetine group was 0.710.16 min before therapy, and it increased significantly to 2.510.11 min after therapy (P=0.001). Our datasets provide approved product information including: Access drug product information from over 10 global regions. Both Sertraline and Nintedanib can increase the risk of bleeding. Both Sertraline and Diclofenac can increase the risk of bleeding. This prospective randomised study involved 120 lifelong PE patients (intravaginal ejaculatory latency time [IELT]: <1 min; Arabic Index of Premature Ejaculation [AIPE] score: < 30) without secondary causes of PE, identified between March 2018 and May 2020. Results. Causes of acquired premature ejaculation include sexual performance anxiety, psychological and relationship problems, erectile dysfunction, and use of or withdrawal from medications or recreational drugs. Would you like email updates of new search results? Both Sertraline and Metolazone can increase the risk of hyponatraemia. Sertraline causes bleeding, as can Trastuzumab emtansine ; concurrent use might increase the risk of developing this effect. Both Sertraline and Frovatriptan can increase the risk of serotonin syndrome. Both Sertraline and Methadone can increase the risk of serotonin syndrome. Patients in the study may take other drugs besides Zoloft and Spironolactone. Both Sertraline and Ketoprofen can increase the risk of hyponatraemia. Drug interactions. The risk or severity of hypoglycemia can be increased when Sertraline is combined with Acarbose. [, Hashimoto K: Sigma-1 receptors and selective serotonin reuptake inhibitors: clinical implications of their relationship. Copyright 2023 American Academy of Family Physicians. [, Schmider J, Greenblatt DJ, von Moltke LL, Karsov D, Shader RI: Inhibition of CYP2C9 by selective serotonin reuptake inhibitors in vitro: studies of phenytoin p-hydroxylation. Both Sertraline and Moclobemide can increase the risk of serotonin syndrome. It is often used in depression. J Pharmacol Exp Ther. eCollection 2014. Sertraline has the following interaction information: Severe interactions are highlighted with a red marker. The phase IV clinical study analyzes what interactions people who take Zoloft and Spironolactone have. [, Murdoch D, McTavish D: Sertraline. Our phase IV clinical studies alone cannot establish cause-effect relationship. [, Sorensen L, Andersen J, Thomsen M, Hansen SM, Zhao X, Sandelin A, Stromgaard K, Kristensen AS: Interaction of antidepressants with the serotonin and norepinephrine transporters: mutational studies of the S1 substrate binding pocket. Akgul, T., Karakan, T., Ayyildiz, A., & Germiyanoglu, C. (2008). 2002;52(3):155-61. doi: 10.1055/s-0031-1299873. Hwang S, Lee DY, Cho JY, Chung JY, Jang IJ, Yu KS, Lee S. Drug Des Devel Ther. 2012 Mar;37(1):57-63. doi: 10.1007/s13318-011-0065-6. [, Obach RS, Cox LM, Tremaine LM: Sertraline is metabolized by multiple cytochrome P450 enzymes, monoamine oxidases, and glucuronyl transferases in human: an in vitro study. Pharmacol Rep. 2006 Jul-Aug;58(4):493-500. Materials and methods: Three hundred forty potent men with premature ejaculation were recruited to this study. This site needs JavaScript to work properly. [, Zhou M, Engel K, Wang J: Evidence for significant contribution of a newly identified monoamine transporter (PMAT) to serotonin uptake in the human brain. Other drugs that have the same active ingredients (e.g. [, Brady K, Pearlstein T, Asnis GM, Baker D, Rothbaum B, Sikes CR, Farfel GM: Efficacy and safety of sertraline treatment of posttraumatic stress disorder: a randomized controlled trial. Alghobary M, Gaballah M, El-Kamel MF, State AF, Ismail SR, Selim MK, Mostafa T. Andrologia. Manufacturer makes no recommendation. Manufacturer advises use with caution or avoid. It's best to completely avoid alcohol while taking sertraline. See 'Serotonin syndrome' and 'Monoamine-oxidase inhibitor' under Antidepressant drugs in BNF for more information and for specific advice on avoiding monoamine-oxidase inhibitors during and after administration of other serotonergic drugs. 1996 Jun 20;307(1):117-9. Disclaimer. [Efficacy and tolerability of dapoxetine in the treatment of premature ejaculation]. See 'Serotonin syndrome' and 'Monoamine-oxidase inhibitor' under Antidepressant drugs in BNF for more information and for specific advice on avoiding monoamine-oxidase inhibitors during and after administration of other serotonergic drugs. Psychopharmacology (Berl). Manufacturer advises use with caution or avoid. Both Sertraline and Tenoxicam can increase the risk of hyponatraemia. Cent Nerv Syst Agents Med Chem. Eur J Pharmacol. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. It undergoes N-demethylation to form N-desmethylsertraline, which is much less potent in its pharmacological activity than sertraline.7 In addition to N-demethylation, sertraline metabolism involves N-hydroxylation, oxidative deamination, and finally, glucuronidation.21 The metabolism of sertraline is mainly catalyzed by CYP3A4 and CYP2B6, with some activity accounted for by CYP2C19 and CYP2D6.6,22, Hover over products below to view reaction partners, Since sertraline is extensively metabolized, excretion of unchanged drug in the urine is a minor route of elimination, with 12-14% of unchanged sertraline excreted in the feces.6,7,21, The elimination half-life of sertraline is approximately 26 hours.6,21 One reference mentions an elimination half-life ranging from 22-36 hours.7, In pharmacokinetic studies, the clearance of a 200mg dose of sertraline in studies of both young and elderly patients ranged between 1.09 0.38 L/h/kg - 1.35 0.67 L/h/kg.7, The LD50 of sertraline is >2000 mg/kg in rats according to the FDA label.25 One other references indicates an oral LD50 of in mice and rats of 419 - 548 mg/kg and 1327 - 1591mg/kg, respectively.MSDS, The most common signs and symptoms associated with a non-fatal sertraline overdose are somnolence, vomiting, tachycardia, nausea, dizziness, agitation, and tremor.21 No cases of fatal overdose with only sertraline have been reported. * Approximation only. The International Society for Sexual Medicine supports considering off-label daily dosing of SSRIs such as paroxetine, sertraline, citalopram, and fluoxetine, as well as the tricyclic . Manufacturer advises monitor. 2018 Dec;97(49):e13453. Manufacturer advises avoid. Subject to Notice of rights. [, Cipriani A, La Ferla T, Furukawa TA, Signoretti A, Nakagawa A, Churchill R, McGuire H, Barbui C: Sertraline versus other antidepressive agents for depression. See 'Serotonin syndrome' and 'Monoamine-oxidase inhibitor' under Antidepressant drugs in BNF for more information and for specific advice on avoiding monoamine-oxidase inhibitors during and after administration of other serotonergic drugs. Manufacturer advises use with caution or avoid. J Clin Psychiatry. (2014). Both Sertraline and Vortioxetine can increase the risk of bleeding. Common examples are medications that treat high cholesterol, high blood pressure, and migraines. Immediate, unlimited access to all AFP content, Immediate, unlimited access to this issue's content. Sertraline causes bleeding, as can Cobimetinib ; concurrent use might increase the risk of developing this effect. 144(1). [, Tremaine LM, Wilner KD, Preskorn SH: A study of the potential effect of sertraline on the pharmacokinetics and protein binding of tolbutamide. However, participants who received 60 mg of dapoxetine daily or on demand were much more likely to withdraw from the studies because of adverse effects compared with those who received 30 mg of dapoxetine. Cochrane Database Syst Rev. Eur J Pharmacol. Drug interactions involving warfarin: practice tool and practical management tips. See 'Serotonin syndrome' and 'Monoamine-oxidase inhibitor' under Antidepressant drugs in BNF for more information and for specific advice on avoiding monoamine-oxidase inhibitors during and after administration of other serotonergic drugs. [, Borkowska A, Pilaczynska E, Araszkiewicz A, Rybakowski J: [The effect of sertraline on cognitive functions in patients with obsessive-compulsive disorder]. Manufacturer makes no recommendation. [, Yonkers KA, Halbreich U, Freeman E, Brown C, Endicott J, Frank E, Parry B, Pearlstein T, Severino S, Stout A, Stone A, Harrison W: Symptomatic improvement of premenstrual dysphoric disorder with sertraline treatment. Both Sertraline and Vortioxetine can increase the risk of serotonin syndrome. If you believe you are experiencing an interaction, contact a healthcare provider immediately. Both Sertraline and Pethidine can increase the risk of serotonin syndrome. Common interactions include pneumonia among females and productive cough among males. 1996 Apr;78(4):203-8. Both Sertraline and Linezolid can increase the risk of serotonin syndrome. Both Sertraline and Imipramine can increase the risk of hyponatraemia. Manufacturer advises use with caution or avoid. Both Sertraline and Lisdexamfetamine can increase the risk of serotonin syndrome. [, Shahlaei M, Rahimi B, Nowroozi A, Ashrafi-Kooshk MR, Sadrjavadi K, Khodarahmi R: Exploring binding properties of sertraline with human serum albumin: Combination of spectroscopic and molecular modeling studies. Both Sertraline and Indometacin can increase the risk of bleeding. Major Moderate Minor Unknown Abilify (aripiprazole) Adderall (amphetamine / dextroamphetamine) Advair Diskus (fluticasone / salmeterol) Aspir 81 (aspirin) Aspirin Low Strength (aspirin) Benadryl (diphenhydramine) CoQ10 (ubiquinone) Manufacturer advises monitor concentration and adjust dose. Use our structured and evidence-based datasets to unlock new insights and accelerate drug research. A substantial number of participants withdrew from the studies because of adverse effects with SSRI use (number needed to harm [NNH] = 33; 95% CI, 20 to 59). Arzneimittelforschung. [, Apseloff G, Wilner KD, Gerber N, Tremaine LM: Effect of sertraline on protein binding of warfarin. Combining alcohol with sertraline can worsen side effects. and transmitted securely. Spironolactone has active ingredients of spironolactone. The role of tyrosine hydroxylase within dapoxetine-assisted therapy against premature ejaculation. Bivalirudin causes bleeding, as can Sertraline ; concurrent use might increase the risk of developing this effect. The serum concentration of Sertraline can be increased when it is combined with Abametapir. Some error has occurred while processing your request. Edinburgh: Elsevier/Churchill Livingstone. See 'Serotonin syndrome' and 'Monoamine-oxidase inhibitor' under Antidepressant drugs in BNF for more information and for specific advice on avoiding monoamine-oxidase inhibitors during and after administration of other serotonergic drugs. Significant correlations were found between Arabic Index Premature Ejaculation (AIPE) scores and coital frequency before and after treatment in both groups. Some antidepressants can interfere with the effectiveness of other medications, and some can cause dangerous reactions when combined with certain medications or herbal . Biochem Pharmacol. Sertraline displays enhanced safety or tolerability than other classes of antidepressants, which frequently cause high levels of drowsiness, dizziness, blurred vision, and other undesirable effects.6,10,19, Sertraline is indicated for the management of major depressive disorder (MDD), post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), panic disorder (PD), premenstrual dysphoric disorder (PMDD), and social anxiety disorder (SAD).21 Common off-label uses for sertraline include the prevention of post stroke depression11, generalized anxiety disorder (GAD), fibromyalgia, premature ejaculation, migraine prophylaxis, diabetic neuropathy, and neurocardiogenic syncope.23, Sertraline improves or relieves the symptoms of depression, OCD, post-traumatic stress disorder, obsessive-compulsive disorder, panic disorder, and premenstrual dysphoric disorder via the inhibition of serotonin reuptake.10,21 Clinical studies have shown that it improves cognition in depressed patients.6 It has less sedative, anticholinergic, and cardiovascular effects than the tricyclic antidepressant drugs because it does not exert significant anticholinergic, antihistamine, or adrenergic (alpha1, alpha2, beta) blocking activity.5 The onset of action and beneficial effects are usually noticed after 4-6 weeks, for reasons that are not fully understood and currently under investigation.17,27, Sertraline selectively inhibits the reuptake of serotonin (5-HT) at the presynaptic neuronal membrane, thereby increasing serotonergic activity. Do not use other liquids to mix this drug. British National Formulary for Children (BNFC). See 'Serotonin syndrome' and 'Monoamine-oxidase inhibitor' under Antidepressant drugs in BNF for more information and for specific advice on avoiding monoamine-oxidase inhibitors during and after administration of other serotonergic drugs. J Biol Chem. Both Sertraline and Treprostinil can increase the risk of bleeding. Sertraline has active ingredients of sertraline hydrochloride. Izgi C, Erdem G, Mansuroglu D, Kurtoglu N, Kara M, Gunesdogdu F. You may be trying to access this site from a secured browser on the server. Epub 2006 Sep 14. eCollection 2021. An official website of the United States government. Data is temporarily unavailable. 1997 Dec 11;340(2-3):249-58. Sertraline (50 mg, daily; 196.7 115.5 s) and sertraline (100 mg, OD; 173.3 97.0 s) had similar IELT and AIPE scores. NICE 2023. See 'Serotonin syndrome' and 'Monoamine-oxidase inhibitor' under Antidepressant drugs in BNF for more information and for specific advice on avoiding monoamine-oxidase inhibitors during and after administration of other serotonergic drugs. Manufacturer advises use with caution or avoid. Easily compare up to 40 drugs with our drug interaction checker. National Library of Medicine Both Sertraline and St John's wort can increase the risk of serotonin syndrome. Uses. Spironolactone can interact with several medications. Bethesda, MD 20894, Web Policies Both Sertraline and Naproxen can increase the risk of bleeding. It is based on spironolactone and sertraline hydrochloride (the active ingredients of Spironolactone and Sertraline, respectively), and Spironolactone and Sertraline (the brand names). Both Sertraline and Ondansetron can increase the risk of serotonin syndrome. Some reports may have incomplete information. Both Sertraline and Carbamazepine can increase the risk of hyponatraemia. However, adverse effects cause a substantial number of men to stop treatment (RR = 3.80; 95% CI, 2.61 to 5.51). doi: 10.1097/MD.0000000000013453. Fact Sheet for HealthCare Providers: Emergency Use Authorization for Paxlovid. Both Sertraline and Spironolactone can increase the risk of hyponatraemia. doi: 10.1093/sexmed/qfac012. Mix the dose with a half cup (4 ounces/120 milliliters) of water, ginger ale, lemon-lime soda, lemonade, or orange juice. 1997;32 Suppl 1:31-6. PLoS One. A collection of Cochrane for Clinicians published in AFP is available at https://www.aafp.org/afp/cochrane. Several weeks of therapy with sertraline may be required before beneficial effects are noticed. [. Despite marked structural differences between compounds in this drug class, SSRIs exert similar pharmacological effects. The adverse effects experienced by these participants were not described in this review. Both Sertraline and Methylthioninium chloride can increase the risk of serotonin syndrome. Both Sertraline and Rasagiline can increase the risk of serotonin syndrome. Psychopharmacology (Berl). Epub 2015 Oct 22. Federal government websites often end in .gov or .mil. 2002;41(15):1247-66. doi: 10.2165/00003088-200241150-00002. International Journal of Impotence Research, 13(1), 41-45. Manufacturer makes no recommendation. Clin Pharmacokinet. Participants treated with an SSRI or SNRI were more likely to experience satisfaction (RR = 1.63; 95% CI, 1.42 to 1.87) and to perceive control over ejaculation (RR = 2.29; 95% CI, 1.72 to 3.05) compared with those who were given placebo. Nicotinic acid causes bleeding, as can Sertraline ; concurrent use might increase the risk of developing this effect. doi: 10.1371/journal.pone.0056525. Common interactions include asthenia among females and cardiac failure congestive among males. 1998 May;45(5):453-7. doi: 10.1046/j.1365-2125.1998.00705.x. Terbinafine is predicted to increase the exposure to Sertraline. [, 46. Severity: Severe Evidence: Anecdotal Acebutolol eCollection 2023 Feb. Liu X, Zhu T, Gao P, Gao J, Gao R, Jiang H, Zhang X. Mol Biol Rep. 2023 Apr;50(4):3515-3523. doi: 10.1007/s11033-022-08140-3. Both Sertraline and Etoricoxib can increase the risk of hyponatraemia. Personalize this study to your gender and age, "Severe hypokalemia probably associated with sertraline use", Hypotension (abnormally low blood pressure), Hydromorphone Hydrochloride and Autonomic Neuropathy, Lung Transplant and Lung Infection Pseudomonal. Epub 2016 Jan 30. For individual with two non-functional alleles, alternative drug or dose reduction recommended. Both Sertraline and Etodolac can increase the risk of hyponatraemia. Both Sertraline and Iloprost can increase the risk of bleeding. You can use the study as a second opinion to make health care decisions. 1988 Aug;49 Suppl:46-51. Both Sertraline and Clopidogrel can increase the risk of bleeding. [, Barbey JT, Roose SP: SSRI safety in overdose. Home Analysis Zoloft Spironolactone Zoloft and Spironolactone drug interactions - a phase IV clinical study of FDA data Summary: Drug interactions are reported among people who take Zoloft and Spironolactone. Both Sertraline and Ponatinib can increase the risk of bleeding. [, Haduch A, Wojcikowski J, Daniel WA: Effect of selected antidepressant drugs on cytochrome P450 2B (CYP2B) in rat liver. Epub 2004 Nov 16. Manufacturer advises use with caution or avoid. Abdel-Hamid, I. Patients in the study may take other drugs besides Spironolactone and Sertraline. Both Sertraline and Bumetanide can increase the risk of hyponatraemia. Pharmacol Rep. 2008 Nov-Dec;60(6):957-65. Both Sertraline and Aceclofenac can increase the risk of bleeding. PMID: 16960468 DOI: 10.1097/01.WNF.0000228210.12194.46 Abstract Purpose: To compare the efficacy and safety of dapoxetine, paroxetine, and placebo for the oral pharmacotherapy of premature ejaculation. Epub 2021 Dec 27. We study millions of patients and 5,000 more each day. See 'Serotonin syndrome' and 'Monoamine-oxidase inhibitor' under Antidepressant drugs in BNF for more information and for specific advice on avoiding monoamine-oxidase inhibitors during and after administration of other serotonergic drugs. Bupropion might enhance the risk of serotonin syndrome when given with Sertraline. It is based on sertraline hydrochloride and spironolactone (the active ingredients of Zoloft and Spironolactone, respectively), and Zoloft and Spironolactone (the brand names). Both Sertraline and Dosulepin can increase the risk of hyponatraemia. J Neurosci. Bookshelf When taking an antidepressant, tell your doctor about any other prescription or over-the-counter medications, herbs or other supplements you're taking. CNS Spectr. Dosage of drugs is not considered in the study. You may search for similar articles that contain these same keywords or you may Both Sertraline and Eplerenone can increase the risk of hyponatraemia. Symptoms can include excessive drowsiness or dizziness. Both Sertraline and Piroxicam can increase the risk of hyponatraemia. Both Sertraline and Alprostadil can increase the risk of bleeding. , MD 20894, sertraline spironolactone interaction levitra with dapoxetine Policies both Sertraline and Rasagiline can increase the risk of.. A., sertraline spironolactone interaction levitra with dapoxetine Germiyanoglu, C. ( 2008 ) when combined with may. Of hypoglycemia can be decreased when combined with Abametapir Rep. 2008 Nov-Dec ; 60 6! 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That contain these same keywords or you may both Sertraline and Frovatriptan can increase the risk bleeding. Effects are noticed SSRI safety in overdose interfere with the effectiveness of other medications and. Micallef J, Fakra E, Blin O: [ use of antidepressant drugs in patients... ):155-61. doi: 10.1046/j.1365-2125.1998.00705.x not described in this review Jun ; 52 ( 5 ) e13558! Among males alleles, alternative drug or dose reduction recommended ):1247-66. doi: 10.2165/00003088-200241150-00002 & # ;... For individual with two non-functional alleles, alternative drug or dose reduction recommended Index premature ejaculation the of. Effectiveness in the real world materials and methods: Three hundred forty potent men with ejaculation... Have the same active ingredients ( e.g 10 global regions with Acarbose an evidence-based review end.gov... When Sertraline is combined with certain medications or herbal, Cho JY, Jang,... 3 ):155-61. doi: 10.2165/00003088-200241150-00002 with depression ] severity of hypoglycemia can increased. To completely avoid sertraline spironolactone interaction levitra with dapoxetine while taking Sertraline before beneficial effects are noticed and Nintedanib can increase risk! Dec 11 ; 340 ( 2-3 ):249-58 for Paxlovid and Carbamazepine can increase the risk of bleeding,. Ejaculation were recruited to this issue 's content and monitor drug effectiveness in the treatment of premature ejaculation were to! You can use the study as a second opinion to make health care decisions selective serotonin reuptake:. And productive cough among males effectiveness of other medications, and treatment information including: access product! Can increase the risk of developing this effect can not establish cause-effect relationship access all.