Cetrale 50 mg 30 tablets

Sertraline 50 mg coated tablets Why is Sertraline used: Sertraline is one of the group of drugs called selective serotonin reuptake inhibitors; these drugs are used to treat depression and/or anxiety disorders. Do not use Sertraline: If you are allergic to Sertraline or any other ingredients of this medicine If you are taking or have taken medicines called monoamine oxidase inhibitors (MAOIs) such as Selegiline and Moclobemide or similar to MAOIs. If you stop treatment with Sertraline, you must wait at least one week before starting treatment with MAOI. After stopping MAOI treatment, wait at least two weeks before starting Sertraline. If you are taking another medicine called Pimozide. Warnings and precautions: Medicines are not always suitable for everyone. Tell your doctor before taking Sertraline if you have or have had any of the following conditions: If you have epilepsy (seizure) or a history of seizures. If you have a seizure, contact your doctor immediately. If you have bipolar disorder or schizophrenia. If you experience a manic episode, contact your doctor immediately. If you have had or have thoughts of harming yourself or killing yourself. If you have serotonin syndrome. In rare cases, this syndrome may occur when taking certain medicines at the same time as Sertraline. If you have low sodium levels in your blood, which may occur as a result. Also inform your doctor if you are taking certain medicines for high blood pressure, as these may also alter your sodium levels. If you are elderly, you may be at greater risk of low sodium levels in the blood. If you have liver disease. Your doctor may decide that you should take a lower dose. If you have diabetes. Blood glucose levels may change and diabetes medications may need adjustment. If you have bleeding disorders or are taking blood thinners (such as aspirin or warfarin) or if you have an increased risk of bleeding. If you are a child or adolescent under 18 years old. If you are undergoing electroconvulsive therapy (ECT). If you have eye problems, such as certain types of glaucoma (increased eye pressure). If you have been told you have a heart conduction disorder after an electrocardiogram (ECG) known as long QT interval. If you have heart diseases, low potassium or magnesium levels, a family history of long QT, low heart rate, and use of drugs that prolong the QT interval. Possible side effects: Stop using the product and seek immediate medical care if you experience throat tightness or swelling of the eyes, face, lips, or tongue, or feel faint or have difficulty breathing. Stop using the product if you experience hives or itching on the face or body. Other medicines and Sertraline: Some medicines can affect how Sertraline works, or Sertraline itself can reduce the effectiveness of other medicines taken at the same time. Taking Sertraline with the following medicines may cause serious side effects: Medicines called monoamine oxidase inhibitors (MAOIs), such as Moclobemide (for depression) and Selegiline (for Parkinson’s disease), the antibiotic Linezolid, and methylene blue (for high methemoglobin levels in blood). Do not use Sertraline with these medicines. Medicines for mental disorders such as schizophrenia (Pimozide). Do not use Sertraline with Pimozide. Consult your doctor if you are taking the following medicines: Medicines containing amphetamines (used for ADHD, narcolepsy, and obesity). Herbal products containing St. John’s Wort (Hypericum perforatum). Effects of St. John’s Wort may last for a week or two. Products containing tryptophan amino acids. Medicines for severe pain (such as Tramadol). Medicines used in anesthesia or for chronic pain (such as Fentanyl, Meperonium, and Suxamethonium). Medicines for migraine (such as Sumatriptan). Blood thinner (Warfarin). Pain/arthritis medicines (NSAIDs like Ibuprofen and Aspirin). Sedatives (Diazepam). Diuretics (also called “water pills”). Anti-epileptic medicines (Phenytoin, Phenobarbital, Carbamazepine). Diabetes medicines (Tolbutamide). Medicines for acid reflux, ulcers, and heartburn (Cimetidine, Omeprazole, Lansoprazole, Pantoprazole, Rabeprazole). Lithium for bipolar disorder and depression. Other antidepressants (such as Amitriptyline, Nortriptyline, Nefazodone, Fluoxetine, Fluvoxamine). Medicines for schizophrenia and other mental disorders (such as Perphenazine, Levomepromazine, Olanzapine). Medicines for high blood pressure, chest pain, or to regulate heart rate and rhythm (such as Verapamil, Diltiazem, Flecainide, Propafenone). Medicines for bacterial infections (such as Rifampicin, Clarithromycin, Telithromycin, Erythromycin). Medicines for fungal infections (such as Ketoconazole, Itraconazole, Posaconazole, Voriconazole, Fluconazole). Medicines for HIV/AIDS and hepatitis C (protease inhibitors like Ritonavir, Telaprevir). Medicines to prevent nausea and vomiting after surgery or chemotherapy (Aprepitant). Medicines known to increase the risk of changes in the electrical activity of the heart (such as some antipsychotics and antibiotics). How to use Sertraline: The recommended dose is: Adults: depression and obsessive-compulsive disorder For depression and OCD, the usual effective dose is 50 mg/day. The daily dose can be increased in 50 mg increments at intervals of no less than one week over several weeks. The maximum recommended dose is 200 mg/day. Panic disorder, social anxiety disorder, and post-traumatic stress disorder: For panic disorder, social anxiety disorder, and PTSD, treatment should start at 25 mg/day, increasing to 50 mg/day after one week. The daily dose can then be increased by 50 mg increments over several weeks. The maximum recommended dose is 200 mg/day. Use in children and adolescents: Sertraline should only be used to treat children and adolescents aged 6 to 17 with OCD. Obsessive-compulsive disorder: Children aged 6 to 12: The recommended starting dose is 25 mg daily. After one week, your doctor may increase this to 50 mg daily. Maximum dose is 200 mg daily. Adolescents aged 13 to 17: The recommended starting dose is 50 mg daily. How to store Sertraline: Keep this medicine out of sight and reach of children. Do not use this medicine after the expiry date printed on the package after EXP. The expiry date refers to the last day of that month. Do not store above 30°C. Do not dispose of medicines in wastewater or household waste.