Sertralin Hexal
Sertralin Hexal contains sertraline, an SSRI medicine used to treat depression and/or anxiety disorders.
Form
tabletti, kalvopäällysteinen
Strength
50 mg
Active Ingredient
Sertraline hydrochloride
Manufacturer
Hexal A/S
How to Use
Dosage
The typical starting dose is 25 mg or 50 mg daily, depending on the condition.
Method
Take the tablet once daily, either in the morning or in the evening, with or without food. The tablet can be divided into equal doses.
Important
The maximum daily dose is 200 mg.
Possible Side Effects
COMMON
- •Insomnia
- •Dizziness
- •Drowsiness
- •Headache
- •Diarrhea
- •Nausea
- •Dry mouth
- •Ejaculation failure
- •Fatigue
- •Symptoms of upper respiratory infection
- •Sore throat
- •Runny nose
- •Increased appetite
- •Decreased appetite
- •Depression
- •Feeling unreal
- •Nightmares
- •Anxiety
- •Agitation
- •Nervousness
- •Decreased sexual interest
- •Teeth grinding
- •Tremors
- •Muscle movement disorders (e.g., increased movement, muscle tension, difficulty walking, stiffness, muscle cramps, involuntary movements)
- •Numbness and tingling
- •Muscle tension
- •Abnormal taste
- •Lack of attention
- •Vision problems
- •Ringing in the ears
- •Palpitations
- •Hot flashes
- •Yawning
- •Abdominal pain
- •Vomiting
- •Constipation
- •Stomach upset
- •Flatulence
- •Rash
- •Increased sweating
- •Erectile dysfunction
- •Irregular periods
- •Joint pain
- •Back pain
- •Muscle pain
- •Feeling unwell
- •Chest pain
- •Weakness
- •Fever
- •Weight gain
- •Injury
RARE
- •Stomach and intestinal inflammation
- •Ear infection
- •Tumor
- •Hypersensitivity
- •Seasonal allergies
- •Low thyroid hormone levels
- •Suicidal thoughts or behavior
- •Psychotic symptoms
- •Abnormal thinking
- •Indifference
- •Hallucinations
- •Aggression
- •Feeling very happy (euphoria)
- •Paranoia
- •Memory loss
- •Reduced feeling of touch
- •Involuntary muscle twitches
- •Fainting
- •Increased body movements
- •Migraine
- •Seizures
- •Dizziness upon standing
- •Difficulty with muscle coordination
- •Speech problems
- •Dilated pupils
- •Earache
- •Fast heartbeat
- •Heart problems
- •Bleeding issues (e.g., stomach bleeding)
- •High blood pressure
- •Facial flushing
- •Blood in urine
- •Shortness of breath
- •Nosebleeds
- •Breathing difficulties
- •Possible wheezing
- •Tar-like stools
- •Dental issues
- •Inflamed esophagus
- •Inflamed tongue
- •Hemorrhoids
- •Increased salivation
- •Difficulty swallowing
- •Belching
- •Tongue problems
- •Swollen eyes
- •Hives
- •Hair loss
- •Itching
- •Purple spots on skin
- •Blistering skin
- •Dry skin
- •Facial swelling
- •Cold sweats
- •Arthritis
- •Muscle twitching
- •Muscle cramps
- •Muscle weakness
- •Frequent urge to urinate
- •Difficulty urinating
- •Inability to empty bladder
- •Inability to control urine
- •Increased urine volume
- •Needing to urinate at night
- •Sexual problems
- •Heavy vaginal bleeding
- •Vaginal bleeding
- •Female sexual problems
- •Swelling in legs
- •Chills
- •Difficulty walking
- •Thirst
- •Increased liver test results
- •Weight loss
- •Hernia
- •Decreased tolerance to medicine
- •Diverticulitis
- •Swollen lymph nodes
- •Decreased platelet count
- •Decreased white blood cell count
- •Severe allergic reaction
- •Hormone gland problems
- •High cholesterol
- •Blood sugar control problems (diabetes)
- •Low blood sugar
- •High blood sugar
- •Low sodium in blood
- •Stress- or emotion-induced physical symptoms
- •Drug dependence
- •Sleepwalking
- •Premature ejaculation
- •Coma
- •Movement disorders
- •Difficulty moving
- •Increased sensitivity to touch
- •Sudden severe headache (could be a sign of a serious condition)
- •Sensory disturbance
- •Spots in vision field
- •Glaucoma
- •Double vision
- •Light sensitivity
- •Bleeding in eyes
- •Unequal pupils
- •Vision problems
- •Tear gland problems
- •Heart attack
- •Uncomfortable chest feeling (can be signs of heart rhythm changes)
- •Slow heartbeat
- •Poor circulation in arms and legs
- •Rapid breathing
- •Progressive scarring of lung tissue
- •Throat spasm
- •Voice changes
- •Slow breathing
- •Hiccups
- •Mouth ulcers
- •Pancreatitis
- •Blood in stool
- •Tongue ulcers
- •Sore mouth
- •Liver dysfunction
- •Severe liver dysfunction
- •Yellow skin and eyes
- •Colitis (causing diarrhea)
- •Skin reaction to sunlight
- •Skin swelling
- •Abnormal hair growth
- •Abnormal body odor
- •Rash at hair follicle root
- •Muscle tissue breakdown
- •Bone disorders
- •Muscle weakness and severe muscle pain (possible sign of a specific rare disease)
- •Slowed start of urination
- •Decreased urine volume
- •Bedwetting
- •Breast discharge
- •Vaginal dryness
- •Genital discharge
- •Penis and foreskin redness and pain
- •Male breast enlargement
- •Prolonged erection
- •Severe vaginal bleeding after childbirth (postpartum hemorrhage)
- •Increased blood cholesterol
- •Abnormal lab results
- •Abnormal semen
- •Blood clotting problems
- •Blood vessel dilation procedure
- •Jaw lock
- •Partial vision loss
Important Warnings
- Do not take if you are allergic to sertraline or any other ingredient in this medicine.
- Do not take this medicine with certain other medicines called MAO inhibitors (like moclobemide, selegiline, linezolid, or methylene blue). Wait at least 1-2 weeks between stopping one and starting the other.
- Do not take this medicine with pimozide, a medicine used for mental disorders.
- Contact your doctor immediately if you experience a severe blistering rash, an allergic reaction (swelling, difficulty breathing), or symptoms like agitation, confusion, fever, and a fast heartbeat, as these could be serious.
- If you have thoughts of harming yourself or suicide, contact your doctor or go to a hospital immediately.
Show 1 more warnings
- If you feel restless or unable to sit still after starting this medicine, tell your doctor.
Use in Elderly Patients
Category C
Suitable for older adults, with specific precautions. Serotonergic. A significant adverse effect is low serum sodium level. Increases risk of falls. Consider potential interactions. Avoid grapefruit. (updated 12.2.2024)