{"id":22914,"date":"2022-07-14T06:59:45","date_gmt":"2022-07-14T06:59:45","guid":{"rendered":"https:\/\/zeepedia.com\/?p=22914"},"modified":"2022-07-18T07:19:43","modified_gmt":"2022-07-18T07:19:43","slug":"sertraline-bluefish%ef%bf%bc","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/sertraline-bluefish%ef%bf%bc\/","title":{"rendered":"Sertraline Bluefish &#8211; Sertraline uses, dose and side effects"},"content":{"rendered":"\n<p>50 mg and 100 mg&nbsp;film-coated tablets<br>sertraline<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Sertraline Bluefish is and what it is used for<\/h2>\n\n\n\n<p>The active substance in\u00a0Sertraline\u00a0Bluefish is\u00a0sertraline.\u00a0Sertraline\u00a0belongs to a group of medicines called selective serotonin reuptake inhibitors (\u00a0SSRIs\u00a0).\u00a0These drugs are used to treat depression and\/or anxiety disorders.<\/p>\n\n\n\n<p>Sertraline&nbsp;Bluefish can be used to treat:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>depression and prevention of recurrent depression (in adults)<\/li><li>social phobia&nbsp;(in adults)<\/li><li>post-traumatic stress disorder&nbsp;(PTSD) (in adults)<\/li><li>panic disorder (in adults)<\/li><li>obsessive-compulsive disorder (OCD) (in adults, as well as children and adolescents in the age group 6-17 years).<\/li><\/ul>\n\n\n\n<p>Depression is a clinical illness with symptoms such as feeling sad, unable to sleep properly, or enjoying life as usual.<\/p>\n\n\n\n<p>Obsessive-compulsive disorder and panic disorder are diseases that are linked to anxiety with symptoms such as constant discomfort (fixation), which means that you have to repeat different rituals (compulsion).<\/p>\n\n\n\n<p>Post-traumatic stress disorder\u00a0is a condition that can occur after a very emotionally traumatic experience, with some symptoms similar to depression and anxiety.\u00a0Social phobia\u00a0(social anxiety syndrome) is a disease that is linked to anxiety.\u00a0The disease is characterized by feelings of intense anxiety or anguish in social situations (eg, talking to strangers, speaking in front of groups of people, eating or drinking in front of other people, or worrying about perhaps behaving embarrassingly).<\/p>\n\n\n\n<p>Your doctor has decided that this medicine is suitable for treating your illness.<\/p>\n\n\n\n<p>Ask your doctor if you are not sure why you have been given&nbsp;Sertraline&nbsp;Bluefish.<\/p>\n\n\n\n<p>Sertraline contained\u00a0in\u00a0Sertraline\u00a0Bluefish may also be approved for the treatment of other conditions not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you take Sertraline Bluefish<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Sertraline Bluefish<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to\u00a0sertraline\u00a0or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you are taking or have taken medicines called\u00a0monoamine oxidase inhibitors\u00a0(\u00a0MAOIs\u00a0) (eg selegiline, moclobemide) or medicines similar to\u00a0MAOIs\u00a0(eg linezolid).\u00a0If you stop\u00a0taking sertraline, you must wait at least 1 week before starting treatment with an\u00a0MAOI.\u00a0If you stop taking an\u00a0MAOI, you must wait at least 2 weeks before you can start treatment with\u00a0sertraline.<\/li><li>if you are taking a medicine called pimozide (a medicine for mental illness such as\u00a0psychosis\u00a0).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse before taking\u00a0Sertraline\u00a0Bluefish.\u00a0Not all medicines are suitable for all people.\u00a0Talk to your doctor before taking\u00a0Sertraline\u00a0Bluefish if you have or have ever had any of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you have\u00a0epilepsy\u00a0(seizures) or if you have had seizures in the past.\u00a0If you have a seizure, contact your doctor immediately.<\/li><li>If you have a history of mania and depression (\u00a0bipolar disorder\u00a0) or schizophrenia.\u00a0If you have a manic period, contact your doctor immediately.<\/li><li>If you have or have previously had thoughts of harming yourself or committing suicide (see below &#8220;Suicidal thoughts and worsening of your depression or anxiety disorder&#8221;).<\/li><li>If you have the serotonergic syndrome, a condition that can be life-threatening.\u00a0In rare cases, this syndrome may occur when you take certain other medicines simultaneously as\u00a0sertraline.\u00a0(The symptoms of the serotonergic syndrome are described in section 4, \u201cPossible side effects\u201d).\u00a0Your doctor has told you if you have had this before.<\/li><li>If you have low sodium levels in your blood, this may occur when treated with\u00a0Sertraline\u00a0Bluefish.\u00a0Also tell your doctor if you are taking certain medicines for high\u00a0blood pressure, as such medicines can also change the levels of sodium in your blood.<\/li><li>If you are older, you may be at higher risk of getting low sodium levels in your blood (see above).<\/li><li>If you have\u00a0diabetes.\u00a0Blood sugar levels may be affected due to\u00a0Sertraline\u00a0Bluefish and your diabetes medication may need to be adjusted.<\/li><li>If you have liver disease.\u00a0Your doctor may decide that you should take a lower\u00a0dose\u00a0of\u00a0Sertraline\u00a0Bluefish.<\/li><li>If you receive electrical treatment (so-called electroconvulsive treatment, ECT).<\/li><li>Bleeding, or if you have taken medicines that thin the blood (eg\u00a0<a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tiplo-citrus\/\">acetylsalicylic acid<\/a>\u00a0or\u00a0warfarin\u00a0) or that may increase the risk of bleeding or if you are pregnant (see \u201cPregnancy, breast-feeding and fertility\u201d).<\/li><li>If you are a child or young person under 18 years of age.\u00a0Sertraline\u00a0Bluefish should only be given to children and adolescents aged 6-17 years if they suffer from obsessive-compulsive disorder (OCD).\u00a0If you are being treated for this disease, your doctor will want to monitor you closely (see below &#8220;Children and adolescents&#8221;).<\/li><li>If you have problems with increased pressure in the eyes (such as certain types of\u00a0glaucoma\u00a0or\u00a0glaucoma\u00a0).<\/li><li>If you have been told by an examination of your heart that you have an abnormal\u00a0ECG\u00a0(\u00a0electrocardiogram\u00a0) called an extended\u00a0QT interval.<\/li><li>If you have a heart condition, low potassium or low magnesium levels in the blood, cases of prolonged\u00a0QT interval\u00a0in the family, low heart rate, or at the same time using drugs that prolong\u00a0QT interval.<\/li><\/ul>\n\n\n\n<p><strong>Restlessness\/akathisia<\/strong><\/p>\n\n\n\n<p>The use of\u00a0sertraline\u00a0has been linked to painful restlessness and the need to move, often unable to sit or stand still (\u00a0akathisia\u00a0).\u00a0This usually occurs during the first weeks of treatment.\u00a0Increasing\u00a0dose\u00a0one can be harmful so if you develop such symptoms you should talk to your doctor.<\/p>\n\n\n\n<p><strong>Withdrawal reactions<\/strong><\/p>\n\n\n\n<p>Adverse reactions\u00a0associated with discontinuation of treatment (discontinuation reactions) are common, especially if treatment is stopped abruptly (see section 3, If you stop taking\u00a0Sertraline\u00a0Bluefish and section 4, Possible\u00a0side effects\u00a0).\u00a0The risk of getting withdrawal symptoms depends on how long you have been treated,\u00a0dthe osage\u00a0 and how quickly\u00a0dne is reduced.\u00a0In general, these symptoms are mild to moderate, but for some patients, they can be severe.\u00a0The symptoms usually appear within the first few days after stopping treatment and usually disappear on their own or subside within 2 weeks.\u00a0In some patients, they may sit for longer (2-3 months or more).\u00a0About the treatment with\u00a0sertraline should be discontinued it is recommended that the\u00a0dose\u00a0be reduced gradually over several weeks or months, you should always discuss with your doctor how to best discontinue treatment.<\/p>\n\n\n\n<p><strong>Suicidal ideation and worsening of your depression or anxiety disorder<\/strong><\/p>\n\n\n\n<p>You who are depressed and\/or suffer from worry\/anxiety may sometimes have thoughts of harming yourself or committing suicide.\u00a0These symptoms may worsen when you start using antidepressants, as it takes time for this type of medicine to take effect, usually about 2 weeks, sometimes longer.<\/p>\n\n\n\n<p><strong>These thoughts may be common:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have previously had thoughts of harming yourself or committing suicide,<\/li><li>if you are a young adult.&nbsp;Studies have shown that young adults (younger than 25 years) with mental illness who are treated with antidepressant drugs have an increased risk of suicidal thoughts and thoughts of harming themselves.<\/li><\/ul>\n\n\n\n<p>Contact a doctor as soon as possible or go to the nearest hospital if you have thoughts of injuring yourself or committing suicide.<\/p>\n\n\n\n<p>It can be helpful to tell a relative or close friend that you are depressed and\/or suffering from anxiety.\u00a0Feel free to ask them to read this leaflet.\u00a0You can also ask them to tell you if they think you are feeling worse or if they think your behavior is changing.<\/p>\n\n\n\n<p><strong>Sexual problems<\/strong><\/p>\n\n\n\n<p>Drugs such as&nbsp;Sertraline&nbsp;Bluefish (&nbsp;SSRIs&nbsp;) can cause symptoms of sexual&nbsp;dysfunction&nbsp;(see section 4).&nbsp;In some cases, these symptoms have persisted after discontinuation of treatment.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Sertraline\u00a0should not normally be used in the treatment of children and adolescents under 18 years of age, except in patients with obsessive-compulsive disorder (OCD).\u00a0The risk of\u00a0side effects\u00a0such as suicide attempts, thoughts of harming oneself or committing suicide (suicidal thoughts), and hostility (mainly aggression, defiance, and anger) are greater in people under the age of 18 when taking drugs of this type.\u00a0Despite this,\u00a0Sertraline\u00a0Bluefish can be prescribed by a doctor to patients under 18 years of age, if the doctor deems it appropriate.\u00a0If a doctor has\u00a0prescribed Sertraline\u00a0Bluefish for you and you are under 18 and you want to discuss this, contact your doctor.\u00a0You should also tell your doctor if you notice any of the above symptoms or if these symptoms worsen when you take sertraline\u00a0Bluefish.\u00a0In addition, the long-term effects of\u00a0Sertraline\u00a0Bluefish on the growth, maturation, and development of learning ability (\u00a0cognitive\u00a0ability) and behavior have not yet been established in this age group.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Sertraline Bluefish<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>Some medicines may affect the effect of&nbsp;Sertraline&nbsp;Bluefish, or&nbsp;Sertraline&nbsp;Bluefish may reduce the effect of other medicines taken at the same time.<\/p>\n\n\n\n<p><em><strong>Taking&nbsp;Sertraline&nbsp;Bluefish with the following medicines can cause serious side effects:<\/strong><\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>drugs called\u00a0monoamine oxidase inhibitors\u00a0(\u00a0MAOIs\u00a0) such as moclobemide (for depression) and\u00a0selegiline\u00a0(for\u00a0Parkinson&#8217;s disease\u00a0),\u00a0antibiotic\u00a0et linezolid, and methylene blue (for the treatment of high levels of methemoglobin in the blood).\u00a0Do not use\u00a0Sertraline\u00a0Bluefish with these medicines.<\/li><li>drugs for mental illness such as\u00a0psychosis\u00a0(pimozide).\u00a0Do not use\u00a0Sertraline\u00a0Bluefish with pimozide.<\/li><\/ul>\n\n\n\n<p><em><strong>Talk to your doctor if you are taking any of the following medicines:<\/strong><\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>An herbal medicine containing\u00a0St. John&#8217;s wort\u00a0(Hypericum perforatum).\u00a0The effect of\u00a0St. John&#8217;s wort\u00a0can be for 1-2 weeks.<\/li><li>Products that contain the amino acid tryptophan.<\/li><li>Medicines for severe pain (eg <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/tramadol-retard-krka\/\">tramadol<\/a>).<\/li><li>Medicines used under anesthesia or to treat\u00a0chronic\u00a0pain (\u00a0fentanyl, mivacurium, and suxamethonium).<\/li><li>Drugs for opioid dependence and pain (buprenorphine).<\/li><li>Medicines for\u00a0migraine\u00a0(eg sumatriptan).<\/li><li>Blood thinners (\u00a0warfarin\u00a0).<\/li><li>Drugs for pain\/joint inflammation (non-steroidal anti-inflammatory drugs (\u00a0NSAIDs\u00a0), eg\u00a0ibuprofen,\u00a0acetylsalicylic acid\u00a0).<\/li><li>Sedatives (\u00a0diazepam\u00a0).<\/li><li>Diuretics\u00a0(also called\u00a0diuretics\u00a0).<\/li><li>Medicines for\u00a0epilepsy\u00a0(\u00a0phenytoin, phenobarbital, and carbamazepine).<\/li><li>Medicines for\u00a0diabetes\u00a0(tolbutamide).<\/li><li>Medicines for strong stomach acid, stomach ulcers, and heartburn (cimetidine, omeprazole, lansoprazole, pantoprazole, and rabeprazole).<\/li><li>Medicines for mania and depression (lithium).<\/li><li>Other antidepressants (eg amitriptyline, nortriptyline, nefazodone,\u00a0fluoxetine,\u00a0and fluvoxamine).<\/li><li>Medicines for schizophrenia and other mental illnesses (eg perfenazine, levomepromazine, and olanzapine).<\/li><li>Drugs used for high\u00a0blood pressure, chest pain or to regulate heart rate and rhythm (eg verapamil,\u00a0diltiazem,\u00a0flecainide,\u00a0propafenone\u00a0).<\/li><li>Medicines for bacterial infections (eg rifampicin, clarithromycin, telithromycin, and erythromycin).<\/li><li>Medicines for fungal infections (eg\u00a0ketoconazole\u00a0, itraconazole, posaconazole, voriconazole and\u00a0fluconazole\u00a0).<\/li><li>Medicines for HIV \/ AIDS and\u00a0hepatitis\u00a0C (\u00a0protease inhibitors\u00a0such as ritonavir and telaprevir).<\/li><li>Medicines to prevent nausea and vomiting after\u00a0chemotherapy\u00a0(chemotherapy) (aprepitant).<\/li><li>Drugs are known to increase the risk of changes in the electrical activity of the heart (eg antipsychotics and\u00a0antibiotics\u00a0).<\/li><li>Medicines containing amphetamines (used to treat attention deficit hyperactivity disorder (\u00a0ADHD\u00a0),\u00a0narcolepsy,\u00a0and obesity).<\/li><li>Metamizole is a medicine used to treat pain and fever.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Sertraline Bluefish with food, drink, and alcohol<\/h2>\n\n\n\n<p>Sertraline&nbsp;Bluefish can be taken with or without food.<\/p>\n\n\n\n<p>Alcohol should be avoided when treated with&nbsp;Sertraline&nbsp;Bluefish.<\/p>\n\n\n\n<p>Sertraline&nbsp;Bluefish should not be taken in combination with grapefruit juice as this may increase the level of&nbsp;sertraline&nbsp;in the body.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p>The safety of sertraline in pregnant women has not been established.&nbsp;Sertraline&nbsp;Bluefish will only be given to you when you are pregnant if your doctor thinks the benefit to you outweighs the potential risks to the baby.<\/p>\n\n\n\n<p>Tell your midwife or doctor that you are using&nbsp;Sertraline&nbsp;Bluefish.&nbsp;When drugs such as&nbsp;Sertraline&nbsp;Bluefish are used during pregnancy, especially during the last three months, they may increase the risk of a serious condition called&nbsp;persistent&nbsp;pulmonary&nbsp;hypertension&nbsp;in the newborn (PPHN).&nbsp;This condition causes the baby to breathe faster and look blue.&nbsp;The symptoms usually appear within 24 hours of the baby being born.&nbsp;If this affects your baby, contact a midwife or doctor immediately.<\/p>\n\n\n\n<p>Your newborn baby may also have other symptoms that usually start within the first 24 hours after birth, the symptoms include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>difficulty breathing<\/li><li>bluish skin or that the child is too hot or cold<\/li><li>blue lips<\/li><li>vomiting or the child not eating properly<\/li><li>that the child is very tired, has difficulty sleeping, or cries persistently<\/li><li>tense or slack muscles<\/li><li>tremors, twitches, or cramps<\/li><li>amplified reflexes<\/li><li>irritability<\/li><li>low blood sugar.<\/li><\/ul>\n\n\n\n<p>If your newborn baby has any of these symptoms or if you are concerned about your baby&#8217;s health, contact your doctor or midwife for advice.<\/p>\n\n\n\n<p>If you take&nbsp;Sertraline&nbsp;Bluefish at the end of your pregnancy, there may be an increased risk of heavy vaginal bleeding shortly after delivery, especially if you have a history of bleeding disorders.&nbsp;Your doctor or midwife should tell you to take&nbsp;Sertraline&nbsp;Bluefish so that they can advise you on this.<\/p>\n\n\n\n<p>There is evidence that\u00a0sertraline\u00a0passes into human breast milk.\u00a0Sertraline\u00a0Bluefish should only be given to breastfeeding women if your doctor considers that the benefit outweighs the potential risks to the baby.<\/p>\n\n\n\n<p>In animal studies, it has been shown that certain drugs such as\u00a0sertraline\u00a0can reduce the quality of semen.\u00a0In theory, this could affect\u00a0fertility, but no such depressant effect of\u00a0sertraline\u00a0on\u00a0fertility\u00a0has yet been demonstrated in humans.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Psychotropic drugs&nbsp;such as&nbsp;sertraline&nbsp;may affect your ability to drive or use machines.&nbsp;Therefore, you should not drive or use machines until you know how this medicine affects your ability to perform these activities.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Sertraline Bluefish contains sodium<\/h2>\n\n\n\n<p>This medicine contains less than 1 mmol (23 mg)&nbsp;sodium&nbsp;per tablet, ie it is essentially &#8216;sodium-free&#8217;.<br><br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Sertraline Bluefish<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><strong>The recommended&nbsp;dose&nbsp;is:<\/strong><\/p>\n\n\n\n<p><strong>Adults<\/strong><\/p>\n\n\n\n<p><strong>Depression and obsessive-compulsive disorder<\/strong><\/p>\n\n\n\n<p>The usual effective\u00a0dose\u00a0is 50 mg daily.\u00a0Dose\u00a0one can then be increased by 50 mg at a time at intervals of at least one week for several weeks.\u00a0The maximum recommended\u00a0dose\u00a0is 200 mg daily.<\/p>\n\n\n\n<p><strong>Panic disorder,\u00a0social phobia,\u00a0and\u00a0post-traumatic stress disorder<\/strong><\/p>\n\n\n\n<p>Treatment should start with 25 mg daily, then increase to 50 mg daily after one week.\u00a0Dose\u00a0one can then be increased by 50 mg at a time for several weeks.\u00a0The maximum recommended\u00a0dose\u00a0is 200 mg daily.<\/p>\n\n\n\n<p><strong>Use for children and adolescents<\/strong><\/p>\n\n\n\n<p>Sertraline&nbsp;Bluefish should only be given to children and adolescents aged 6-17 years who suffer from obsessive-compulsive disorder (OCD).<\/p>\n\n\n\n<p><strong>Obsessive-compulsive disorder:<\/strong><\/p>\n\n\n\n<p><strong>Children 6-12 years:<\/strong>\u00a0The recommended starting dose is 25 mg daily.\u00a0After one week, the doctor may increase the\u00a0dose\u00a0from one to 50 mg daily.\u00a0The maximum\u00a0dose\u00a0is 200 mg daily.<\/p>\n\n\n\n<p><strong>Adolescents 13-17 years:<\/strong>&nbsp;The recommended starting dose is 50 mg daily.&nbsp;The maximum&nbsp;dose&nbsp;is 200 mg daily.<\/p>\n\n\n\n<p>If you have liver or kidney problems, tell your doctor and follow the instructions.<\/p>\n\n\n\n<p><em>Method of administration<\/em><\/p>\n\n\n\n<p>Sertraline&nbsp;Bluefish tablets can be taken with or without food.<\/p>\n\n\n\n<p>Take the medicine once a day, either in the morning or in the evening.<\/p>\n\n\n\n<p>Your doctor will tell you how long to take this medicine.&nbsp;It depends on the nature of the disease and how well you respond to the treatment.&nbsp;It may take several weeks before your symptoms improve.&nbsp;Treatment for depression should usually continue for 6 months after you notice an improvement.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Sertraline Bluefish than you should<\/h2>\n\n\n\n<p>If you accidentally ingest too much&nbsp;Sertraline&nbsp;Bluefish, contact your doctor immediately or go to the nearest emergency room.&nbsp;Always bring the medicine package with the label on it, regardless of whether there is any medicine left or not.<\/p>\n\n\n\n<p>If you have ingested too much medicine or if e.g.\u00a0If a child has ingested the medicine by mistake, contact a doctor or hospital for risk assessment and advice.<\/p>\n\n\n\n<p>Symptoms of overdose may include drowsiness, nausea and vomiting, rapid heartbeat, tremors, agitation, dizziness, and, in rare cases, unconsciousness.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Sertraline Bluefish<\/h2>\n\n\n\n<p>If you forget to take a tablet, do not take the missed tablet.&nbsp;Take the next tablet at the right time.<\/p>\n\n\n\n<p>Do not take a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Sertraline Bluefish<\/h2>\n\n\n\n<p>Do not stop taking\u00a0Sertraline\u00a0Bluefish unless your doctor tells you to.\u00a0Your doctor wants you to gradually reduce the\u00a0dose\u00a0of one of\u00a0Sertraline\u00a0Bluefish for several weeks before you completely stop taking the medicine.\u00a0If you suddenly stop taking this medicine, you may experience\u00a0side effects\u00a0such as dizziness, numbness, sleep problems, upset or anxiety, headache, nausea, vomiting, and tremors.\u00a0If you experience any of these\u00a0side effects\u00a0or any other\u00a0side effects\u00a0when you stop taking\u00a0Sertraline\u00a0Bluefish, talk to your doctor.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor, pharmacist, or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p>Nausea is the most common\u00a0side effect.\u00a0The side effects depend on\u00a0dose\u00a0one and often go away or decrease after continued treatment.\u00a0<\/p>\n\n\n\n<p><strong>Talk to your doctor immediately:<\/strong><\/p>\n\n\n\n<p>if you experience any of the following symptoms after taking this medicine.&nbsp;The symptoms can be severe.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you get a severe skin rash with blisters (erythema multiforme) (this can affect the mouth and tongue).\u00a0It could be a sign of a disease called\u00a0Stevens-Johnson syndrome\u00a0or\u00a0toxic epidermal necrolysis\u00a0(TEN).\u00a0In this case, your doctor will stop the treatment.<\/li><li>allergic reaction\u00a0or\u00a0allergy, which may cause symptoms such as an itchy rash, breathing problems, wheezing, swelling of the eyelids, face or lips<\/li><li>if you get upset or confused or have diarrhea, fever and high\u00a0blood pressure, heavy sweating, and rapid heartbeat.\u00a0These are symptoms of serotonergic syndrome.\u00a0In rare cases, this syndrome may occur when you take certain other medicines simultaneously as\u00a0sertraline.\u00a0Your doctor may want to stop the treatment.<\/li><li>if you get yellowish skin and yellowish eyes, which may indicate liver damage<\/li><li>if you experience symptoms of depression with thoughts of harming yourself or committing suicide (suicidal thoughts).<\/li><li>if you start to feel restless and cannot sit or stand still after starting\u00a0sertraline.\u00a0Talk to your doctor if you start to feel restless.<\/li><li>if you have a seizure.<\/li><li>if you have a manic period (see section 2 \u201cWarnings and Precautions\u201d).<\/li><\/ul>\n\n\n\n<p>The following&nbsp;adverse reactions&nbsp;have been observed in&nbsp;clinical trials&nbsp;in adults and post-marketing:<\/p>\n\n\n\n<p><strong>Very common (may affect more than 1 user in 10):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>insomnia<\/li><li>diarrhea<\/li><li>dry mouth<\/li><li>dizziness<\/li><li>somnolence<\/li><li>nausea<\/li><li>headache<\/li><li>missed ejaculation<\/li><li>fatigue<\/li><\/ul>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 people):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>hot flashes<\/li><li>rash<\/li><li>chest pain<\/li><li>palpitation<\/li><li>constipation<\/li><li>magnet<\/li><li>vomiting<\/li><li>earrings<\/li><li>yawns<\/li><li>indignation<\/li><li>anxiety<\/li><li>visual disturbances<\/li><li>sore throat<\/li><li>loss of appetite<\/li><li>increased appetite<\/li><li>Depression<\/li><li>feel weird<\/li><li>nightmares<\/li><li>nervousness<\/li><li>decreased sexual interest<\/li><li>gnashing of teeth<\/li><li>numbness and tingling<\/li><li>shaking<\/li><li>muscle stretching<\/li><li>abnormal taste<\/li><li>lack of attention<\/li><li>upset stomach<\/li><li>gases<\/li><li>muscle aches<\/li><li>potency problem<\/li><li>increased sweating<\/li><li>joint pain<\/li><li>feeling sick<\/li><li>tracheal catarrh<\/li><li>Runny nose<\/li><li>decreased appetite<\/li><li>muscle movement difficulties (eg a lot of movement, tense muscles, difficulty walking and stiffness,\u00a0spasms,\u00a0and involuntary muscle movements)<\/li><li>back pain<\/li><li>irregular menstruation<\/li><li>weakness<\/li><li>fever<\/li><li>weight gain<\/li><li>damage<\/li><\/ul>\n\n\n\n<p><strong>Uncommon (&nbsp;<\/strong><strong>may affect up to 1 in 100 people<\/strong>&nbsp;):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>weight loss<\/li><li>hair loss<\/li><li>hypersensitivity<\/li><li>low levels of thyroid hormone<\/li><li>hallucinations<\/li><li>a strong feeling of happiness<\/li><li>indifference<\/li><li>abnormal thoughts<\/li><li>aggression<\/li><li>cramps<\/li><li>involuntary muscle contractions<\/li><li>abnormal coordination<\/li><li>not be able to be still<\/li><li>memory loss<\/li><li>decreased emotions<\/li><li>speech difficulties<\/li><li>dizziness when standing up<\/li><li>fainting spells<\/li><li>migraine<\/li><li>enlarged\u00a0pupil\u00a0er<\/li><li>\u00f6ronont<\/li><li>fast heartbeat<\/li><li>high\u00a0blood pressure<\/li><li>flushing\u00a0_\u00a0_<\/li><li>breathing difficulties (possibly with wheezing)<\/li><li>shortness of breath<\/li><li>nosebleeds<\/li><li>inflammation\u00a0of the esophagus<\/li><li>difficulty swallowing<\/li><li>hemorrhoids<\/li><li>increased salivation<\/li><li>disturbances in the tongue movements<\/li><li>belching<\/li><li>eye swelling<\/li><li>dark purple spots on the skin<\/li><li>facial swelling<\/li><li>cold sweats<\/li><li>dry skin<\/li><li>hives<\/li><li>itching<\/li><li>inflammation\u00a0of joints and bones<\/li><li>muscle twitching<\/li><li>need to urinate at night<\/li><li>inability to urinate<\/li><li>increased urine output<\/li><li>need to urinate more often<\/li><li>problems urinating<\/li><li>urinary incontinence<\/li><li>vaginal\u00a0bleeding<\/li><li>sexual problems<\/li><li>bone swelling<\/li><li>overindulge<\/li><li>thirst<\/li><li>increased liver values<\/li><li>gastrointestinal\u00a0catarrh<\/li><li>ear infection<\/li><li>tumor<\/li><li>seasonal allergy<\/li><li>suicidal thoughts<\/li><li>suicidal behavior<\/li><li>psychotic disorder<\/li><li>euphoria<\/li><li>persecution mania<\/li><li>heart problems<\/li><li>problems with bleeding (eg stomach bleeding)<\/li><li>blood in the urine<\/li><li>tar-like feces<\/li><li>dental problems<\/li><li>tongue problem<\/li><li>skin problems with blisters<\/li><li>muscle cramps<\/li><li>heavy\u00a0vaginal\u00a0bleeding<\/li><li>walking difficulties<\/li><li>cancer<\/li><li><strong>Cases of suicidal ideation and suicidal behaviors have been reported during treatment with\u00a0sertraline\u00a0or early after discontinuation of treatment (see section 2).<\/strong><\/li><\/ul>\n\n\n\n<p><strong>Rare (may affect up to 1 in 1,000 people):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>coma<\/li><li>swollen&nbsp;glands<\/li><li>high cholesterol<\/li><li>low blood sugar<\/li><li>physical symptoms due to stress or emotion<\/li><li>drug addiction<\/li><li>sleepwalking<\/li><li>premature ejaculation<\/li><li>severe&nbsp;allergic reaction<\/li><li>abnormal movements<\/li><li>difficulty moving<\/li><li>increased sensation<\/li><li>disturbed sensation<\/li><li>glaucoma<\/li><li>problems with tear flow<\/li><li>spots in front of the eyes<\/li><li>double vision<\/li><li>light sticks out in the eyes<\/li><li>eye bleeding<\/li><li>different&nbsp;sized&nbsp;pupils<\/li><li>abnormal syn<\/li><li>problems controlling blood sugar (&nbsp;diabetes&nbsp;)<\/li><li>heart attack<\/li><li>slow heartbeat<\/li><li>poor circulation in arms and legs<\/li><li>clogged in the throat<\/li><li>rapid breathing<\/li><li>slow breathing<\/li><li>speech difficulties<\/li><li>hiccup<\/li><li>blood in the stool<\/li><li>sore mouth<\/li><li>sores on the tongue<\/li><li>cold sores<\/li><li>problems with liver function<\/li><li>rash on the scalp<\/li><li>abnormal hair structure<\/li><li>abnormal skin odor<\/li><li>bone disease<\/li><li>reduced urine output<\/li><li>difficulty urinating<\/li><li>dry&nbsp;vagina<\/li><li>redness&nbsp;and pain in the penis and foreskin<\/li><li>abdomen removal<\/li><li>prolonged&nbsp;erection<\/li><li>excretion from the breasts<\/li><li>hernia<\/li><li>reduced drug tolerance<\/li><li>abnormal sperm<\/li><li>increased&nbsp;cholesterol&nbsp;level in the blood<\/li><li>vasodilation surgery<\/li><li>inflammation&nbsp;of the abdomen (&nbsp;diverticulitis&nbsp;)<\/li><li>decreased&nbsp;platelet count<\/li><li>decreased&nbsp;white blood cell count<\/li><li>hormonal (&nbsp;endocrine&nbsp;) disorders<\/li><li>increased blood sugar level<\/li><li>low blood salts<\/li><li>nightmares<\/li><li>sudden severe headache (which may be a sign of a serious condition called reversible cerebral vasoconstriction syndrome (RCVS))<\/li><li>dizziness<\/li><li>fainting or discomfort in the chest which may be a sign of changes in the electrical activity of the heart (seen on ECG) or abnormal heart rhythm<\/li><li>rapid breathing<\/li><li>increasing scarring of the lung tissue (interstitial lung disease)<\/li><li>inflammation&nbsp;of the pancreas<\/li><li>severe liver function problems<\/li><li>yellowing of the skin and eyes (jaundice)<\/li><li>skin reaction to the sun<\/li><li>skin edema<\/li><li>degradation of muscle tissue<\/li><li>breast augmentation<\/li><li>abnormal laboratory values<\/li><li>problem with&nbsp;coagulation&nbsp;a<\/li><\/ul>\n\n\n\n<p><strong>Has been reported (occurs in an unknown number of users):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>partial loss of vision<\/li><li>locked jaw<\/li><li>bedwetting<\/li><li>inflammation\u00a0of the colon (which causes diarrhea)<\/li><li>Severe vaginal bleeding shortly after delivery (\u00a0postpartum hemorrhage), see \u201cPregnancy, breast-feeding and fertility\u201d in section 2 for more information.<\/li><\/ul>\n\n\n\n<p><strong>Additional&nbsp;side effects&nbsp;in children and adolescents:<\/strong><\/p>\n\n\n\n<p>In\u00a0clinical trials in children and adolescents, similar\u00a0side effects\u00a0were generally seen\u00a0as in adults (see above).\u00a0The most common\u00a0side effects\u00a0in children and adolescents were headaches, insomnia, diarrhea, and nausea.<\/p>\n\n\n\n<p><strong>Symptoms that may occur when treatment is stopped<\/strong><\/p>\n\n\n\n<p>If you suddenly stop taking this medicine, you may experience\u00a0side effects\u00a0such as dizziness, numbness, sleep disturbances, upset or anxiety, headache, nausea, vomiting, and tremors (see section 3, If you stop taking\u00a0Sertraline\u00a0Bluefish).<\/p>\n\n\n\n<p>An increased risk of bone fractures has been observed in patients taking this type of medicine.<\/p>\n\n\n\n<p>If any of the&nbsp;side effects&nbsp;gets serious, or if you notice any&nbsp;side effects&nbsp;not listed in this leaflet, please tell your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Sertraline Bluefish<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the blister after \u201cEXP\u201d and the carton after \u201cEXP\u201d.&nbsp;the expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Store in the original package.<\/p>\n\n\n\n<p>No special temperature instructions.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is\u00a0sertraline.<\/p>\n\n\n\n<p>Sertraline&nbsp;Bluefish 50 mg film-coated tablets<\/p>\n\n\n\n<p>Each film-coated tablet contains 50 mg of&nbsp;sertraline&nbsp;(as hydrochloride)<\/p>\n\n\n\n<p>Sertraline&nbsp;Bluefish 100 mg film-coated tablets<\/p>\n\n\n\n<p>Each film-coated tablet contains 100 mg of&nbsp;sertraline&nbsp;(as hydrochloride)<\/p>\n\n\n\n<p>The other ingredients are microcrystalline cellulose, sodium starch glycolate (type A), hydroxypropylcellulose, calcium hydrogen phosphate, magnesium stearate, hypromellose, and macrogol 400, polysorbate 80, and titanium dioxide (E171).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Sertraline\u00a0Bluefish 50 mg tablets are white, capsule-shaped, film-coated tablets marked with \u201cA\u201d on one side and with a white notch between \u201c8\u201d and \u201c1\u201d on the other side.\u00a0The breaker is only intended to divide the tablet to facilitate swallowing and not to divide it into equal\u00a0doses.<\/p>\n\n\n\n<p>Sertraline&nbsp;Bluefish 50 mg film-coated tablets are available in pack sizes of 10, 14, 20, 28, 30, 42, 50, 56, 84 and 100 film-coated tablets.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<p>Sertraline&nbsp;Bluefish 100 mg are white, capsule-shaped, film-coated tablets marked with \u201cA\u201d on one side and \u201c82\u201d on the other side.<\/p>\n\n\n\n<p>Sertraline&nbsp;Bluefish 100 mg film-coated tablets are available in pack sizes of 10, 14, 28, 30, 42, 50, 56, 84 and 100 film-coated tablets.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Bluefish Pharmaceuticals AB<\/p>\n\n\n\n<p>G\u00e4vlegatan 22<\/p>\n\n\n\n<p>113 30 Stockholm<\/p>\n\n\n\n<p>Sweden<\/p>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the names:<\/strong><\/p>\n\n\n\n<p><em>Germany<\/em>&nbsp;Sertraline Bluefish 50 mg \/ 100 mg Film tablet<\/p>\n\n\n\n<p><em>Spanien<\/em>&nbsp;Sertralina Bluefish 50 mg \/ 100 mg compresses obtained with EFG film<\/p>\n\n\n\n<p><em>Norway&nbsp;<\/em>Sertraline&nbsp;Bluefish 50 mg \/ 100 mg film-coated tablets<\/p>\n\n\n\n<p><em>Sweden&nbsp;<\/em>Sertraline&nbsp;Bluefish 50 mg \/ 100 mg film-coated tablets<\/p>\n\n\n\n<p><em>Austria&nbsp;<\/em>Sertraline&nbsp;Bluefish 50 mg \/ 100 mg Film tablet<\/p>\n\n\n\n<p><em>Ireland<\/em>&nbsp;Sertraline Bluefish 50 mg \/ 100 mg film-coated tablets<\/p>\n\n\n\n<p><em>Portugal<\/em>&nbsp;Sertraline Bluefish 50 mg \/ 100 mg compresses increased by volume&nbsp;<\/p>\n\n\n\n<p><em>Island&nbsp;<\/em>Sertraline&nbsp;Bluefish 50 mg \/ 100 mg film-coated tablets<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The active substance in\u00a0Sertraline\u00a0Bluefish is\u00a0sertraline\u00a0.\u00a0Sertraline\u00a0belongs to a group of medicines called selective serotonin reuptake inhibitors (\u00a0SSRIs\u00a0).\u00a0These drugs are used to treat depression and \/ or anxiety disorders.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18530],"tags":[20280,23946,23950,20283,23934,20281,23947],"class_list":["post-22914","post","type-post","status-publish","format-standard","hentry","category-medicines","category-s","tag-sertraline","tag-sertraline-bluefish","tag-sertraline-bluefish-side-effects","tag-sertraline-side-effects","tag-sertraline-tablet","tag-what-is-sertraline","tag-what-is-sertraline-bluefish"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22914","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=22914"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22914\/revisions"}],"predecessor-version":[{"id":22953,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22914\/revisions\/22953"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=22914"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=22914"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=22914"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}