What is Sertraline Hcl: Uses, Warnings & Interactions

Updated Jan 24, 2024  •  Published Dec 30, 2020

Sertraline Hcl overview

BRAND NAMES:

  • Zoloft

Generic Names:

  • Sertraline HCI

Uses:

  • Treats 

    • Depression

    • Obsessive-compulsive disorder (OCD)

    • Panic disorder

    • Posttraumatic stress disorder (PTSD)

    • Premenstrual dysphoric disorder (PMDD)

    • Social anxiety disorder

Therapeutic Classes:

  • Antidepressant, anxiolytic, central nervous system agent

Forms:

  • Tablet, capsule, oral solution (liquid)

How it’s taken:

  • By mouth

What is Sertraline Hcl used for?

Sertraline is FDA-approved to treat major depressive disorder (MDD), obsessive-compulsive disorder (OCD), panic disorder (PD), social anxiety disorder (SAD), and premenstrual dysphoric disorder (PMDD).

What form(s) does Sertraline Hcl come in

  • Tablet

    • 25 mg

    • 50 mg

    • 100 mg

  • Capsule

    • 150 mg

    • 200 mg

  • Oral solution (liquid)

    • 20 mg/mL

What are common Sertraline Hcl doses?

  • For depression in adults: 50–200 mg per day

  • For obsessive-compulsive disorder in adults and children: 50–200 mg per day

  • For panic disorder in adults: 50–200 mg per day

  • For PTSD in adults: 50–200 mg per day

  • For social anxiety disorder in adults: 50–200 mg per day

  • For premenstrual dysphoric disorder in adults: 50–200 mg per day starting 14 days before menstruation

RELATED: Zoloft dosage, forms, and strengths

Common Sertraline Hcl prescriptions

  • Sertraline HCl
    60ml of 20mg/ml bottle

  • Sertraline HCl
    150mg capsule

  • Sertraline HCl
    30 tablets disp pack

  • Sertraline HCl
    100mg tablet

  • Sertraline HCl
    25mg tablet

  • Sertraline HCl
    50mg tablet

How to take Sertraline Hcl

  • Take your medicine as directed. Your dose may need to be changed regularly, particularly in the first few weeks, until an effective dose is reached. 

  • This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.

  • Sertraline may take several weeks of daily dosing before symptoms improve. Continue to take the medicine even if it doesn’t seem to work. Talk to a doctor or other healthcare professional if there are concerns about Zoloft’s effectiveness or side effects.

  • How to take sertraline tablets or capsules:

    • Sertraline tablets and capsules can be taken with or without food.

    • Swallow the capsules whole. Do not crush, break, or chew them.

  • How to take sertraline oral solution:

    • The oral solution is concentrated and must be diluted before use.

    • Do not mix the oral solution until ready to take a dose.

    • Use the calibrated dropper to measure a dose.

    • The dropper has only two dose measurements: 25 mg and 50 mg.

    • Mix it with 1/2 cup (4 ounces) of water, ginger ale, lemon-lime soda, lemonade, or orange juice. Do not mix it with any other kind of liquid. 

    • It is normal for the mixture to look a bit cloudy or hazy.

    • Drink the mixture right away.

  • Store sertraline tablets, capsules, or oral solution at room temperature in a tightly sealed container out of the reach of children.

What to do if you miss a dose of Sertraline Hcl

  • Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. 

  • Do not take extra medicine to make up for a missed dose.

Sertraline Hcl contraindications

  • This medicine is not right for everyone. 

  • Do not use it if you have had an allergic reaction to sertraline.

  • Do not use sertraline if you’re currently taking or recently stopped taking a type of drug called a monoamine oxidase inhibitor (MAOI).

Sertraline Hcl warnings

  • Tell any doctor or dentist who treats you that you are using this medicine.

  • Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.

  • This medicine may worsen depression or cause thoughts of suicide or violence. Talk with your doctor right away if you have changes in mood or behaviors that concern you.

  • Before taking this medicine, tell the prescribing healthcare provider if you have:

    • Heart problems

    • A history or family history of bipolar disorder, mania, or hypomania

    • A history of seizures

    • High eye pressure

    • Low sodium levels

    • Liver problems

    • Kidney problems

    • Other serious medical conditions

  • Before taking this medicine, tell the doctor if you are pregnant or breastfeeding.

  • This medicine may cause the following problems: 

    • Serotonin syndrome (more likely when used with certain other medicines) 

    • Manic episodes

    • Heart rhythm problems (QT prolongation)

    • Seizures

    • Glaucoma

    • Low sodium levels

    • Bleeding and bruising

    • Sexual dysfunction

  • This medicine may make you dizzy or drowsy. Do not drive or do anything that could be dangerous until you know how this medicine affects you. 

  • If prescribed sertraline oral solution, tell your doctor if you are sensitive to latex. The oral liquid comes with a latex rubber dropper.

  • Do not stop using this medicine suddenly until consulting with the prescribing healthcare provider. Sudden discontinuation of sertraline may cause side effects.

Sertraline Hcl interactions

  • Because of possible drug interactions, tell the prescribing healthcare provider about all prescription drugs, over-the-counter medicines, and supplements you are using before taking this drug.

  • Tell other healthcare providers you are using this medicine before they prescribe new medications.

  • Do not use sertraline if you currently take an MAO inhibitor (MAOI) or have used an MAOI in the past 14 days.

  • Do not use this medicine together with the antipsychotic medications pimozide and thioridazine. 

  • Because sertraline oral solution contains a type of alcohol, do not use the oral solution if you are also taking the alcoholism medication disulfiram.

  • Avoid alcohol while you are using this medicine.

  • Tell your doctor if you are taking: 

    • Stimulants

    • Other antidepressants

    • Medications to treat mental health conditions such as bipolar disorder

    • Opioids

    • Migraine headache medications called triptans

    • Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen

    • Drugs that make you pee (diuretics)

    • Blood pressure medications

    • Blood thinners

    • Phenytoin

    • Digoxin

    • Flecainide

    • St. John’s wort

    • Tryptophan

Sertraline Hcl side effects

Serious side effects

Sertraline can cause serious side effects. Talk to a doctor if you notice any signs or symptoms of a possible serious side effect, including:

  • Thoughts of hurting yourself or others, unusual behavior

  • Anxiety, restlessness, fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, seeing or hearing things that are not there

  • Feeling more excited or energetic than usual

  • Confusion, weakness, and muscle twitching

  • Eye pain, vision changes, seeing halos around lights

  • Unusual bleeding or bruising

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing

  • Blistering, peeling, or red skin rash

Less serious side effects

  • Nausea

  • Diarrhea

  • Trouble sleeping

  • Dry mouth

  • Dizziness

  • Sleepiness

  • Fatigue

  • Sexual problems