In our latest question and also answer, the pharmacist discusses which cold medicines you have the right to take and which you need to avoid while taking the antidepressant Zoloft (Sertraline).​


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Jen asked

I take 25mg that Zoloft (sertraline) and also have come down v a cold. Is it for sure to take an over the counter cold/flu night syrup? i’m a female in mine mid 30’s and have been on this med for about 4 months.

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Answer

Zoloft (sertraline), is an antidepressant classified as an SSRI (selective serotonin reuptake inhibitor), and is among the most generally used medicine to treat depression and associated illnesses. Due to the widespread use of antidepressants, questions concerning drug interactions come up often.

Everyone gets sick native time come time, it is in it native the flu, the usual cold or native a selection of various other infections. Dealing with the symptoms of this illnesses deserve to sometimes be complicated if you are on prescription medicine such together Zoloft. That is important to always check for potential drug interactions beforeusing a product over the counter.

In regard to Zoloft (sertraline), there room some over the respond to medications that you either desire to avoid, or take caution with and use only based on the direction of her doctor:

use Caution NSAIDs (e.g. Ibuprofen, Naproxen, Aspirin): The combined use that selective serotonin re-uptake inhibitors prefer Zoloft and NSAIDs can increase the risk for an top GI bleed. This is particularly true if girlfriend have had actually a history of GI bleeds or ulcerations in the past. NSAIDs are supplied in mix with plenty of over the counter cold commodities so be certain to check out product labels! This precaution also includes bismuth subsalicylate, among the ingredient in Pepto-Bismol. Dextromethorphan (Delsym): Caution must be taken once using Zoloft and dextromethorphan together. Dextromethorphan deserve to increase serotonin levels in the body and also has the potential of resulting in serotonin syndrome when supplied with other drugs that influence serotonin. Serotonin syndrome is characterized by rapid development of hyperthermia, high blood pressure and mental condition changes.​​​ back rare, it is incredibly serious. Sometimes the combination of dextromethorphan and also SSRIs deserve to be used however should just be thought about after speaking through your physician.

Psuedoephedrine (Sudafed): ​Sudafed products can be offered on occasion however must be used cautiously if you have actually a background of arrhythmia (e.g. QT prolongation) or other heart issues as the combination of SSRI medication and also Sudafed have the right to exacerbate these conditions.

OTC drugs Generally considered SafeAntihistamines: Antihistamines (e.g. Claritin, Zyrtec) are generally considered OK and also safe come use. Lock can aid with a range of cold symptoms such as a runny nose and also itchy, watery eyes. They have the right to also assist on occasion with congestion and also coughing early out to write-up nasal drip together they can have a slight drying effect.

Acetaminophen: Tylenol (acetaminophen) is in most cases a better option for a pains reliever/fever reducer 보다 NSAID medications.

Guaifenesin: Mucinex (guaifenesin) is generally thought about OK to use. That can assist thin out excess mucus and relieve chest congestion.​​

Zinc/Vitamin C: Zoloft is compatible with various other cold release such together Zinc lozenges and vitamin C.

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It is important to look at the active ingredient list for any type of product you room considering purchasing. There are a variety of mix products the contain lot of ingredients, for this reason you should be aware of all the included ingredients in these products. In addition, there are numerous "brand name extension" products that have the right to contain ingredient you might not be mindful of. A "brand name extension product" uses a generally recognized brand name however contains multiple ingredients for different indications. Because that example, "Mucinex rapid Max" contains an ext than just Mucinex. It additionally contains dextromethorphan and phenylephrine.

There space a range of safe and effective alternatives over the counter easily accessible to you because that the therapy of cough/cold symptoms. Just be certain to pick the ideal product for your situation and read the ingredients!