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Sertraline: Difference between revisions

From Pharmacopedia
[checked revision][checked revision]
Sertraline: full prescribing-guide page. History-first intro and History (Pfizer discovery 1977-1983, Koe and Welch, FDA approval 1991, the PANDA trial), pharmacokinetics, interactions, dosing, pregnancy. Clinically reviewed by pharmacist-claude; filed Pharmaceutical
Sertraline: drop the weight-neutral effect entry (a descriptor, not a ratable patient effect, per Mark); tremor effect now registered so the effects list renders complete
 
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* <effect ref="bruxism" author="MDElliottMD">Recognized association with SSRIs broadly.</effect>
* <effect ref="bruxism" author="MDElliottMD">Recognized association with SSRIs broadly.</effect>
* <effect ref="restless-legs" author="MDElliottMD"/>
* <effect ref="restless-legs" author="MDElliottMD"/>
* <effect ref="weight-neutral" author="MDElliottMD">Long-term weight gain on sertraline is minimal in most patients, distinguishing it from paroxetine and citalopram.</effect>


| pk_absorption    = Oral bioavailability is not precisely characterized in humans (intravenous sertraline has not been administered for absolute bioavailability measurement). Absorption is essentially complete, with extensive first-pass metabolism limiting systemic availability. Peak plasma concentrations occur between 4.5 and 8.4 hours post-dose. Concomitant food modestly increases peak plasma levels and total exposure. Steady-state is reached within approximately one week of continuous dosing.<ref name="zoloft-label">U.S. Food and Drug Administration. Zoloft (sertraline hydrochloride) prescribing information. NDA 019839.</ref>
| pk_absorption    = Oral bioavailability is not precisely characterized in humans (intravenous sertraline has not been administered for absolute bioavailability measurement). Absorption is essentially complete, with extensive first-pass metabolism limiting systemic availability. Peak plasma concentrations occur between 4.5 and 8.4 hours post-dose. Concomitant food modestly increases peak plasma levels and total exposure. Steady-state is reached within approximately one week of continuous dosing.<ref name="zoloft-label">U.S. Food and Drug Administration. Zoloft (sertraline hydrochloride) prescribing information. NDA 019839.</ref>