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Medications · FAQ

Who needs extra medical review before taking sertraline?

Short answer

Sertraline needs extra review if you have bipolar disorder, seizures, liver disease, bleeding problems, glaucoma, or a history of low sodium. Pregnancy and breastfeeding also need a risk-benefit discussion. A licensed physician in your state reviews your health history and medicines to decide whether sertraline is appropriate.

Before starting sertraline, tell your physician about all health conditions, allergies, and past reactions to antidepressants. Mention bipolar disorder or mania in you or your family. Antidepressants can trigger mania in some people, so screening matters. Signs may include racing thoughts, risky choices, or little need for sleep.

Your physician also needs to know about seizures, liver disease, bleeding problems, glaucoma, heart rhythm concerns, and past low sodium levels. Older adults and people taking certain water pills may need extra attention to sodium levels. Some conditions call for a different dose, closer monitoring, or another treatment.

If you are pregnant, planning pregnancy, or breastfeeding, discuss both medicine risks and the risks of untreated illness. Do not stop sertraline suddenly because of pregnancy. The safest plan depends on your situation.

Age and the condition being treated also matter, especially for children and teens. A licensed physician in your state decides whether treatment is appropriate after reviewing your history, current symptoms, and all medicines and supplements.

Sources

Written by the Verra clinical team · Medical review pending

General information, not medical advice. If you're in crisis, call or text 988.

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