What is Sertraline and how does it work. What are the common side effects of Sertraline. How to identify the S2 blue pill. Who should not take Sertraline. What precautions should be taken when using this antidepressant.

Understanding Sertraline: A Powerful Antidepressant

Sertraline, commonly known by its brand name Zoloft, is a widely prescribed antidepressant belonging to the class of selective serotonin reuptake inhibitors (SSRIs). This medication plays a crucial role in treating various mental health conditions, primarily major depressive disorder. The S2 blue pill is a specific formulation of Sertraline Hydrochloride, containing 50 mg of the active ingredient.

How does Sertraline work? It primarily targets the neurotransmitter serotonin in the brain. By inhibiting its reuptake, Sertraline increases the availability of serotonin in the synaptic cleft, which is believed to improve mood, reduce anxiety, and alleviate other symptoms associated with depression and related disorders.

Key Characteristics of the S2 Blue Pill

• Imprint: S2
• Color: Blue
• Shape: Round
• Strength: 50 mg
• Manufacturer: Accord Healthcare, Inc.
• National Drug Code (NDC): 16729-0216

Therapeutic Applications of Sertraline

Sertraline is approved for the treatment of several mental health conditions. Its versatility makes it a valuable tool in the arsenal of mental health professionals. The primary uses of Sertraline include:

1. Major Depressive Disorder (MDD)
2. Obsessive-Compulsive Disorder (OCD)
3. Panic Disorder
4. Post-Traumatic Stress Disorder (PTSD)
5. Social Anxiety Disorder
6. Premenstrual Dysphoric Disorder (PMDD)

Is Sertraline effective for all types of depression? While it is highly effective for many patients, individual responses may vary. Some people may find relief from their symptoms within a few weeks, while others might require a longer period or a different medication altogether. It’s crucial to work closely with a healthcare provider to find the most suitable treatment plan.

Common Side Effects and Safety Profile

Like all medications, Sertraline can cause side effects. It’s important to be aware of these potential effects and report any concerning symptoms to your healthcare provider. Common side effects of Sertraline include:

• Nausea and gastrointestinal disturbances
• Changes in sexual function
• Drowsiness or insomnia
• Dry mouth
• Dizziness
• Headache
• Sweating
• Weight changes

Can Sertraline cause serious side effects? While rare, some patients may experience more severe reactions such as serotonin syndrome, allergic reactions, or changes in heart rhythm. It’s crucial to seek immediate medical attention if you experience any unusual or severe symptoms while taking Sertraline.

Pregnancy and Breastfeeding Considerations

Sertraline falls under Pregnancy Category C, which means that risk during pregnancy cannot be ruled out. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss the potential risks and benefits with their healthcare provider before starting or continuing Sertraline treatment.

Does Sertraline pose risks to the developing fetus? Some studies have suggested a slightly increased risk of certain birth defects when SSRIs are used during pregnancy, particularly in the first trimester. However, untreated depression also carries risks for both the mother and the developing baby. The decision to use Sertraline during pregnancy should be made on an individual basis, weighing the potential benefits against the risks.

Drug Interactions and Precautions

Sertraline can interact with various medications and substances, potentially leading to adverse effects or reduced efficacy. It’s crucial to inform your healthcare provider about all medications, supplements, and herbal products you’re taking. Some notable interactions include:

• Monoamine Oxidase Inhibitors (MAOIs)
• Other SSRIs or SNRIs
• Pimozide
• Blood thinners (e.g., warfarin)
• NSAIDs (e.g., ibuprofen, naproxen)
• St. John’s Wort

Should Sertraline be taken with food? Sertraline can be taken with or without food. However, taking it with food may help reduce gastrointestinal side effects in some patients. Consistency in how you take the medication is key to maintaining stable blood levels.

Proper Usage and Dosage Guidelines

The typical starting dose of Sertraline for adults with major depressive disorder is 50 mg once daily. However, dosage may vary depending on the condition being treated and individual patient factors. It’s essential to follow your healthcare provider’s instructions carefully.

How long does it take for Sertraline to work? While some patients may experience improvements in sleep, energy, or appetite within the first 1-2 weeks, it usually takes 4-6 weeks to feel the full antidepressant effects. It’s important to continue taking the medication as prescribed, even if you don’t notice immediate improvements.

Tips for Taking Sertraline

• Take the medication at the same time each day to maintain consistent blood levels
• Do not crush, chew, or break the tablet unless instructed by your healthcare provider
• If you miss a dose, take it as soon as you remember, unless it’s close to the time for your next dose
• Never double up on doses to make up for a missed one

Discontinuation and Withdrawal Considerations

Abruptly stopping Sertraline can lead to discontinuation syndrome, characterized by flu-like symptoms, sensory disturbances, and mood changes. It’s crucial to work with your healthcare provider to develop a tapering plan if you need to stop taking Sertraline.

What are the symptoms of Sertraline withdrawal? Common symptoms include dizziness, nausea, irritability, headache, and a sensation often described as “brain zaps.” These symptoms are usually mild and resolve within a few weeks, but can be uncomfortable and disruptive.

Tapering Strategy

1. Gradual dose reduction over several weeks or months
2. Close monitoring for re-emergence of depressive symptoms
3. Adjustment of tapering schedule based on individual response
4. Consideration of switching to a longer-acting SSRI if withdrawal symptoms are severe

Long-term Effects and Monitoring

While Sertraline is generally considered safe for long-term use, ongoing monitoring is essential to ensure continued efficacy and to detect any potential adverse effects. Regular check-ups with your healthcare provider should include:

• Assessment of mood and depressive symptoms
• Evaluation of side effects and their impact on quality of life
• Monitoring of weight and metabolic parameters
• Periodic blood tests to check liver function and electrolyte balance

Can long-term use of Sertraline lead to dependency? Unlike some medications, Sertraline is not considered addictive. However, your body may become accustomed to its effects, making it challenging to stop the medication without experiencing withdrawal symptoms. This is why it’s crucial to work closely with your healthcare provider when making any changes to your treatment plan.

Alternative Treatment Options and Complementary Therapies

While Sertraline is an effective treatment for many individuals, it’s not the only option available. Some patients may benefit from alternative antidepressants or non-pharmacological approaches. These may include:

• Other classes of antidepressants (e.g., SNRIs, NDRIs)
• Cognitive Behavioral Therapy (CBT)
• Interpersonal Therapy
• Electroconvulsive Therapy (ECT) for severe, treatment-resistant depression
• Transcranial Magnetic Stimulation (TMS)
• Lifestyle modifications (e.g., exercise, diet, sleep hygiene)

Are there natural alternatives to Sertraline? Some patients may explore natural remedies such as St. John’s Wort or SAM-e. However, it’s crucial to discuss these options with your healthcare provider, as they can interact with other medications and may not be suitable for everyone. Additionally, their efficacy and safety profiles are not as well-established as those of prescription antidepressants.

Holistic Approach to Mental Health

While medication can be a crucial component of treatment for many individuals with depression and related disorders, a holistic approach often yields the best results. This may include:

1. Regular exercise and physical activity
2. Maintaining a balanced, nutritious diet
3. Practicing stress-reduction techniques like mindfulness or meditation
4. Ensuring adequate sleep and maintaining good sleep hygiene
5. Building and maintaining strong social connections
6. Engaging in meaningful activities and hobbies

By combining medication with these lifestyle factors and appropriate psychotherapy, many patients find they can achieve more comprehensive and lasting improvements in their mental health.

Patient Education and Support Resources

Education and support play crucial roles in the successful management of depression and related disorders. Patients taking Sertraline should be aware of various resources available to them:

• Mental health support groups
• Online communities for individuals with depression or anxiety
• Educational materials provided by healthcare providers or mental health organizations
• Therapy apps and online counseling services
• Crisis hotlines for immediate support during difficult times

How can family members support someone taking Sertraline? Family support can be invaluable for individuals undergoing treatment for depression. This may include:

1. Learning about depression and its treatment
2. Encouraging adherence to the medication regimen
3. Being patient and understanding about side effects
4. Providing emotional support and a non-judgmental listening ear
5. Helping to monitor for any concerning changes in mood or behavior
6. Encouraging healthy lifestyle habits

By fostering a supportive environment and staying informed about the treatment process, family members can play a crucial role in the recovery journey of their loved ones.

Future Directions in Depression Treatment

While SSRIs like Sertraline have been a mainstay of depression treatment for decades, research into new and potentially more effective treatments continues. Some promising areas of investigation include:

• Ketamine and esketamine for rapid-acting antidepressant effects
• Psychedelic-assisted psychotherapy (e.g., psilocybin)
• Personalized medicine approaches using genetic testing
• Novel neurostimulation techniques
• Combination therapies targeting multiple neurotransmitter systems

What role will artificial intelligence play in depression treatment? AI is increasingly being explored for its potential in mental health care, from developing more accurate diagnostic tools to predicting treatment responses and even delivering therapeutic interventions through chatbots and virtual assistants. While these technologies show promise, they are likely to complement rather than replace traditional therapies and human-delivered care in the foreseeable future.

Ongoing Research and Clinical Trials

For patients who may not respond adequately to current treatments like Sertraline, participating in clinical trials can provide access to cutting-edge therapies and contribute to the advancement of mental health care. Resources like ClinicalTrials.gov can help patients and healthcare providers find relevant studies in their area.

As our understanding of depression and related disorders continues to evolve, so too will our approaches to treatment. While Sertraline remains an important tool in the management of these conditions, ongoing research promises to expand our therapeutic options and improve outcomes for patients in the years to come.

S2 Pill ( Blue / Round )

1. Pill Identifier
2. Search
3. S2

Pill with imprint S2 is Blue, Round and has been identified as Sertraline Hydrochloride 50 mg. It is supplied by Accord Healthcare, Inc..

Sertraline is used in the treatment of major depressive disorder; obsessive compulsive disorder; panic disorder; depression; post traumatic stress disorder
and belongs to the drug class
selective serotonin reuptake inhibitors.

Risk cannot be ruled out during pregnancy.

Sertraline 50 mg is not a controlled substance under the Controlled Substances Act (CSA).

Images for S2

Sertraline Hydrochloride

Imprint

S2

Strength

50 mg

Color

Blue

Shape

Round

Availability

Prescription only

Drug Class

Selective serotonin reuptake inhibitors

Pregnancy Category

C – Risk cannot be ruled out

CSA Schedule

Not a controlled drug

Labeler / Supplier

Accord Healthcare, Inc.

National Drug Code (NDC)

16729-0216

Inactive Ingredients

microcrystalline cellulose,
sodium starch glycolate type A potato,
hydroxypropyl cellulose (type l),
calcium phosphate dibasic anhydrous,
magnesium stearate,
hypromellose 2910 (5 mPa.s),
polyethylene glycol 400,
polysorbate 80,
titanium dioxide,
FD&C Blue No. 2

Note: Inactive ingredients may vary.

Get help with Imprint Code FAQs.

Related Images for “S2”

More about sertraline

Consumer resources

Other brands

Zoloft

Professional resources

Related treatment guides

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Common and Rare Side Effects for sertraline oral

COMMON side effects

If experienced, these tend to have a Severe expression i

• abnormal sexual function
• altered interest in having sexual intercourse
• the inability to have an erection

If experienced, these tend to have a Less Severe expression i

• problems with ejaculation
• dry mouth
• drowsiness
• dizziness
• difficulty sleeping
• low energy
• excessive sweating
• muscle tremors
• decreased appetite
• weight loss
• headache
• nausea
• gas
• diarrhea
• intense abdominal pain

INFREQUENT side effects

If experienced, these tend to have a Severe expression i

Sorry, we have no data available. Please contact your doctor or pharmacist.

If experienced, these tend to have a Less Severe expression i

• agitation
• a change in vision
• a stuffy and runny nose
• indigestion
• constipation
• hair loss
• acne
• backache
• an abnormal increase in muscle tone
• muscle pain
• pain
• weight gain
• increased hunger
• vomiting

RARE side effects

If experienced, these tend to have a Severe expression i

• a condition with low thyroid hormone levels
• diabetes
• a disorder with excess antidiuretic hormone called syndrome of inappropriate antidiuretic hormone
• low amount of sodium in the blood
• low blood counts due to bone marrow failure
• decreased blood platelets
• very low levels of granulocytes, a type of white blood cell
• manic behavior
• a form of mania that has a lower severity of symptoms
• suicidal thoughts
• feelings of hostility
• extrapyramidal disease, a type of movement disorder
• neuroleptic malignant syndrome, a reaction characterized by fever, muscle rigidity and confusion
• serotonin syndrome, a type of disorder with high serotonin levels
• clouding of the lens of the eye called cataracts
• sudden blindness and pain upon moving the eye
• high blood pressure
• atrioventricular block, a type of slow heart rhythm disorder
• rapid ventricular heartbeat
• torsades de pointes, a type of abnormal heart rhythm
• slow heartbeat
• prolonged QT interval on EKG
• spasms of blood vessels that supply the brain
• inflammation of the blood vessels
• bleeding
• liver failure
• damage to the liver and inflammation
• bleeding of the stomach or intestines
• acute kidney failure
• breastmilk production not associated with childbirth or nursing
• inflammation of the skin due to an allergy
• a skin disorder with blistering and peeling skin called Stevens-Johnson syndrome
• itching
• hives
• a condition with symptoms that resemble lupus
• a condition with muscle tissue breakdown called rhabdomyolysis
• seizures
• fever
• a feeling of restlessness with inability to sit still
• a skin rash
• nosebleed
• high blood sugar
• abnormal liver function tests
• a significant type of allergic reaction called anaphylaxis
• a type of allergic reaction called angioedema
• secondary angle-closure glaucoma, a type of eye disorder
• a yellowing of the eyes or skin from buildup of bilirubin called jaundice
• pancreatitis
• painful and involuntary movement of the eyes called oculogyric crisis
• microscopic colitis

If experienced, these tend to have a Less Severe expression i

• large purple or brown skin blotches
• grinding of the teeth
• nightmares
• hyperactive behavior
• blurred vision
• dilated pupils
• ringing in the ears
• pulmonary hypertension
• bruising under the skin
• widening of blood vessels
• tooth decay
• bloody urine
• priapism, a prolonged erection of the penis
• breast pain
• bleeding not related to menstrual period
• a problem with menstrual periods
• increased sensitivity of the skin to the sun
• skin discoloration
• joint pain
• muscle spasm
• fainting
• sensation of spinning or whirling
• loss of muscle coordination
• numbness
• visible water retention
• small reddish-purplish pin-point sized spots on skin
• excessive thirst
• yawning
• difficulty swallowing
• involuntary leakage of urine
• nervousness
• anxious feelings
• fast heartbeat

Effectiveness, Ease of Use, and Satisfaction

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Effectiveness

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Most voted positive review

142 People found this comment helpful

I have been a “highly funtioning” depressed person for many years: life of the party, witty, intelligent, charming, intelligent conversationalist, highly successful at the top of the food chain in my field,
. ..until I got home. Work was an escape from myself for me. If I had no weekend functions to attend I would be catatonic, only getting out of bed to use the bathroom.
I had always felt like a…

Shared reviews and ratings

Condition: Anxiousness associated with Depression EffectivenessEase of UseSatisfaction

(25mg)I believe this medication can work and will work for some people. DO YOUR RESEARCH BEFORE THO. I have taken it for a little over two weeks so my experience may not be valid as it does take 4-6 weeks to work in some cases. the first few days were horrible and I was not expecting it. The only thing that kept me going was the reviews online that said to push through it. I had every side effect, insomnia, new depression (suicidal thought), lack of sex drive, foggy mind, all the flu-like symptoms, increases in anxiety including anxiety attacks which I have never had, lack of appetite. I felt utterly hopeless. It did start to get better and then for some reason my anxiety came back and increased I am worrying about things I have never worried about before. I am constantly worrying. It caused my life to be so much harder and I just want to return to baseline. I am praying that will happen once I stop. I think it can help people, but I keep wondering if this new anxiety is due to the medication or me just finally snapping and becoming scared about everything and if anyone has had similar increases in anxiety does it go away once you stop? I really hope so. I feel slightly hopeless and am hoping everything will go back to baseline when I stop.

1 ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this postFill 3Created with Sketch. Condition: Panic Disorder EffectivenessEase of UseSatisfaction

Hasn’t worked for me at all. I constantly fear my surroundings and it has caused suicidal thoughts. Makes my head feel dense and heavy.

1 ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this postFill 3Created with Sketch. Condition: Posttraumatic Stress Syndrome EffectivenessEase of UseSatisfaction

It made me feel like I did some bad dope hands and feet sweat all the time I quit taking it cold turkey and feel like killing myself to make sure I don’t hurt no one else with my behavior sorry forgive me lord

1 ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this postFill 3Created with Sketch. Condition: Depression EffectivenessEase of UseSatisfaction

I have been taking this medication since July and I have seen a major change in my mood and energy levels. In usually in a great mood and always up doing something. My only issue would be of a sexual nature. I’ve been in a relationship for a little over 3 years and I have never had trouble getting an orgasm until I got on the medication. It’s very frustrating. That, however, would be my only complaint.

1 ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this postFill 3Created with Sketch. Condition: Other EffectivenessEase of UseSatisfaction

I have had epilepsy for the past 20 years with grand mal seizures occurring throughout the years, I was prescribed a medicine called “Tegretol” to control these seizures. Fast forward years later I started developing more frequent seizures and it turns out the “Tegretol” was causing low blood sodium levels and I ended up being hospitalized because of it. During my hospital visit they switched my seizure medicine slowly to “Dilantin” and this changed totally f**ked up my mood with just a really depressed feeling. I forgot to mention that “Tegretol” is also a mood stabilizer so I felt fine on it except those seizures occurring.

I did some research online and wanted a medicine that can fix the depressed mood and irratibility that I felt being on “Dilantin” and found “Setraline”. Its been two weeks and I feel better, more concentration and less irritability. I feel like it evens everything out. Its no fun taking 5 pills on seizure medicine a day but then again I consider myself grateful to be alive and enjoying life.

Good luck to all and God Bless.

Sonny

1 ShapeCreated with Sketch.thumb_up copy 5Created with Sketch.Report this postFill 3Created with Sketch.

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Zoloft (Sertraline Hcl) Side effects, Images, Uses, Dosage, Overdose at RxList

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Most commonly, premedication is prescribed for relieving anxiety in the hours immediately before a dental appointment. 9 billion worth of antidepressants in 2009,. L484. The “Verified dentist” badges will tell you whether an answer has been provided by a qualified dental practitioner. Although pregabalin is not approved by the U. It is used for anxiety disorder and epilepsy Jun 24, 2008 · It is run by volunteers with first-hand experience of dental phobia and anxiety together with dental practitioners who like to help. One that could kill me if I allowed it too. According to the National Institute on Drug Abuse, the three classes of prescription drugs that are often abused include: Opioids used to treat pain Central nervous system (CNS) depressants, such as benzodiazepines (Xanax, Valium, Ativan, Klonopin), used to treat anxiety …. In fact, specific searches on “CBD oil anxiety” have increased tremendously over the last decade. Search by National Drug Codes (NDC). Premedication and Oral Sedation. Anxiety can stem from a number of things: genetics, brain chemistry and life events. If you are willing to endure these challenges, then you will overcome anxiety and irrational fears. Remember awareness generates relief and power, while avoidance leads to anxiety and suffering. However, this. In essence, you would be fearless, because you won’t know any better. This suggests more and more Blue Pill For Anxiety people are seeking natural cannabis treatment in place of prescription drugs Users often take this drug by mouth in pill or tablet form. That’s right. Oct 27, 2018 · Even within the benzodiazepine class there are different side effects for different medications. TUCSON, Ariz. Food and Drug Administration for the treatment of any anxiety disorder, the medication can alter the release of certain chemical brain messengers that might …. Select the the pill color (optional) Select the shape (optional) You may also search by drug name or NDC code. 10 mg to be exact. I told her that I had slept through a class that had a strict attendance policy. S. Well-padded brunette Aiden Blue is fond of practisining in milky way and good hot cum on her big knockers after good drilling. But the most common side effects of anxiety medicines are as follows: Benzodiazepines (Xanax, Valium, etc. Feb 26, 2020 · I can understand the worry you have after taking this emergency contraceptive pill or the ‘morning after pill’ and if you suffer from anxiety then these ‘intrusive thoughts’ are caused by OCD. I felt like the change was unnoticeable, until I was on the phone with my mother last week. You can avoid experiencing worry and anxiety. Although my depression with anxiety is invisible to most people, I see daily how it effects my life. But it is the biggest weapon I have in fighting my disease. Notify your doctor if you develop: rapid/pounding/irregular heartbeat, vision changes, slurred speech, confusion, memory loss, depression or behavior changes. Ibuprofen, Motrin, Advil and naproxen raise blood pressure Pill with imprint C 1 is Blue, Round and has been identified as Clonazepam 1 mg. Lack of coordination. However, since its inception, other drugs and ED treatments have been introduced that may provide longer-term solutions. G. If I didn’t have this little blue pill to assist me. You can also snort it or inject it into a vein. Instead of being burdened with the anxiety of […]. According to IMS Health, a group that monitors drug sales, U.

Differences, similarities, and which is better for you

Drug overview & main differences | Conditions treated | Efficacy | Insurance coverage and cost comparison | Side effects | Drug interactions | Warnings | FAQ

If you experience depression or anxiety, you are not alone. Major depressive disorder affects 17.3 million American adults every year. Anxiety disorders affect 40 million American adults every year. Two common drugs used for these mental health conditions are Zoloft and Xanax. Zoloft and Xanax are prescription drugs that are approved by the Food and Drug Administration (FDA).

Zoloft (sertraline) is an SSRI (selective serotonin reuptake inhibitor) that is indicated for the treatment of depression and other psychological conditions. An SSRI works by increasing levels of serotonin in the brain, helping improve symptoms.

Xanax (alprazolam) is a benzodiazepine drug, which works in the central nervous system (CNS). Benzodiazepines work by increasing activity at receptors for gamma-aminobutyric acid (GABA), a neurotransmitter. By doing this, benzodiazepines produce a relaxing and calming effect. A dose of Xanax starts working within about one hour, and the effects last for about five hours (the extended-release tablet lasts up to about 11 hours). Because of the potential for abuse and/or dependence, Xanax is a controlled substance and is classified as a Schedule IV drug.

What are the main differences between Zoloft and Xanax?

Zoloft is a selective serotonin reuptake inhibitor (SSRI) and is available in both brand and generic form. The generic name is sertraline. Zoloft is available in both tablet and liquid form.

Xanax is a benzodiazepine available in both brand and generic form. The generic name of Xanax is alprazolam. It is available in tablet form (immediate-release or extended-release) and as an oral concentrate.

Main differences between Zoloft and Xanax
Drug class	Selective serotonin reuptake inhibitor (SSRI)	Benzodiazepine
Brand/generic status	Brand and generic	Brand and generic
What is the generic name?	Sertraline	Alprazolam
What form(s) does the drug come in?	Tablet and liquid	Tablet (immediate-release or extended-release), oral concentrate
What is the standard dosage?	Adult dose: 50-200 mg daily (maximum 200 mg per day) Dose for children varies: Average of 25 to 50 mg daily Taper gradually when discontinuing	Examples: 0. 5 mg taken 3 times daily; dosage varies Taper gradually when discontinuing
How long is the typical treatment?	Months to years	Short-term; some patients use longer under doctor supervision
Who typically uses the medication?	Adults; ages 6 years through 17 years for OCD only	Adults

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Conditions treated by Zoloft and Xanax

Zoloft is an SSRI indicated for the treatment of major depressive disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder (PTSD), social anxiety disorder, and premenstrual dysphoric disorder.

Xanax is indicated for the short-term relief of the symptoms of anxiety, and short-term relief of anxiety associated with depressive symptoms. Xanax is also indicated for the treatment of panic disorder, with or without agoraphobia.

Is Zoloft or Xanax more effective?

Because Zoloft and Xanax are in different drug classes and treat different conditions, studies do not compare the two drugs head to head. Zoloft is generally used as a longer-term treatment, while Xanax is used as a short-term treatment and has the potential for abuse and/or dependence. Also, either drug may be used as part of a comprehensive treatment plan which includes psychotherapy. Depending on what condition you are treating, one drug may be more appropriate than the other.

The most effective drug for you should be determined by your healthcare provider, who can take into account your medical history, medical conditions, and other medications you take that could interact with Zoloft or Xanax.

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Coverage and cost comparison of Zoloft vs. Xanax

Zoloft is usually covered by both private insurance and Medicare Part D. Generic Zoloft will have a lower copay, whereas brand name may have a higher copay or may not be covered at all. The out-of-pocket cost of generic Zoloft varies but can be as much as $85. With a SingleCare coupon, 30 tablets of 100 mg generic sertraline are less than $10 at participating pharmacies.

Xanax is typically covered by private insurance and Medicare Part D in the generic form of alprazolam. The brand-name Xanax may not be covered or have a high copay. A typical prescription of alprazolam would be for 60 tablets of 0.5 mg can cost around $40 out-of-pocket but less than $10 with a SingleCare coupon at participating pharmacies.

Common side effects of Zoloft vs.

Xanax

The most common adverse reactions from Zoloft are nausea, diarrhea, sexual problems, dry mouth, insomnia, and sleepiness.

Side effects of Xanax usually increase with higher doses. The most common side effects of Xanax are sedation, dizziness, and weakness. Other side effects may include fatigue, lightheadedness, memory problems, confusion, depression, euphoria, suicidal thoughts/attempt, incoordination, lack of energy, dry mouth, convulsions/seizures, vertigo, visual problems, slurred speech, sexual problems, headache, coma, respiratory depression, worsening of sleep apnea or obstructive pulmonary disease, and gastrointestinal symptoms including nausea, constipation, or diarrhea.

Other side effects may occur. Consult your healthcare professional for a complete list of side effects.

Side effect	Applicable?	Frequency	Applicable?	Frequency
Headache	Yes	% not reported	Yes	12. 9-29.2%
Nausea	Yes	26%	Yes	9.6-22%
Diarrhea	Yes	20%	Yes	10.1-20.6%
Ejaculation disorder/sexual problems	Yes	8%	Yes	7.4%
Dry mouth	Yes	14%	Yes	14.7%
Sleepiness	Yes	11%	Yes	41-77%
Insomnia	Yes	20%	Yes	8.9-29.5%
Dizziness	Yes	12%	Yes	1.8-30%
Weakness	No	—	Yes	6-7%

Source: DailyMed (Zoloft), DailyMed (Xanax)

Drug interactions of Zoloft vs. Xanax

MAO inhibitors should not be used within 14 days of Zoloft. The combination may increase the risk of serotonin syndrome, a life-threatening medical emergency due to a buildup of serotonin. Triptans used to treat migraines, as well as other antidepressants, should not be used in combination with Zoloft due to the risk of serotonin syndrome. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, or anticoagulants such as warfarin, should not be taken with Zoloft because of an increased bleeding risk.

Xanax should not be taken in combination with opioid painkillers, due to increased risk of sedation, respiratory depression, and overdose, possibly leading to death. If no other combination is possible, the patient should receive each medication at the lowest possible dose and for the shortest duration, and be closely monitored. Benzodiazepines also should not be taken with other CNS depressants such as alcohol, antipsychotics, antidepressants, sedating antihistamines, and anticonvulsants.

Alcohol should not be used with Zoloft or Xanax.

Other drug interactions may occur. Consult your healthcare provider for a full list of drug interactions.

Phenelzine Rasagiline Selegiline Tranylcypromine	MAOIs (Monoamine oxidase inhibitors)	Yes (separate use by 14 days)	No
Alcohol	Alcohol	Yes	Yes
Rizatriptan Sumatriptan Zolmitriptan	Triptans	Yes	Yes (sumatriptan)
Warfarin	Anticoagulant	Yes	Yes
St. John’s Wort	Supplement	Yes	Yes
Codeine Hydrocodone Hydromorphone Methadone Morphine Tramadol	Opioid painkillers	Yes	Yes
Aspirin Celecoxib Ibuprofen Meloxicam Naproxen	NSAIDs (nonsteroidal anti-inflammatory drugs)	Yes	No
Azithromycin Clarithromycin Erythromycin	Macrolide antibiotics	Yes	Yes (clarithromycin and erythromycin)
Citalopram Escitalopram Fluoxetine Fluvoxamine Paroxetine Sertraline	SSRI antidepressants	Yes	Yes
Desvenlafaxine Duloxetine Venlafaxine	SNRI antidepressants	Yes	Yes
Amitriptyline Desipramine Imipramine Nortriptyline	TCA (tricyclic antidepressants)	Yes	Yes
Baclofen Carisoprodol Cyclobenzaprine Metaxalone	Muscle relaxants	Yes	Yes
Carbamazepine Divalproex sodium Gabapentin Lamotrigine Levetiracetam Phenobarbital Phenytoin Pregabalin Topiramate	Anticonvulsants	Yes	Yes
Diphenhydramine	Sedating antihistamine	Yes	Yes
Contraceptives	Contraceptives	Yes	Yes
Itraconazole Ketoconazole	Azole antifungals	Yes	Yes

Warnings of Zoloft and Xanax

Zoloft:

• Zoloft has a boxed warning, which is the most serious warning required by the FDA. Children, adolescents, and young adults (up to age 24 years old) taking antidepressants have an increased risk of suicidal thoughts and behavior. All patients who take antidepressants should be carefully monitored.
• There is a risk of serotonin syndrome, which is a life-threatening medical emergency caused by the buildup of serotonin. Patients taking Zoloft should be monitored for symptoms of hallucinations, seizures, and/or agitation.
• When discontinuing Zoloft, withdrawal symptoms such as agitation may occur. Patients should taper off the drug very slowly. Your healthcare provider can give you a tapering schedule.
• Zoloft should be used with caution in patients who have seizures.
• There is a risk of hyponatremia (low sodium) due to syndrome of inappropriate antidiuretic hormone secretion (SIADH). Symptoms may include headache, difficulty concentrating, memory impairment, confusion, weakness, and unsteadiness, which may cause falls. Patients should seek immediate treatment if symptoms occur.
• Zoloft should be avoided in patients with angle-closure glaucoma.
• Zoloft may increase the risk of bleeding. This risk increases with the concomitant use of NSAIDs or warfarin.
• Zoloft may precipitate a mixed/manic episode in patients with bipolar disorder.
• Zoloft should only be used in pregnancy if your healthcare provider determines that benefits outweigh risks. Zoloft can cause complications to the baby, especially if taken in the third trimester. If you are already on Zoloft and find out you are pregnant, contact your healthcare provider immediately.
• Zoloft oral solution contains 12% alcohol and thus should not be used while pregnant or breastfeeding.

Xanax:

• Xanax also has a boxed warning. Xanax should not be used in combination with opioids because of the risk of extreme sedation, severe respiratory depression, coma, or death. If the combination of a benzodiazepine and opioid cannot be avoided, the patient should be prescribed the lowest dose for the shortest period of time and be closely monitored. Patients should not drive or operate machinery until effects are known.
• Xanax may cause The risk increases with higher doses, longer duration of use, or a history of drug or alcohol abuse. Also, because patients with panic disorder may use higher doses of Xanax, there may be a higher risk of dependence in these patients. If you take Xanax, take the medication only as prescribed. Do not take additional doses.
• Keep out of the reach of children and others. Keep under lock and key if possible.
• Xanax should be used as a short-term treatment. When discontinuing, it should be slowly tapered to avoid withdrawal symptoms. Patients with seizure disorders are at higher risk for withdrawal symptoms. Your prescriber can provide you with a tapering schedule.
• There is a risk of suicide in patients with depression. Patients with depression should be treated with an antidepressant and should be closely monitored.
• Xanax should be used with caution in patients with breathing problems such as COPD or sleep apnea.
• Use with caution and use lower doses in patients with severe liver problems.
• Xanax should not be used in pregnancy because of the risk to the fetus. If you are taking Xanax and find out that you are pregnant, consult your doctor immediately.
• Xanax is on the Beers’ List (drugs that may be inappropriate in older adults). Older adults have increased sensitivity to benzodiazepines and there is an increased risk of cognitive impairment, delirium, falls, fractures, and motor vehicle crashes in older adults when Xanax is used.

Frequently asked questions about Zoloft vs. Xanax

What is Zoloft?

Zoloft (sertraline) is an SSRI (selective serotonin reuptake inhibitor) indicated for treatment of major depressive disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, social anxiety disorder, and premenstrual dysphoric disorder. Other drugs in the SSRI class of medications are Prozac (fluoxetine), Celexa (citalopram), Lexapro (escitalopram), Luvox (fluvoxamine), and Paxil (paroxetine).

What is Xanax?

Xanax, also known by its generic name, alprazolam, is a benzodiazepine drug used to treat anxiety and panic disorder. Other drugs in the benzodiazepine category of medications that you may have heard of include Valium (diazepam), Ativan (lorazepam), Dalmane (flurazepam), Restoril (temazepam), Klonopin (clonazepam), and Halcion (triazolam). All of these drugs are approved by the FDA, and are controlled substances like Xanax.

Are Zoloft and Xanax the same?

Zoloft is an SSRI antidepressant indicated for a variety of conditions (see above) and Xanax is a benzodiazepine medication indicated for some of the same, and some different, conditions. The two drugs have many differences, as you can learn about in the sections above.

Is Zoloft or Xanax better? / Is Zoloft safer than Xanax?

Zoloft or Xanax may be used for different indications, so studies do not compare the two drugs directly. It is difficult to make a comparison between the two drugs because they are different and not in the same category of medication. In terms of safety, Xanax does have a risk of abuse and dependence, while Zoloft does not. Drug interactions must be considered as well, as each drug has many potential interactions. Consult your healthcare provider for medical advice.

Can I use Zoloft or Xanax while pregnant?

Zoloft is only given in pregnancy when the benefits outweigh risks (and if no other safer alternative is available). Taking Zoloft in the third trimester can cause complications to the baby. Xanax may cause fetal abnormalities and should not be used during pregnancy. If you are already taking Zoloft or Xanax, and find out that you are pregnant, contact your healthcare provider for guidance.

Can I use Zoloft or Xanax with alcohol?

No. Neither drug should be used with alcohol. Combining an antidepressant, like Zoloft, with alcohol, can worsen the symptoms of depression or anxiety, impair thinking and alertness, and increase the effects of sedation and drowsiness. Combining Xanax with alcohol is dangerous and can cause respiratory depression, extreme sedation, coma, or even death.

Is 25 mg of Zoloft enough for anxiety?

The effective dose of any drug depends on the individual and can be a matter of trial and error. Often, healthcare providers start Zoloft at a dose of 25 mg. Sometimes, this dose is sufficient and other times, if needed, the dose may be slowly increased under the direction of your healthcare provider. Ask your prescriber what dose should be used to treat your condition.

Can Zoloft cause sudden death?

Tricyclic antidepressants such as Elavil (amitriptyline) or Pamelor (nortriptyline) have been associated with heart problems and sudden cardiac death (and should be avoided in patients at risk for arrhythmia or who have heart problems).

SSRIs, like Zoloft, are generally well tolerated and not associated with an increased mortality rate. The manufacturer’s information for Zoloft does recommend that the medication should be used with caution in patients at risk for arrhythmia.

It’s important to note that untreated depression is linked to increased cardiovascular deaths (as well as increased risk of suicide and decreased quality of life). There are a number of factors to consider when starting a new medication, such as the potential for drug interactions with other medications you take. It is best to consult with your prescriber about any cardiac risk factors, and he/she can help you decide what drug is safest for you.

Can Zoloft worsen anxiety?

Zoloft is used to treat depression and certain types of anxiety disorders. However, some people experience increased anxiety or agitation, especially at the beginning of treatment. If you take Zoloft and notice you are feeling anxious or agitated, contact your healthcare provider.

Also, suicidal thoughts can occur in some cases, and the risk is higher in patients up to age 24 years. If you are having suicidal thoughts, seek emergency treatment. Be sure that your loved ones know about the possibility of suicidal thoughts and/or behavior, so they can be alert for any potential issues and help you seek treatment if necessary.

How to Identify Common Pills

There are a number of different reasons why you might need help with pill identification. Maybe you misplaced a drug label or forgot what the pills in your weekly pillbox are. Perhaps you found some pills in your loved one’s pocket while doing the laundry, and you’re worried they might be misusing them.

Considering the epidemic of prescription drug misuse and addiction and an uptick in deaths due to overdoses around the United States, you may be right to be concerned. What’s more, older and younger age groups could be the most at risk of misusing prescription drugs.

Whatever your reason, knowing what some common substances look like can help you determine what the pills in question might be. However, even if you think you’ve successfully identified them, never take pills without being absolutely certain of what they are.

Commonly Misused Pills

According to the National Institute on Drug Abuse (NIDA), commonly misused classes of prescription drugs include:

More specifically, the most commonly misused prescription drugs by brand and generic name include:

• Adderall, Dexedrine (dextroamphetamine)
• Darvon (propoxyphene)
• Demerol (meperidine)
• Dilaudid (hydromorphone)
• Lomotil (diphenoxylate)
• Nembutal (pentobarbital sodium)
• OxyContin, Percodan, Percocet, Endocet (oxycodone)
• Ritalin (methylphenidate)
• Valium (diazepam)
• Vicodin, Lortab, Lorcet (hydrocodone)
• Xanax (alprazolam)

The Drug Enforcement Administration (DEA) offers an informative guide called Drugs of Abuse that can tell you more about some of these drugs. In it, the DEA covers the most commonly abused drugs in the United States. It includes images that could help you identify the pill, common street names, and information on how the drug affects the body.

How to Identify Common Pills

By law, every pill, tablet, or capsule approved by the FDA must be unique to make identifying each pill easier. Here are the different characteristics to look for:

• Shape
• Pattern (two-toned, lined, speckled, etc.)
• Color
• Imprint (a combination of numbers or a logo)

To identify a pill, you can go online and look for pill identification tools. For example, Poison Control Centers have a pill identifier that may help. The DEA also has images of drugs available on their website.

If an online pill identification tool does not produce any results, double-check the imprint. You might need to use a magnifying glass on very small pills to distinguish the letters and numbers.

If you’re having trouble identifying the pills, you can always take them to your local pharmacist, who may be able to help you.

Finally, you can even try reaching out directly to the FDA’s Division of Drug Information with a description of your pill and ask them to help you identify it. If you can’t identify the pill by any of these means, it may not be FDA-approved and could be an illegal or counterfeit drug or alternative remedy.

Pill Identification

The below information can help you identify just some of the most commonly misused pills. Since these pills can come from a variety of manufacturers and appear differently, these descriptions are only rough guides.

Adderall

One small, round, blue pill that you might find is Adderall. It has the marking “AD” on one side and the number “10” on the other.

Some people might take Adderall without a prescription to help them concentrate and to do better at school or work. Others take it to get high. Adderall pills can either be swallowed or ground up and snorted for a quicker effect.

Dilaudid

Dilaudid is an opioid that is often mixed with alcohol and/or benzodiazepines, a type of CNS depressant, to get a “better high. ” The small tablets can be orange (for the 2-milligram dosage), yellow (4 milligrams), or white (8 milligrams), and imprinted with the manufacturer’s name. Pills can be round or triangular in shape. Dilaudid also comes in liquid form. 

DXM

A round, red pill with the markings “C C + C” (for Coricidin HBP Cough & Cold Tablets) might be a pill you come across. There are many similar pills, but only one has those markings.

Although it is just a cold and cough medication, teenagers and young adults in particular misuse the dextromethorphan (also called DXM) contained in these little red pills. Coricidin HBP Cough and Cold is also known as “triple C” in the illicit drug market.

In addition to dextromethorphan, this cold medication also contains an antihistamine. Taken in higher-than-recommended doses, it can produce a quick high, hallucinations, and/or dissociation. Deaths from kids misusing DXM and Coricidin have been reported.

Ritalin

Ritalin, also known as methylphenidate, is a stimulant drug that is about the size and shape of aspirin. The small pills can be pale yellow (5 milligrams), pale green (10 milligrams), or both white and yellow (20 milligrams), and are stamped with the manufacturer’s name, Ciba. Like Adderall, Ritalin is often misused to improve productivity and performance at work or school.

Xanax

Xanax is one of a group of addictive prescription medications known as benzodiazepines. It comes in a variety of shapes and colors and is imprinted with the manufacturer’s name and strength including:

• White, oval, scored tablet with “XANAX 0.25”
• Peach, oval, scored tablets with “XANAX 0.5”
• Blue, oval, scored tablets with “XANAX 0.25”
• White, oblong, scored with three lines with “XANAX” on one side and “2” on the other side

People often think prescription drugs like Xanax are safer than illicit street drugs, but these medications can be very dangerous—especially when mixed with painkillers or alcohol. In fact, 16% of overdoses involving opioids also involved benzodiazepines in 2019, according to the National Institute of Drug Abuse.  

Vicodin

These white, oblong pills imprinted with the manufacturer name on one side and strength on the other side are one of the most commonly misused prescription painkillers. Vicodin can suppress a person’s breathing, which can be life-threatening.

OxyContin

Like Vicodin, OxyContin is another opioid that can produce similar effects as heroin. They can come in round tablets and a few different colors, depending on the strength: white (10 milligrams), gray (15 milligrams), pink (20 milligrams), brown (30 milligrams), yellow (40 milligrams), red (60 milligrams), and green (80 milligrams).

Signs of Drug Abuse

In addition to finding unknown pills, there are also some signs to watch out for that may indicate someone you know may be abusing prescription or illegal drugs. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), there are a range of short- and long-term health consequences for misuse of these categories of prescription drugs:

• Stimulants: Paranoia, high body temperature, irregular heartbeat
• Central nervous system (CNS) depressants: Slurred speech, shallow breathing, tiredness, confusion, problems with coordination
• Opioids: Drowsiness, nausea and constipation, slowed breathing, loss of consciousness

Safety

To help prevent prescription drug abuse, there are some things you should and shouldn’t do according to NIDA:

• Always take the correct dosage and don’t change it without talking to your doctor.
• Understand how mixing other drugs or alcohol with the prescription might affect it.
• Never share your prescription or take someone else’s.
• Store medications safely and throw out any that are no longer needed or are expired (and be sure to discard them properly).

Also, remember to discuss any past substance misuse with your doctor before taking a new medication.

What to Do Next

If you’re concerned a friend or loved one might be misusing pills, sharing what you found and conveying your concerns in a non-judgmental way could be a good place to start. You can also offer to help them schedule an appointment with a mental health professional.

If the loved one in question is your teenager and you’re worried approaching them won’t go well, you can always ask someone else they trust and respect to step in. You could also raise your concerns with your pediatrician or a child psychologist, and they can bring up the subject during the appointment.

A Word From Verywell

While there are pill identification resources online, remember to never take a pill without knowing what it is. While the list here might help you get started, there are many more pills out there that you may need help identifying. In the case that you are still stuck, your local pharmacist might be able to help you.

If you’re concerned about a friend or loved one’s possible prescription or illicit drug use, go ahead and talk to them, but be prepared for resistance.

Arpimed

Influence on the ability to drive and use mechanisms

The drug may cause drowsiness, dizziness, especially at the beginning of treatment. It is unacceptable to drive or operate machinery if it affects you negatively.

Important information about the ingredients of Amitriptyline tablets

If you have been informed that you have an intolerance to some sugars, consult your doctor before taking this medicine.

How to take Amitriptyline

Amitriptyline should be taken exactly as directed by your doctor. If you have any doubts, you should consult with your healthcare professional or pharmacist.

Not all dosing regimens are possible with different dosage forms and doses of the drug.

The appropriate form of release and the dose of the drug should be chosen for the starting 3 and subsequent increasing doses.

Depression

Adults :

The recommended starting dose is 25 mg twice daily.Depending on the clinical effect, the dose can be increased up to 150 mg / day, divided into two doses.

Elderly patients (over 65 years of age) and patients with cardiovascular diseases

The recommended starting dose is 10-25 mg per day. Depending on the clinical effect, the dose can be increased to 100 mg / day, divided into two doses. If you are taking between 100 mg and 150 mg of the drug, you may need to consult your doctor more often.

Use in children and adolescents

Amitriptyline is not recommended for use in children and adolescents for the treatment of depression. For more information see section 2.

Neuropathic pain, chronic headaches tension type and prevention of migraine

Your healthcare provider will select the correct dose for your symptoms and your body’s response to treatment.

Adults :

The recommended starting dose is 10-25 mg in the evening.

The recommended daily dose is 25-75 mg.

Depending on the clinical effect, the dose may be gradually increased. If you are taking more than 100mg / day, you may need to consult your doctor more often. Take the drug once a day or divide the dose into two doses, your doctor will tell you.

Elderly patients (over 65 years old) and patients with cardiovascular diseases

The recommended starting dose is 10-25 mg in the evening.

Depending on the clinical effect of the drug, the dose may be gradually increased.

If you are taking more than 75mg / day, you may need to consult your doctor more often.

Use in children and adolescents

Amitriptyline is not recommended for children and adolescents for the treatment of neuropathic pain, chronic tension-type headache and for the prevention of migraine.For more information, see the section What you need to know before using Amitriptyline.

Nocturnal urinary incontinence

Use in children and adolescents

Recommended dose for children:

• Children under 6 years of age: See section “Do not take Amitriptyline tablets”
• Children 6 to 10 years of age: 10 to 20 mg daily. In this age group, the appropriate release forms are used.
• Children 11 years of age and older: 25-50 mg.

The dose should be increased gradually.

The drug should be taken 1 or an hour and a half before bedtime.

Before starting treatment, your healthcare provider should perform an ECG to check for signs of an irregular heartbeat.

Your doctor will re-evaluate the condition of the body after 3 months of treatment and, if necessary, perform a second ECG.

Do not stop taking this medicine without consulting your doctor.

Special patient groups

Patients with liver disease or known as “slow metabolizers” are usually given lower doses.

Your healthcare professional may have blood samples to measure amitriptyline levels (see the Things to Know Before You Use Amitriptyline).

How and when to take amitriptyline

The drug should be taken during or after meals.

The tablets should be swallowed whole with water. Do not chew tablets.

Treatment period

Do not change the dose of the drug or stop taking the drug without consulting a doctor.

Depression

As with other drugs used to treat depression, this too may take several weeks before you feel any improvement in your condition.

In the treatment of depression, the duration of treatment is individual and is usually at least 6 months. The duration of treatment is determined by your attending physician.

Continue taking Amitriptyline for as long as prescribed by your doctor. The disease can persist for a long time. If you stop treatment too early, your symptoms may recur.

Neuropathic pain, chronic headaches Tension type and prevention of migraine

It may take several weeks for your condition to improve.

Consult your doctor about the duration of treatment and continue taking the drug until the doctor stops it.

Nocturnal urinary incontinence

Your attending physician will determine the need to continue treatment after 3 months of taking the drug.

If you took more Amitriptyline than recommended

If you have taken more amitriptyline than prescribed by your doctor, you should immediately contact your doctor or the nearest hospital emergency room, even if you do not have any discomfort or symptoms of poisoning.Bring the package of the medicine with you if you go to the doctor or hospital.

Overdose symptoms include:

• pupil dilation
• rapid or irregular heartbeat
• difficulty urinating
• dry mouth or tongue
• intestinal obstruction
• seizures
• fever
• anxiety
• confusion
• hallucinations
• involuntary movements
• lowering blood pressure, weak pulse, pallor
• difficulty breathing
• cyanosis of the skin
• decrease in heart rate
• drowsiness
• loss of consciousness
• coma
• Various heart diseases such as heart block, heart failure, hypotension, cardiogenic shock, metabolic acidosis, hypokalemia.

If you forget to take Amitriptyline

Take the next dose at the usual time. Do not take a double dose of the drug to compensate for the missed dose.

If you stop taking Amitriptyline

Your healthcare professional will decide when and how to stop treatment to avoid any unwanted symptoms that may occur if the drug is suddenly discontinued (for example, headache, feeling unwell, insomnia and irritability).

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

90,000 everything you need to know about psychotropic drugs

Not every patient is prescribed psychotropic drugs by a doctor. Moreover, a number of studies show that in the treatment of uncomplicated forms of panic disorder or, for example, post-stress reactions, cognitive-behavioral therapy is preferable to pharmacotherapy.

But in a number of cases, especially with severe prolonged depression, it is really impossible to do without medication. Consider the main types of psychotropic drugs and the principles of their action.

Antidepressants

Paxil, sertraline, cipralex

Having diagnosed a patient with clinical depression, anxiety disorder or sleep disorders, a specialist prescribes an antidepressant: tricyclic or tetracyclic, norepinephrine reuptake inhibitor or serotonin reuptake inhibitor.

Antidepressants affect the neurotransmitter systems of the brain. The first effect appears approximately two weeks after the start of treatment, and the average course of treatment is about 6 months.In this case, you need to continue to take the pills and after the condition is normalized, this will help to consolidate the effect.

Typically, clients are most intimidated by the possibility of becoming addicted to antidepressants. This dependence is nothing more than a myth, but if you stop taking the drug overnight, unpleasant symptoms (the so-called withdrawal syndrome) may appear.

In addition, some time after discontinuation of the drug, the disease may reappear. This risk can be greatly reduced by combining antidepressant medication with psychotherapy.In general, the frequency and severity of side effects is not very high, but the entire course of treatment must necessarily take place under the supervision of a specialist.

In most cases, antidepressants do not cause severe inhibition, and an outside observer is unlikely to guess that the person is taking the drug. And they do not change a person in any way: as a result of their reception, only mood can change.

Anxiolytic drugs

Alprozalam, phenazepam, lorazepam, grandaxin, atarax

Such drugs are prescribed by the doctor if the patient complains of anxiety and sleep disturbances.The effect of taking anxiolytics (tranquilizers) occurs quickly enough, which makes it possible to use them as an “ambulance”, including in the first stages of antidepressant treatment – to relieve symptoms.

However, they can be addictive when taken for a long time (more than one month) in large doses and when the dosage is increased independently (without consulting a doctor).

In addition, they are prescribed to relieve anxiety attacks, such as panic attacks.But when undergoing psychotherapy, their use to relieve seizures is undesirable.

Pharmaceutical spam | Kaspersky Encyclopedia

Currently, advertising for pharmaceutical products can account for a quarter of all spam that reaches users’ e-mails. Several reasons contribute to the popularity of this topic of spam.

Firstly, in the USA, which is the target of most of the spam, the purchase of medicines is not as simple as in Russia: it is almost impossible to buy anything in American pharmacies without a doctor’s prescription.At the same time, the regular purchase of drugs requires regular visits to the doctor, which must also be paid. So Americans also have to fork out in order to get a doctor’s signature on a prescription.

Second, companies that started selling drugs over the Internet (prescription only) made exorbitant profits.

Against this background, the emergence of illegal online stores, which can save significant money, does not come as a surprise. But the drugs they offer are usually counterfeit or simply fake.Quite often, cunning scammers send out spam advertisements for dubious products themselves, which they sell in their online stores.

Manufacturers of original drugs warn: at best, “economical” pills simply will not have any effect, at worst – they will cause serious harm to health. However, “caring” scammers can simply use the information about the buyer’s credit card, which he will leave on their website, without sending any dangerous pills.

The vast majority of spam emails in this category are in English.For Russia, pharmaceutical spam is still rare. This is due to the fact that, compared to the West, online purchases are not so common with us, medical services are much cheaper, and Viagra can be easily bought at the nearest pharmacy.

What spammers advertise

According to the classification of Kaspersky Lab, this category of spam includes offers to purchase medicines, dietary supplements, etc. , offers of medical and health services, as well as related products.

The well-known Viagra is the undisputed leader in spam offers. The Blue Tablet has created a new direction in pharmaceuticals. The fame of the legendary and, what is important, very expensive drug and its slightly less well-known analogues – Cialis and Levitra – is used by a huge number of fraudsters of all stripes. The most unpretentious crooks offer “the original hexagonal pills” at prices well below the market $ 10, without any prescription hassles.

Slightly more cunning are those who sell tablets allegedly with the original active ingredient.The developer of Viagra, Pfizer Corporation, warns about them: no “generic viagra” exists, and there cannot be until 2011 – this is when Pfizer’s patents expire.

Another spam know-how appeared as a response to the interest in natural drugs: in a fit of touching care, spammers immediately launched sales of “natural Viagra”.

The second place in the price lists of virtual charlatans is confidently taken by the means for losing excess weight. Extracts from Hoodia Gordonii are the most popular among spammers. This cactus has been valued by the African Bushmen people for thousands of years as a means to drown out hunger. The worldwide popularity of Hoodia was brought by the mighty marketing machines launched by the same Pfizer. However, they worked in vain: the desert plant is not well suited for growing on an industrial scale, and the active ingredient has unpleasant side effects that are unacceptable for the pharmaceutical giant. Nevertheless, the frantic demand for the plant has put it on the brink of extinction, and a stream of drugs flooded the market, in which only the name is present from Hoodia.The ban of many countries on the “natural hunger suppressor” finally drove the dubious drug into spam.

Antidepressants and sedatives are the next most popular spam advertising.Jack, the protagonist of Chuck Polahnik’s book “Fight Club”, suffered from insomnia, and the doctor refused to help him with the pills. An American pharmacy will not sell medicine without a prescription. Given that regular use of psychotropic drugs is the norm in the United States, there is nothing surprising in the intrusive electronic advertising of popular antidepressants or anti-anxiety drugs without a prescription.

Openly quack drugs have found their place in spam. A 100% result is guaranteed by scammers selling aphrodisiacs – chemicals that attract individuals of the opposite sex.Ointments that increase the size of the penis many times over are constantly offered in Western spam, while in Japanese there are promises to increase breast volume without resorting to plastic surgery. Anything that never makes it to the shelves of real pharmacies, such as pills that change the taste or volume of semen, are sold only through illegal mailings.

Technical features of pharmaceutical spam

From a technical point of view, pharmaceutical spam is one of the most sophisticated types of unsolicited mailings.The list of popular drugs is not long and has long been included in mail filtering systems. Therefore, spammers have to solve a difficult task: how to convey to the addressee an advertisement containing the names of drugs that are boring to everyone, “deceiving” anti-spam filters.

The easiest way to mislead the machine is to dilute the name of the tablets with spaces, periods or other symbols: V i a_g.r, and LaEcVeIgTmRnA . The technique is widely used when part of the letters is replaced with symbols similar in outline.For example, l changes to one, a to @, etc.: / @ 1 | um (ia1I $ . A person can read this, but the program is not always.

However, the use of these techniques often leads to significant distortion of the text. As a result, in cases where spam does reach the recipient, the recipient may not always be able to guess what exactly the spammers are offering him to buy.

Therefore, more experienced craftsmen resort to HTML markup language. By using invisible text (white font on a white background) or by breaking bits of words across cell tables, fraudsters try to get users to see normal text, which remains a meaningless jumble for the machine.

This is what the user sees:

And this is how the robot “sees” the letter:

With the development of zombie networks, spammers got the opportunity to send out huge letters in which advertising phrases are literally drawn in the picture. Recognizing text from an image is still a difficult technical task for a computer, especially if the criminals have distorted the picture, added a random background, or simply cut it into small pieces.

90,000 Steven Soderbergh’s thriller Side Effects with Rooney Mara and Jude Law was released

The pharmaceutical thriller “Side Effects” with Rooney Mara and Jude Law was released – the last, according to the author’s assurances, a film by Steven Soderbergh.

Three months before the trail of blood crosses an apartment in Manhattan, Emily Taylor (Rooney Mara) waits for her husband (Channing Tatum) to be released from prison, sinks into despondency, and one day finds herself in a hospital bed in front of a psychiatrist who asks a delicately formulated question: “ Is it true that today you wanted to harm yourself? “True, but instead of hospitalization, Dr. Jonathan Banks (Jude Law) lets the patient go home in exchange for a promise not to do so again and to make an appointment with him. Further, in the course of treatment for chronic depression, the names of antidepressants are changed:

makes some feel sick, others feel dizzy, almost everyone loses interest in sex, but none makes life more pleasant.

Along the way, it turns out that Emily’s nerves have failed for the first time, her former attending physician Victoria Siebert (Catherine Zeta-Jones), new names of drugs and new side effects appear on the horizon.

Stephen Soderbergh, who has explored genres in recent years,

shot an exemplary (like previous works) thriller about femme fatale, psychiatry, pharmaceutical companies, lies and paranoia.

Such that about a third of the film thinks that this is a melancholic satire on the high society, which is tightly addicted to pills, where no conversation is complete without a list of uplifting drugs: “What are you taking? XXX? I felt bad from him too, but a friend advised YYY – and it became much better. “Even the psychiatrist’s wife receives a blue pill from her husband’s hands before an important interview.

“This is ZZZ, you don’t change from them, but only concentrate better on who you are” is an extremely tempting description.

Doctors exchange their experience in prescribing a variety of drugs and for solid rewards sign up to participate in testing not yet on sale, offering their patients free treatment in the framework of pharmacological research. Catherine Zeta-Jones looks out from behind her glasses with the smile of an ogre, a killer in a white coat.

But what could, and even a couple of hints, promised to become a drama about medical responsibility, medical ethics and the sinister role of pharmaceutical companies in the life of society, is consistently turning into forensic, psychiatric and erotic thrillers.

Soderbergh, like a confident doctor, deftly manipulates the states of the patient-viewer: plunges him into a trance with the music of Thomas Newman, disturbs him with close-ups of Rooney Mara’s darkened face. Her vulnerability is hard to discern Lisbeth Salander from Fincher’s The Girl with the Dragon Tattoo: here the girl walks through the film as a fragile shadow.The degree of insanity gradually builds up and the relaxed conversations are replaced by panic, hysteria, mistakes and one by one plot twists. Attention to detail is the rarest: fill in the name of the plot-forming drug Ablixa in a search engine – you can believe in its real existence and even chat with Dr. Jonathan Banks from the film. A masterful work, but special attention is drawn to it by the director’s comments, from which it follows that further

he does not intend to shoot a big movie: there will be serials, theatrical projects, maybe radical art-house experiments.

If Soderbergh had stopped, for example, on “Infection”, one could quote the classic: “A plague on both your houses!” Literally – I’m tired of you, I’ll feed you a virus goodbye. But it would be more difficult to interpret each film following “Contagion” as a final statement. In Knockout, professional fighter Gina Carano thrashed one famous artist after another. Including Channing Tatum. It turned out to be an old-school flip-flop action movie with elements of exploitation. Then Tatum played a stripper for Soderbergh in Super Mike.And so, shortly after the premiere at the Berlinale, Side Effects came out.

It is pointless to search for summing up in this work. The author, who at one time publicly went crazy in “Schizopolis” and was reborn as a big Hollywood director, put all the checkmarks in the bypass sheet. The cells are over, we look at the hero through the barred window and ask ourselves the question: “How is he there?”

“Much better” – they answer us.

90,000 “Unexpected side effects of drugs” – Yandex.Kew

Upset stomach, nausea, pain in muscles and joints, headaches are common side effects when taking medications. But sometimes the body reacts so strangely to an allergy remedy, an antibiotic or a sleeping pill that it is just right to be frightened. What if you suddenly felt weakness, you suddenly felt like sleeping, there was a fog in your eyes, or hallucinations began? Of course, contact your doctor as soon as possible. Here are the strangest side effects of common medications you may encounter.

Hallucinations

What is not really there can be seen, heard or felt by taking the usual sleeping pill Lunesta (eszopiclone).

Medicine

for depression Lexapro (escitalopram), unfortunately, can cause the same side effect.

Discoloration of urine

The urine can turn pink due to the fact that you have eaten beets, orange, if you overdo it with vitamins.This is not dangerous and has happened to you at least once. But what if the urine turns green or blue? This is most likely a side effect of antidepressant Elavil (amitriptyline) or pain reliever Indocin (indomethacin).

Antibiotic Flagil

(metronidazole) may turn your urine black.

Vivid dreams, blackouts

If you decide to quit smoking with Chantix (varenicline), dreams can become very vivid and exciting.Do you need to see a doctor, even if in a dream you lead a more interesting life than in reality? Sure. Sleeping pills Ambien (zolpidem) can cause sleepwalking symptoms. A person can get up at night, drive a car, talk on the phone and even have sex, and in the morning he does not remember anything about it.

Bloating

Preparations against constipation containing lactulose or sorbitol, as well as antacids , which include calcium carbonate, can cause bloating (flatulence).The problem is unpleasant, especially when it manifests itself not at home, but in the office or in a public place. For example, Prilosec (omeprazole), a drug used to treat heartburn or GERD, causes bloating.

Weight gain

You can add 10 kg in just 3 months by taking antipsychotic Zyprex (olanzapine), aimed at treating bipolar disorder. Antidepressants such as Paxil (paroxetine) can cause the same side effect.Other medicines that can affect weight: steroids, birth control pills, hormone replacement therapy, diabetes medications.

Decreased libido

Basically, a decrease in sexual desire is caused by antidepressants – selective serotonin reuptake inhibitors: Prozac (fluoxetine), Celexa (citalopram), Zoloft (sertraline). Another side effect of these drugs can be priapism, a painful erection that lasts more than 4 hours and is not associated with sexual arousal.An example is the antidepressant Desyrel (trazodone).

Visual impairment

Distortions of visual perception (fog, halos, bifurcation of objects) can cause antihistamines , drugs for lowering blood pressure , drugs against malaria and tuberculosis . You can also see everything through blue or green “glasses” – by taking Viagra (sildenafil). But better not.

Hair loss / abnormal hair growth

Hair loss can be caused by the cancer treatment , but there are several common medications that can cause this side effect.These include blood thinners , birth control pills , antidepressants and gout drugs . Sometimes medications provoke excessive hair growth in the most unexpected places. It can be steroid drugs or a drug for treatment of endometriosis in women – Danocrin (danazol).

Tendon rupture

Fluoroquinolone antibiotics *** may damage the Achilles tendon.If you have been prescribed fluoroquinolone Cipro (ciprofloxacin) or Levaquin (levofloxacin), keep this in mind.

If strange symptoms appear that do not cause discomfort, but are still frightening, discuss this with your doctor. In any case, even if treatment or drug withdrawal is not required, it will not hurt to know what is happening to your body.

*** US Food and Drug Administration (FDA)

issued

bulletin on side effects fluoroquinolone antibiotics , aimed at treating infections of the genitourinary system, intestines, nasopharynx, eyes, ears, lungs and bronchi.It is reported that fluoroquinolones can cause significant decreases in blood sugar levels as well as adversely affect the functioning of the central nervous system (CNS). The bulletin clarifies that a sudden drop in blood sugar (hypoglycemia) can cause coma . And violations of the central nervous system can manifest itself in the form of decreased attention and memory, disorientation, excitability, nervousness, confusion.

If the attending physician has prescribed a fluoroquinolone antibiotic, the patient with diabetes must inform him about his illness and list the medications he is taking.If the appointment remains in effect for one reason or another, it is necessary to carefully monitor the blood sugar level and know the symptoms of hypoglycemia. Early signs include: confusion, rapid heart rate, heart palpitations, dizziness, pale skin, sweating, unusual hunger, tremors, headache, irritability.

Physicians, when prescribing fluoroquinolones, should take into account the increased risk of hypoglycemia (and coma) in elderly diabetic patients and in diabetic patients who are prescribed oral hypoglycemic (antidiabetic) drugs or insulin. If the patient reports the appearance of side effects associated with a dysfunction of the central nervous system or characteristic of hypoglycemia, it is advisable to change the treatment regimen for the infection.

Physicians should not prescribe fluoroquinolones to patients for whom other treatment options are available for acute bacterial sinusitis, acute bacterial exacerbation, chronic bronchitis, and uncomplicated urinary tract infections, since the risks outweigh the benefits of .

Fluoroquinolones – broad-spectrum antibiotics capable of suppressing the activity of gram-positive (staphylococci, streptococci, clostridia, corynebacteria, listeria; diseases of the nasopharynx, eyes, ears, lungs, bronchi) and gram-negative bacteria (Escherichia coli, Salmonella, Shigabella, Moraine ; diseases of the intestines and genitourinary system).

Broad-spectrum antibiotics are prescribed when the causative agent of the infection cannot be identified as a result of tests or it is impossible to analyze for bacterial culture.