Sertraline
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| Trade names | Zoloft and others |
| AHFS/Drugs.com | Monograph |
| MedlinePlus | a697048 |
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| Routes of administration |
By mouth (tablets and solution) |
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| Pharmacokinetic data | |
| Bioavailability | 44% |
| Protein binding | 98.5% |
| Metabolism | Hepatic (N-demethylation mainly by CYP2B6) |
| Biological half-life | ~23-26 h (66 h [less-active metabolite, norsertraline]) |
| Excretion | Renal |
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| Chemical and physical data | |
| Formula | C17H17Cl2N |
| Molar mass | 306.229 g/mol |
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Sertraline (trade names Zoloft and others) is an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class. It was introduced to the market by Pfizer in 1991. Sertraline is primarily prescribed for major depressive disorder in adult outpatients as well as obsessive-compulsive disorder, panic disorder, and social anxiety disorder, in both adults and children. In 2013, it was the most prescribed antidepressant and second most prescribed psychiatric medication (after alprazolam) on the U.S. retail market, with over 41 million prescriptions.
Differences with other newer antidepressants are subtle and mostly confined to side effects. It has a similar tolerability profile to other SSRIs, with the types of adverse events usually including diarrhea, nausea, and sexual dysfunction. The incidence of diarrhea was higher with sertraline—especially when prescribed at higher doses—in comparison to other SSRIs.
Sertraline is used for a number of conditions including: major depression, obsessive-compulsive disorder (OCD), body dysmorphic disorder (BDD), posttraumatic stress disorder (PTSD), premenstrual dysphoric disorder (PMDD), panic disorder and social anxiety disorder. It has also been used for premature ejaculation and vascular headaches but evidence of the effectiveness in treating those conditions is not robust.
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