SERTRALINE (aka Lustral / Zoloft) | Uses, side effects, common doses [Educational guide] — Transcript

Full transcript

1. 0:00in this video you're going to learn key
2. 0:01things you need to know about a
3. 0:02medication that's often used to treat
4. 0:04depression called Sertraline which is
5. 0:06also known by its brand name lustral in
6. 0:09this video we're going to cover what
7. 0:10Sertraline is and how it works how long
8. 0:13it usually takes to see effects once
9. 0:14you've started the medicine who can as
10. 0:17well as can't take it how you take it
11. 0:19and what to do if you accidentally take
12. 0:21too much as well as side effects and
13. 0:23finally interactions with other
14. 0:25medicines now these sections are time
15. 0:28stamped so if you want to skip ahead to
16. 0:29a particular section of the video please
17. 0:31feel free to do so but I would recommend
18. 0:33you stay around for the entire video
19. 0:35because it's going to be packed full of
20. 0:36useful information so first of all let's
21. 0:39see how Sertraline works well Sertraline
22. 0:42is a type of antidepressant known as a
23. 0:44selective serotonin reuptake inhibitor
24. 0:46you also may know this as an SSRI now I
25. 0:50know this sounds quite complex but
26. 0:52actually we can break it down into
27. 0:53something quite simple so serotonin is a
28. 0:56chemical that's circulating in the brain
29. 0:58and it's commonly known as the field a
30. 1:00good chemical if the chemical is taken
31. 1:02up then the circulating levels drop
32. 1:04which may in turn make your mood drop
33. 1:06now Sertraline works by blocking The
34. 1:09receptors in the brain that take up
35. 1:11serotonin which in theory should leave
36. 1:13more serotonin circulating around your
37. 1:15brain and in theory hopefully make your
38. 1:17mood better now as well as depression it
39. 1:20can also be used to try and treat other
40. 1:21conditions including post-traumatic
41. 1:23stress disorder which is known as PTSD
42. 1:26or obsessive compulsive disorder also
43. 1:28known as OCD here in the UK sertralines
44. 1:31available on prescription only meaning
45. 1:33that your doctor is going to have to
46. 1:34prescribe it for you and it comes as
47. 1:36tablets now in terms of when you might
48. 1:39start to expect to see the effect of
49. 1:41Sertraline this is obviously going to
50. 1:42vary from Individual to individual but
51. 1:45usually it takes between four to six
52. 1:47weeks for sertraline to work fully
53. 1:49although you should usually start to
54. 1:50feel better after two weeks but again I
55. 1:53want to stress that this is going to
56. 1:54vary depending on individuals so who can
57. 1:57and cannot take Sertraline or Sertraline
58. 1:59can be taken by most adults over the age
59. 2:01of 18 but if you've got diabetes it can
60. 2:03make your blood sugars a little bit more
61. 2:05unstable so it's going to be important
62. 2:07to keep a close eye on these now like
63. 2:09any medicine surgery may not be suitable
64. 2:11for everyone and you should tell your
65. 2:13doctor if you've ever had an allergic
66. 2:15reaction to surgery if you've got heart
67. 2:17problems because occasionally search
68. 2:19link can give you an irregular heartbeat
69. 2:21or if you're trying to get pregnant or
70. 2:22you're breastfeeding as well as if
71. 2:24you've got an eye condition called
72. 2:26glaucoma or if you've got epilepsy
73. 2:28because Sertraline May slightly increase
74. 2:30your risk of having a fit or a seizure
75. 2:32so now let's discuss how and when to
76. 2:34take it so the Practical things that you
77. 2:36need to know well certainly Lane comes
78. 2:38as many different ranges of tablets
79. 2:40including 25 50 or 100 milligrams now
80. 2:43the usual starting dose of Sertraline is
81. 2:4450 milligrams once a day in adults but
82. 2:46your doctor may start you want a lower
83. 2:48dose then increase it gradually and this
84. 2:50can be done up to a maximum dose of 200
85. 2:52milligrams a day if you've got liver
86. 2:54problems your doctor may also give you a
87. 2:57lower dose now the usual dose of
88. 2:59Sertraline for children will generally
89. 3:01be lower than for adults but for
90. 3:03children aged 6 to 12 it's normally
91. 3:05started at 25 milligrams a day and for
92. 3:07children 13 to 17 is 50 milligrams a day
93. 3:10now Sertraline is normally taken once a
94. 3:13day and it can be taken with or without
95. 3:15food you can take it at any time of day
96. 3:17but try to stick to the same time each
97. 3:19day and if you find that you're having
98. 3:21trouble sleeping then it's best to take
99. 3:23it in the morning now if you start to
100. 3:25feel better after you've started take
101. 3:27Sertraline that's fantastic news but
102. 3:29please don't suddenly stop taking it
103. 3:31it's likely that the doctor is going to
104. 3:33advise you to continue taking it for at
105. 3:35least six to 12 months and if you stay
106. 3:37going to stop taking it and they're
107. 3:39going to want to reduce it slowly over
108. 3:41several weeks if you stop taking it too
109. 3:43quickly then research has shown that
110. 3:45your depression can return so it's
111. 3:47really important to get this right now
112. 3:49if you accidentally forget to take your
113. 3:51Sertraline don't worry it's an easy
114. 3:53mistake that we can all make but try to
115. 3:55remember to take your medicine the next
116. 3:56day don't take two tablets to make up
117. 3:59for a missed one now if you take too
118. 4:01much Sertraline then the side effects
119. 4:03are going to vary from person to person
120. 4:05and we'll cover these in the next
121. 4:06section of the video so let's now
122. 4:08discuss side effects well because like
123. 4:10all medicines Sertraline can cause side
124. 4:12effects although not everybody gets them
125. 4:14now common side effects usually happen
126. 4:17in more than one in 100 people and these
127. 4:19can include things like feeling sick
128. 4:21which is medically known as nausea
129. 4:23headaches being unable to sleep or
130. 4:26feeling very sleepy as well as diarrhea
131. 4:28dry mouth feeling dizzy as well as
132. 4:31feeling tired or weak now thankfully the
133. 4:34serious side effects are less common and
134. 4:36they usually affect less than one in 100
135. 4:38people but these include things like
136. 4:40changes in your periods such as heavy
137. 4:42bleeding spotting or even bleeding in
138. 4:45between periods weight gain or weight
139. 4:47loss without trying and that can be very
140. 4:49common with most ssris you should seek
141. 4:53urgent medical attention if you develop
142. 4:55feelings of overwhelming happiness as
143. 4:57well as excessive enthusiasm or
144. 4:59excitement or a feeling of restlessness
145. 5:02that means you can't sit or stand still
146. 5:04you should also see a doctor if you
147. 5:05notice the whites of your eyes have
148. 5:07turned yellow or your skin has got a
149. 5:09yellow tinge to it this may be less
150. 5:10noticeable on darker skin but these
151. 5:13could potentially be signs of liver
152. 5:14problems also see your doctor if you
153. 5:17cough up blood or you've got blood in
154. 5:19your pee or if you've got black or red
155. 5:21poo or blood in your vomit because these
156. 5:23could be signs of bleeding from the gut
157. 5:24you should also see your doctor if
158. 5:26you're bleeding from the gums or you get
159. 5:28bruises that appear without a reason or
160. 5:30get bigger if you take Sertraline for
161. 5:33over a year then there is a slightly
162. 5:35increased risk of developing diabetes so
163. 5:37it's going to be be important to monitor
164. 5:38your blood sugars when you're taking it
165. 5:40and there may be some other side effects
166. 5:42such as reduced sex drive or
167. 5:44difficulties getting an erection and
168. 5:46again if you get any of these speak to
169. 5:48your doctor so you can make a plan
170. 5:50together about whether you continue the
171. 5:51medicine you lower the dose or you look
172. 5:53at Alternatives now this isn't
173. 5:55exhaustive or full list of the side
174. 5:57effects and for a full list please make
175. 5:59sure you read the information leaflet on
176. 6:01the inside of your medicine packet
177. 6:02before you start taking the medicine I
178. 6:04think it's always best to be informed
179. 6:06about what you're putting into your own
180. 6:08body so now let's move on and talk about
181. 6:10interactions or cautions with other
182. 6:12medicines now some medicines don't mix
183. 6:14well with sertraline and you should tell
184. 6:16your doctor if you're taking any
185. 6:17medicines that affect your heartbeat
186. 6:19because as a
187. 6:20and you should tell your doctor if
188. 6:21you're taking any medicines that affect
189. 6:23your heartbeat because as I've already
190. 6:25mentioned Sertraline can make your
191. 6:27heartbeat faster or it can cause an
192. 6:29irregular heartbeat you should also tell
193. 6:31them if you're taking other medicines
194. 6:33for depression or if you've taken any in
195. 6:35the past because some antidepressants
196. 6:37can affect Sertraline and cause very
197. 6:39high blood pressure even after you've
198. 6:40stopped taking them in general
199. 6:42Sertraline is thought to be okay to take
200. 6:44in pregnancy as well as if you're
201. 6:46breastfeeding but you should always talk
202. 6:47to your Midwife or your doctor if you
203. 6:49are pregnant or you're planning to get
204. 6:51pregnant so that you can weigh up the
205. 6:52risks and benefits of taking this
206. 6:53medicine against your own mental health
207. 6:55as well as the health of that of your
208. 6:57baby that brings us to the end of the
209. 6:59video I hope you found it useful and
210. 7:00informative and for a full list of the
211. 7:02resources and references that I use to
212. 7:04make the video please check out the
213. 7:05description box and if you enjoyed the
214. 7:07video please remember to give it a
215. 7:08thumbs up leave me a comment if you want
216. 7:10to share experience of this medicine and
217. 7:12subscribe to the channel if you've not
218. 7:13done so already once again thanks for
219. 7:15watching and until next time bye
220. 7:19[Music]
221. 7:22foreign