Talk:Sertraline - PsychonautWiki

Talk:Sertraline

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Serotonin syndrome and/or a prolonged heart QT interval can occur with using SSRIs (such as citalopram, paroxetine, or sertraline) with SNRIs, SRAs (such as MDMA), DXM, serotonergic stimulants (such as cocaine), MAOIs, and RIMAs.

It is strongly discouraged to consume moderate to heavy dosages of these substances together.

Sertraline
Sertraline.svg
Chemical Nomenclature
Common names Zoloft, Lustral
Substitutive name Sertraline
Systematic name (1S,4S)-4-(3,4-dichlorophenyl)-N-methyl-1,2,3,4-tetrahydronaphthalen-1-amine
Class Membership
Psychoactive class Antidepressant (SSRIs)
Chemical class Diphenylamine
Routes of Administration

WARNING: Always start with lower doses due to differences between individual body weight, tolerance, metabolism, and personal sensitivity. See responsible use section.



Oral
Dosage
Bioavailability 44%
Threshold 25 mg
Light 50 - 100 mg
Common 100 - 150 mg
Strong 150 - 200 mg
Heavy 200 mg +
Duration
Total 24 - 32 hours
Onset 1 - 2 hours









DISCLAIMER: PW's dosage information is gathered from users and resources for educational purposes only. It is not a recommendation and should be verified with other sources for accuracy.

A tablet of brand-name Zoloft. Dose is 50 miligrams.

Sertraline (also known as Zoloft) is an SSRI substance and pharmaceutical of the substituted tametraline chemical class that produces anxiolytic and antidepressant effects when administered. 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.

Chemistry

Sertraline is a substituted tametraline.

Pharmacology

Sertraline is a selective reuptake inhibitor of serotonin; a class of drug that increases levels of extracellular serotonin, meaning that more serotonin is present in the brain. Sertraline is used for depression and anxiety disorders because it is hypothesized that people with these disorders may have low serotonin levels.

Sertraline promotes neurogenesis (the growth of neurons). This is a useful property in neurodegenerative diseases, such as Huntington's disease.[1][2][3]

Its metabolite, norsertraline, also inhibits reuptake of serotonin, but more weakly than sertraline. [4][5]

Subjective effects

Disclaimer: The effects listed below cite the Subjective Effect Index (SEI), an open research literature based on anecdotal user reports and the personal analyses of PsychonautWiki contributors. As a result, they should be viewed with a healthy degree of skepticism.

It is also worth noting that these effects will not necessarily occur in a predictable or reliable manner, although higher doses are more liable to induce the full spectrum of effects. Likewise, adverse effects become increasingly likely with higher doses and may include addiction, severe injury, or death ☠.


Physical effects
 

Cognitive effects
 

Paradoxical effects
 


Experience reports

There are currently no anecdotal reports which describe the effects of this compound within our experience index. Additional experience reports can be found here:

Legal status

 

This legality section is a stub.

As such, it may contain incomplete or wrong information. You can help by expanding it.

  • Australia: Sertraline is available through a prescription only.[citation needed]
  • Brazil: Sertraline is available through a prescription only and is controlled.[citation needed]
  • Canada: Sertraline is available through a prescription only.[citation needed]
  • Germany: Sertraline is available through a prescription.[citation needed]
  • New Zealand: Sertraline is available through a prescription only.[citation needed]
  • Russia: Sertraline is available through a prescription.[citation needed]
  • United Kingdom: Sertraline is available through a prescription only.[citation needed]
  • United States: Sertraline is available through a prescription only.[citation needed]

See also

External links

References

  1. Anacker, C., Zunszain, P. A., Cattaneo, A., Carvalho, L. A., Garabedian, M. J., Thuret, S., ... & Pariante, C. M. (2011). Antidepressants increase human hippocampal neurogenesis by activating the glucocorticoid receptor. Molecular psychiatry, 16(7), 738.
  2. Peng, Q., Masuda, N., Jiang, M., Li, Q., Zhao, M., Ross, C. A., & Duan, W. (2008). The antidepressant sertraline improves the phenotype, promotes neurogenesis and increases BDNF levels in the R6/2 Huntington's disease mouse model. Experimental neurology, 210(1), 154-163.
  3. Duan, W., Peng, Q., Masuda, N., Ford, E., Tryggestad, E., Ladenheim, B., ... & Ross, C. A. (2008). Sertraline slows disease progression and increases neurogenesis in N171-82Q mouse model of Huntington's disease. Neurobiology of disease, 30(3), 312-322.
  4. Koe, B. K., Weissman, A. L. B. E. R. T., Welch, W. M., & Browne, R. G. (1983). Sertraline, 1S, 4S-N-methyl-4-(3, 4-dichlorophenyl)-1, 2, 3, 4-tetrahydro-1-naphthylamine, a new uptake inhibitor with selectivity for serotonin. Journal of Pharmacology and Experimental Therapeutics, 226(3), 686-700.
  5. Wong, D. T., Bymaster, F. P., & Engleman, E. A. (1995). Prozac (fluoxetine, Lilly 110140), the first selective serotonin uptake inhibitor and an antidepressant drug: twenty years since its first publication. Life sciences, 57(5), 411-441.
  6. Didham, R. C., McConnell, D. W., Blair, H. J., & Reith, D. M. (2005). Suicide and self‐harm following prescription of SSRIs and other antidepressants: confounding by indication. British journal of clinical pharmacology, 60(5), 519-525.
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