ZOLOFT
Posted: Tue Apr 26, 2005 9:56 am
Dear Melissa
Getting someone off any allopathic medication can be tough.
I would suggest that you need to establish a good homoeopathic remedy for
this patient and then think about withdrawal.
I would also recommend that you liaise with the person who prescribed this
medicine.
When it comes to the actual withdrawal, unless they have it in liquid form
for children, then you have a problem as it comes in capsules.
I would discuss it with a pharmacist as to how each dose could be reduced by
a small amount.
With tablets I get the patient to scrape the tablet against a dedicated
metal nail file, cumulatively one scrape for each dose taken.
With liquids you can use a graduated syringe and reduce the amount by a
division daily.
Rgds
Soroush
=====
Summary
ZOLOFT Pfizer
Sertraline HCI
Use:
SSRI. Depression: Patients > 18 years of age: Initially, 50 mg once daily;
increase dosage gradually, if needed, at 1-week intervals. Maximum: 200
mg/day. Maintenance: lowest effective dose.
Panic disorder: 25 mg once daily and increase, if necessary, by 50 mg
increments at intervals of no less than 1 week, to a maximum of 200 mg/day.
Obsessive-compulsive disorder (OCD): Initially, 50 mg/day. Thereafter,
increase the dosage, if necessary, by 50 mg increments, over several weeks
or months, to a maximum of 200 mg/day.
Zoloft's effectiveness for more than 12 weeks of therapy in panic disorder
and OCD not yet established.
Contraindications:
Not to be use with an MAOI or within 14 days of starting or discontinuing
MAOI therapy. Concomitant use with pimozide.
Precautions:
Pregnancy, lactation, patients< 18 years of age. Seizure disorders, a
history of drug abuse, renal or hepatic impairment. Activation of
mania/hypomania, suicidal tendency, concomitant illnesses that could affect
metabolism or hemodynamic responses. Rare reports of altered platelet
function; hyponatremia, possibly due to the syndrome of inappropriate
antidiuretic hormone secretion.
Side effects:
Nausea, diarrhea/loose stools, dyspepsia, male sexual dysfunction (primarily
ejaculatory delay), insomnia, somnolence, tremor, increased sweating, dry
mouth, dizziness.
Interactions:
See Contraindications. Use cautiously with CNS-active drugs; serotonergic
drugs, such as fenfluramine, should not be used with sertraline.
Hypoglycemic agents, drugs highly bound to plasma proteins, cimetidine (may
decrease clearance of sertraline). Warfarin (monitor PT). St. John's Wort
(increase in undesirable effects).
Patient tips:
Full therapeutic effect may be delayed until 4 or more weeks of treatment.
Take capsules with food once daily, preferably with evening meal or
breakfast. May cause dizziness (NB driving). Restrict alcohol intake.
Supplied:
25 mg, 50 mg, 100mg capsules.
Message: 25
Date: Mon, 25 Apr 2005 21:30:06 -0700 (PDT)
From: Melissa Bolling
Subject: Re: Looking for info to help get child off Zoloft
Hi everyone. I just got a message back from the mother and they live in the
Minneapolis/St. Paul area of Minnesota. Just north of there actually. She
is very open to homeopathy (yeah!) and would like help with a referral if
possible. If anyone has any suggestions I would very much appreciate any
help.
Getting someone off any allopathic medication can be tough.
I would suggest that you need to establish a good homoeopathic remedy for
this patient and then think about withdrawal.
I would also recommend that you liaise with the person who prescribed this
medicine.
When it comes to the actual withdrawal, unless they have it in liquid form
for children, then you have a problem as it comes in capsules.
I would discuss it with a pharmacist as to how each dose could be reduced by
a small amount.
With tablets I get the patient to scrape the tablet against a dedicated
metal nail file, cumulatively one scrape for each dose taken.
With liquids you can use a graduated syringe and reduce the amount by a
division daily.
Rgds
Soroush
=====
Summary
ZOLOFT Pfizer
Sertraline HCI
Use:
SSRI. Depression: Patients > 18 years of age: Initially, 50 mg once daily;
increase dosage gradually, if needed, at 1-week intervals. Maximum: 200
mg/day. Maintenance: lowest effective dose.
Panic disorder: 25 mg once daily and increase, if necessary, by 50 mg
increments at intervals of no less than 1 week, to a maximum of 200 mg/day.
Obsessive-compulsive disorder (OCD): Initially, 50 mg/day. Thereafter,
increase the dosage, if necessary, by 50 mg increments, over several weeks
or months, to a maximum of 200 mg/day.
Zoloft's effectiveness for more than 12 weeks of therapy in panic disorder
and OCD not yet established.
Contraindications:
Not to be use with an MAOI or within 14 days of starting or discontinuing
MAOI therapy. Concomitant use with pimozide.
Precautions:
Pregnancy, lactation, patients< 18 years of age. Seizure disorders, a
history of drug abuse, renal or hepatic impairment. Activation of
mania/hypomania, suicidal tendency, concomitant illnesses that could affect
metabolism or hemodynamic responses. Rare reports of altered platelet
function; hyponatremia, possibly due to the syndrome of inappropriate
antidiuretic hormone secretion.
Side effects:
Nausea, diarrhea/loose stools, dyspepsia, male sexual dysfunction (primarily
ejaculatory delay), insomnia, somnolence, tremor, increased sweating, dry
mouth, dizziness.
Interactions:
See Contraindications. Use cautiously with CNS-active drugs; serotonergic
drugs, such as fenfluramine, should not be used with sertraline.
Hypoglycemic agents, drugs highly bound to plasma proteins, cimetidine (may
decrease clearance of sertraline). Warfarin (monitor PT). St. John's Wort
(increase in undesirable effects).
Patient tips:
Full therapeutic effect may be delayed until 4 or more weeks of treatment.
Take capsules with food once daily, preferably with evening meal or
breakfast. May cause dizziness (NB driving). Restrict alcohol intake.
Supplied:
25 mg, 50 mg, 100mg capsules.
Message: 25
Date: Mon, 25 Apr 2005 21:30:06 -0700 (PDT)
From: Melissa Bolling
Subject: Re: Looking for info to help get child off Zoloft
Hi everyone. I just got a message back from the mother and they live in the
Minneapolis/St. Paul area of Minnesota. Just north of there actually. She
is very open to homeopathy (yeah!) and would like help with a referral if
possible. If anyone has any suggestions I would very much appreciate any
help.