{"id":59232,"date":"2024-02-28T05:47:25","date_gmt":"2024-02-28T05:47:25","guid":{"rendered":"https:\/\/medsname.com\/sertima\/"},"modified":"2026-05-01T10:49:15","modified_gmt":"2026-05-01T10:49:15","slug":"sertima","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/sertima\/","title":{"rendered":"Sertima"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Sertima?<\/h3>\n<div style=\"margin:0;\">\n<p style=\"margin:0;\"><strong>Sertima<\/strong> con\u021bine <strong>sertralin\u0103 hidroclorur\u0103 (50 mg \/ 100 mg)<\/strong> from a WHO-GMP certified manufacturer (made by Intas Pharmaceuticals) &mdash; an <strong>SSRI<\/strong> cu dovezi ample \u00een tratamentul depresiei \u0219i tulbur\u0103rilor din spectrul anxiet\u0103\u021bii. Doza standard pentru adul\u021bi: <strong>50 mg o dat\u0103 pe zi<\/strong> cu alimente (interval 50\u2013200 mg\/zi; titrare cu 50 mg la fiecare 1\u20132 s\u0103pt\u0103m\u00e2ni). Efectul este progresiv: anxietatea\/somnul se \u00eembun\u0103t\u0103\u021besc adesea \u00een 1\u20132 s\u0103pt\u0103m\u00e2ni; r\u0103spunsul complet asupra st\u0103rii de spirit la 4\u20136 s\u0103pt\u0103m\u00e2ni. <strong>Efecte secundare frecvente la \u00eenceput<\/strong> \u2014 grea\u021b\u0103, scaune moi, dureri de cap, agita\u021bie, insomnie sau somnolen\u021b\u0103 tranzitorie \u2014 dispar de obicei \u00een 7\u201314 zile. <strong>Persistent<\/strong>: disfunc\u021bie sexual\u0103 (~40%), transpira\u021bie \u0219i modific\u0103ri modeste ale greut\u0103\u021bii. Sertralina are <strong>cel mai curat profil CYP dintre SSRI<\/strong> \u2014 inhibi\u021bie mai slab\u0103 a CYP2D6 dec\u00e2t paroxetina sau fluoxetina, f\u0103c\u00e2nd-o o alegere sensibil\u0103 pentru pacien\u021bii care iau multiple medicamente.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 22px 0;border-radius:4px;font-size:14px;\"><strong>Important \u2014 acesta nu este un medicament pentru anxietate situa\u021bional\u0103.<\/strong> Sertima is a <strong>inhibitor selectiv de recaptare a serotonin\u0103i (ISRS)<\/strong>, prescris \u0219i titrat pe s\u0103pt\u0103m\u00e2ni pentru <strong>tulburare depresiv\u0103 major\u0103 (MDD), tulburare obsesiv-compulsiv\u0103 (OCD), tulburare de panic\u0103, tulburare de anxietate social\u0103, tulburare de stres post-traumatic (PTSD) \u0219i tulburare disforic\u0103 premenstrual\u0103 (PMDD)<\/strong>. Este <strong>prime\u0219te,<\/strong> medicamentul potrivit pentru anxietatea acut\u0103 legat\u0103 de performan\u021b\u0103 (zbor, vorbire \u00een public, examene) \u2014 pentru acele cazuri, beta-blocantele (propranolol), benzodiazepinele sau hidroxizina sunt op\u021biuni clinice adecvate. Dac\u0103 nu ave\u021bi o tulburare de dispozi\u021bie, anxietate sau psihiatric\u0103 diagnosticat\u0103, nu \u00eencepe\u021bi acest tratament.<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 22px 0;border-radius:4px;font-size:14px;\"><strong>Avertizare FDA black-box \u2014 suicidalitate.<\/strong> Toate antidepresivele poart\u0103 un avertisment FDA \u00een cadru negru privind riscul crescut de g\u00e2nduri \u0219i comportament suicidare la copii, adolescen\u021bi \u0219i adul\u021bi tineri sub 25 de ani, \u00een special \u00een primele s\u0103pt\u0103m\u00e2ni de tratament sau dup\u0103 modific\u0103ri de doz\u0103. Membrii familiei \u0219i medicii prescriptori ar trebui s\u0103 monitorizeze \u00eendeaproape \u00eenr\u0103ut\u0103\u021birea st\u0103rii de spirit, agita\u021bia sau ideile suicidare \u00een aceast\u0103 grup\u0103 de v\u00e2rst\u0103.<\/div>\n<h2 class=\"wp-block-heading\">What Is Sertima?<\/h2>\n<p>Sertima is an oral tablet of <strong>sertralin\u0103 hidroclorur\u0103 (50 mg \/ 100 mg)<\/strong> manufactured by Intas Pharmaceuticals under WHO-GMP certification. Sertraline (brand name <strong>Zoloft<\/strong> \u00een SUA, <strong>Lustral<\/strong> \u00een Marea Britanie) este un <strong>inhibitor selectiv de recaptare a serotonin\u0103i (ISRS)<\/strong> lansat de Pfizer \u00een 1991 \u0219i unul dintre cele mai prescrise antidepresive la nivel mondial. Acesta blocheaz\u0103 selectiv transportorul presinaptic de serotonin\u0103 (SERT), cresc\u00e2nd serotonina sinaptic\u0103 disponibil\u0103 pentru a se lega de receptorii postsinaptici 5-HT pe parcursul s\u0103pt\u0103m\u00e2nilor de tratament.<\/p>\n<p>Sertralina este o recomandare de tratament de prim\u0103 linie \u00een ghidurile NICE, APA \u0219i WFSBP pentru depresia major\u0103 la adul\u021bi \u0219i primul SSRI aprobat de FDA pentru TOC pediatric (v\u00e2rst\u0103 \u2265 6 ani).<\/p>\n<h2 class=\"wp-block-heading\">Indica\u021bii aprobate<\/h2>\n<ul>\n<li><strong>Tulburarea depresiv\u0103 major\u0103 (MDD)<\/strong> la adul\u021bi; combina\u021biile sertralin\u0103-paroxetin\u0103 \u0219i sertralin\u0103-mirtazapin\u0103 sunt frecvent utilizate \u00een depresia rezistent\u0103 la tratament.<\/li>\n<li><strong>Tulburare obsesiv-compulsiv\u0103 (TOC)<\/strong> la adul\u021bi \u0219i copii cu v\u00e2rsta de 6 ani \u0219i peste; dozele sunt de obicei titrate mai mari dec\u00e2t pentru TDM (100\u2013200 mg\/zi).<\/li>\n<li><strong>Tulburare de panic\u0103<\/strong> cu sau f\u0103r\u0103 agorafobie; \u00eencepe\u021bi cu doze mai mici (12,5\u201325 mg) pentru a evita exacerbarea panicii timpurii.<\/li>\n<li><strong>Tulburarea de anxietate social\u0103 (fobie social\u0103)<\/strong> \u2014 tip cronic\/generalizat, nu doar de performan\u021b\u0103.<\/li>\n<li><strong>Tulburare de stres post-traumatic (TSPT)<\/strong> \u2014 unul dintre cei doi SSRI aproba\u021bi de FDA pentru aceast\u0103 indica\u021bie (al\u0103turi de paroxetin\u0103).<\/li>\n<li><strong>Tulburare disforic\u0103 premenstrual\u0103 (PMDD)<\/strong> \u2014 poate fi administrat continuu sau doar \u00een faza luteal\u0103 (zilele 14\u201328 ale ciclului).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Doze standard \u00een func\u021bie de indica\u021bie<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:0 0 22px 0;font-size:14px;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Indica\u021bie<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Inicia\u021bi<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">\u021aint\u0103<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Titrare<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">TDM, anxietate social\u0103, TSPT, TTDM<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">50 mg o dat\u0103 pe zi cu m\u00e2ncare<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">50\u2013200 mg\/zi<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Cre\u0219te\u021bi cu 50 mg la fiecare 1\u20132 s\u0103pt\u0103m\u00e2ni dac\u0103 este tolerat \u0219i exist\u0103 r\u0103spuns par\u021bial<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Tulburare de panic\u0103<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">12,5\u201325 mg\/zi \u00d7 1 s\u0103pt\u0103m\u00e2n\u0103<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">50\u2013200 mg\/zi<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Titrare mai lent\u0103 pentru a minimiza agita\u021bia timpurie \u0219i exacerbarea panicii<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">TOC (adul\u021bi)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">50 mg o dat\u0103 pe zi<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">100\u2013200 mg\/zi<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Adesea necesit\u0103 doza maxim\u0103 din interval; evalua\u021bi r\u0103spunsul dup\u0103 8\u201312 s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">TOC (copii 6\u201312 ani)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">25 mg o dat\u0103 pe zi<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">25\u2013200 mg\/zi<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Titrare lent\u0103; limite bazate pe greutate la copiii mai mici<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Insuficien\u021b\u0103 hepatic\u0103<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">25 mg o dat\u0103 pe zi<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">P\u00e2n\u0103 la 100 mg cu precau\u021bie<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Clearance redus \u2014 utiliza\u021bi doza efectiv\u0103 minim\u0103<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Efecte Secundare<\/h2>\n<h2 class=\"wp-block-heading\">Efecte secundare frecvente, persistente \u0219i rare<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:0 0 22px 0;font-size:14px;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Frecven\u021b\u0103<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Efect<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Note \/ management<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Frecvente (&gt;10%)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Grea\u021b\u0103, diaree, scaune moi<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Administrare cu m\u00e2ncare; de obicei dispare \u00een 1\u20132 s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Frecvente<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Insomnie sau somnolen\u021b\u0103<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Variabil \u2014 dac\u0103 are efect activare, administrare diminea\u021ba; dac\u0103 sedativ, administrare seara<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Frecvente<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Dureri de cap, ame\u021beli<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Hidratare adecvat\u0103; de obicei tranzitorii<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Frecvente<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Disfunc\u021bie sexual\u0103 (orgasm \u00eent\u00e2rziat, libido redus)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Persistente la p\u00e2n\u0103 la 40%; lua\u021bi \u00een considerare pauz\u0103 terapeutic\u0103, reducere de doz\u0103 sau trecere la bupropion\/mirtazapin\u0103 dac\u0103 intolerabil<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Frecvente<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Transpira\u021bie, gur\u0103 uscat\u0103<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Disconfort persistent de intensitate sc\u0103zut\u0103<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Mai pu\u021bin frecvent\u0103<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Cre\u0219tere \u00een greutate (modest\u0103, +1\u20133 kg pe parcursul a c\u00e2teva luni)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Mai pu\u021bin dec\u00e2t paroxetina sau mirtazapina<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Mai pu\u021bin frecvent\u0103<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Ecchimoz\u0103, hemoragie gastrointestinal\u0103<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Inhibitorii selectivi ai recapt\u0103rii de serotonin\u0103 (ISRS) reduc captarea serotonin\u0103 de c\u0103tre trombocite; precau\u021bie cu AINS\/anticoagulante<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Rare<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Hiponatremie (SIADH)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Persoanele \u00een v\u00e2rst\u0103 prezint\u0103 cel mai mare risc; verifica\u021bi Na+ \u00een caz de confuzie sau convulsii<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Rare<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Sindrom serotoninergic<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Consulta\u021bi sec\u021biunea despre interac\u021biuni medicamentoase<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Rare<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Prelungirea intervalului QT la doze mari<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Documenta\u021bi ECG de baz\u0103 la pacien\u021bii cu risc cardiac<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<p><strong>Contraindica\u021bii absolute<\/strong>: inhibitori ai monoaminoxidazei (IMAO), inclusiv selegilin\u0103, rasagilin\u0103, linezolid (un antibiotic cu activitate IMAO), albastru de metilen \u2014 este necesar <strong>14 zile<\/strong> un interval de sp\u0103lare \u00eenainte sau dup\u0103 sertralin\u0103. Pimozidul concomitent este contraindiat din cauza riscului de QT.<\/p>\n<p><strong>Risc de sindrom serotoninergic \u2014 combina\u021bi cu precau\u021bie \u0219i numai sub \u00eendrumarea medicului prescriptor<\/strong>: triptani (sumatriptan, rizatriptan), tramadol, petidin\u0103 (meperidin\u0103), dextrometorfan, sun\u0103toare, litiu, al\u021bi antidepresive serotoninergice.<\/p>\n<p><strong>Risc de hemoragie \u2014 combina\u021bi cu precau\u021bie<\/strong>: AINS, aspirin\u0103, warfarin\u0103, DOAC \u2014 SSRI reduc captarea serotonin\u0103 de c\u0103tre plachete.<\/p>\n<p><strong>Modific\u0103ri ale nivelului plasmatic<\/strong>: sertralina inhib\u0103 u\u0219or CYP2D6 (mai pu\u021bin dec\u00e2t paroxetina\/fluoxetina) \u2014 interac\u021biune moderat\u0103 cu metoprolol, codein\u0103, tamoxifen, atomoxetin\u0103.<\/p>\n<h2 class=\"wp-block-heading\">Sindromul de \u00eentrerupere<\/h2>\n<p>Sertralina are o <strong>semivia\u021b\u0103 moderat\u0103 (~26 h)<\/strong> \u2014 simptomele de \u00eentrerupere sunt <strong>mai pu\u021bin severe dec\u00e2t la paroxetin\u0103 sau venlafaxin\u0103, dar exist\u0103<\/strong>. Simptome (mnemonic FINISH): Dureri asem\u0103n\u0103toare gripei, Insomnie, Grea\u021b\u0103, Dezechilibru\/ame\u021beal\u0103, Tulbur\u0103ri senzoriale (\u201c\u0219ocuri cerebrale\u201d), Hiperactivare. De obicei apar la 2\u20134 zile dup\u0103 omiterea unei doze sau \u00eentreruperea brusc\u0103 \u0219i se rezolv\u0103 \u00een 1\u20133 s\u0103pt\u0103m\u00e2ni. <strong>Reducere treptat\u0103<\/strong>: reduce\u021bi cu 25\u201350 mg la fiecare 2\u20134 s\u0103pt\u0103m\u00e2ni; pentru utilizatorii pe termen lung (&gt; 12 luni), reduce\u021bi progresiv mai lent folosind sc\u0103deri hiperbolice pentru a evita sevrajul prelungit.<\/p>\n<h2 class=\"wp-block-heading\">Sarcina \u0219i al\u0103ptarea<\/h2>\n<p>Sertralina este unul dintre <strong>ISRS-urile preferate \u00een sarcin\u0103<\/strong> c\u00e2nd tratamentul cu antidepresive este indicat \u2014 cele mai ample date din registre \u0219i recomand\u0103rile ACOG sus\u021bin utilizarea continu\u0103 \u00een depresia major\u0103 moderat\u0103 p\u00e2n\u0103 la sever\u0103. Expunerea \u00een trimestrul al treilea al sarcinii prezint\u0103 un risc mic de <strong>sindrom de adaptare neonatal\u0103<\/strong> (iritabilitate, dificult\u0103\u021bi de hr\u0103nire \u2014 se rezolv\u0103 de obicei \u00een 1\u20132 s\u0103pt\u0103m\u00e2ni). Sertralina trece minim \u00een laptele matern \u0219i este <strong>ISRS-ul preferat la al\u0103ptare<\/strong>.<\/p>\n<h2 class=\"wp-block-heading\">Alegerea Sertralinei fa\u021b\u0103 de alte ISRS<\/h2>\n<h2 class=\"wp-block-heading\">Comparativ cu alte ISRS frecvent utilizate<\/h2>\n<table style=\"width:100%;border-collapse:collapse;margin:0 0 22px 0;font-size:14px;\">\n<thead>\n<tr>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Medicament<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Puncte forte remarcabile<\/th>\n<th style=\"background:#2c7cb0;color:#fff;padding:8px 10px;border:1px solid #2c7cb0;text-align:left;\">Puncte slabe remarcabile<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Sertralin\u0103<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Profil CYP cel mai curat; preferat \u00een sarcin\u0103\/al\u0103ptare; indica\u021bii largi<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Efecte secundare gastrointestinale mai pronun\u021bate la \u00eenceput<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Paroxetina (Xepar)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Bun\u0103 pentru tulburarea de anxietate generalizat\u0103 \u0219i panic\u0103; sedativ\u0103 \u2014 util\u0103 \u00een insomnie<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Cel mai sever sindrom de \u00eentrerupere; cre\u0219tere \u00een greutate; categorie de risc D la gravide<\/td>\n<\/tr>\n<tr style=\"background:#ffffff;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Escitalopram<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Cea mai bun\u0103 tolerabilitate; bine studiat pentru tulburarea de anxietate generalizat\u0103 (GAD)<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Prelungirea intervalului QT dependent\u0103 de doz\u0103; doza maxim\u0103 20 mg, 10 mg la v\u00e2rstnici<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Fluoxetine<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Timpul de \u00eenjum\u0103t\u0103\u021bire lung atenueaz\u0103 efectele \u00eentreruperii; efect activator<\/td>\n<td style=\"padding:8px 10px;border:1px solid #ddd;vertical-align:top;\">Inhibarea CYP2D6; necesit\u0103 mai mult timp pentru eliminare \u00een cazul schimb\u0103rilor de tratament<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">How long does Sertima take to work?<\/h3>\n<p>Simptomele de anxietate, somn \u0219i cele somatice se amelioraz\u0103 de obicei \u00een 1\u20132 s\u0103pt\u0103m\u00e2ni. R\u0103spunsul complet al dispozi\u021biei \u00een depresia major\u0103 (MDD) apare de obicei la 4\u20136 s\u0103pt\u0103m\u00e2ni. Tulburarea obsesiv-compulsiv\u0103 (OCD) necesit\u0103 adesea 8\u201312 s\u0103pt\u0103m\u00e2ni la doze maxime. Nu evalua\u021bi eficacitatea \u00eenainte de 6 s\u0103pt\u0103m\u00e2ni la o doz\u0103 adecvat\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Can I stop Sertima once I feel better?<\/h3>\n<p>Pentru un prim episod de depresie major\u0103 (MDD), ghidurile recomand\u0103 continuarea tratamentului pentru cel pu\u021bin 6\u20139 luni dup\u0103 remisie. Pentru depresie recurent\u0103 sau anxietate cronic\u0103, tratamentele pe termen lung (1\u20132+ ani) sunt frecvente. Reduce\u021bi treptat doza \u00een loc s\u0103 opri\u021bi brusc.<\/p>\n<h3 class=\"wp-block-heading\">Will Sertima cause weight gain?<\/h3>\n<p>Sertralina provoac\u0103 doar o cre\u0219tere modest\u0103 \u00een greutate pe parcursul lunilor \u2014 mult mai pu\u021bin dec\u00e2t paroxetina sau mirtazapina. Unii pacien\u021bi sl\u0103besc ini\u021bial din cauza efectelor secundare gastrointestinale.<\/p>\n<h3 class=\"wp-block-heading\">Does Sertima cause sexual side effects?<\/h3>\n<p>Da \u2014 inhibitorii selectivi de recaptare a serotoninei (SSRI) pot provoca orgasm \u00eent\u00e2rziat, libido sc\u0103zut \u0219i dificult\u0103\u021bi de erec\u021bie la aproximativ 40% dintre utilizatori. Dac\u0103 persisten\u021bi \u0219i deranjante, op\u021biunile includ reducerea dozei, pauze de la tratament (cu acordul medicului) sau trecerea la bupropion sau mirtazapin\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol on Sertima?<\/h3>\n<p>Consumul u\u0219or \u0219i ocazional de alcool este \u00een general tolerat, dar alcoolul agraveaz\u0103 depresia \u0219i anxietatea, cre\u0219te sedarea \u0219i este asociat cu comportamente dezinhibate sau impulsive \u00een primele s\u0103pt\u0103m\u00e2ni de tratament. Evita\u021bi consumul excesiv.<\/p>\n<h3 class=\"wp-block-heading\">Ce se \u00eent\u00e2mpl\u0103 dac\u0103 uit o doz\u0103?<\/h3>\n<p>Lua\u021bi-l imediat ce v\u0103 aminti\u021bi, cu excep\u021bia cazului \u00een care este aproape de urm\u0103toarea doz\u0103 \u2014 nu lua\u021bi niciodat\u0103 o doz\u0103 dubl\u0103. S\u0103rirea unei singure doze rareori cauzeaz\u0103 probleme, av\u00e2nd \u00een vedere timpul de \u00eenjum\u0103t\u0103\u021bire de 26 de ore al sertralinei.<\/p>\n<h3 class=\"wp-block-heading\">Is Sertima safe in pregnancy?<\/h3>\n<p>Sertralina este unul dintre inhibitorii selectivi ai recapt\u0103rii serotoninei (ISRS) prefera\u021bi atunci c\u00e2nd este necesar tratament antidepresiv \u00een timpul sarcinii. Discuta\u021bi beneficiile \u0219i riscurile individual cu medicul prescriptor, \u00een special \u00een primul trimestru \u0219i \u00een perioada na\u0219terii.<\/p>\n<h3 class=\"wp-block-heading\">Can Sertima be combined with other antidepressants?<\/h3>\n<p>Combina\u021biile (de exemplu, cu mirtazapin\u0103 \u00een \u201ccombustibilul rachetei California\u201d) sunt utilizate \u00een depresia rezistent\u0103 la tratament, dar numai sub \u00eendrumarea medicului prescriptor. Combinarea cu inhibitori de MAO, linezolid, albastru de metilen sau agen\u021bi serotoninergici excesivi (triptan, tramadol, sun\u0103toarea) poate duce la riscul de sindrom serotoninergic.<\/p>\n<h3 class=\"wp-block-heading\">How is Sertima different from Sertima alternatives like Sertima or Zosert?<\/h3>\n<p>Toate m\u0103rcile de sertralin\u0103 sunt identice din punct de vedere farmacologic la nivel molecular. Diferen\u021bele \u00eentre m\u0103rci se reduc la produc\u0103tor, aspectul tabletelor, excipien\u021bi \u0219i pre\u021b. Oferim generice indiene certificate WHO-GMP sub multiple denumiri de marc\u0103, astfel \u00eenc\u00e2t clien\u021bii s\u0103 poat\u0103 alege ce este disponibil.<\/p>\n<h3 class=\"wp-block-heading\">How should Sertima be stored?<\/h3>\n<p>Depozita\u021bi la 15\u201330 \u00b0C \u00een ambalajul original blister, departe de umiditate \u0219i lumin\u0103 direct\u0103 a soarelui. P\u0103stra\u021bi \u00een afara accesului copiilor \u2014 supradoza de sertralin\u0103, de\u0219i mai pu\u021bin periculoas\u0103 dec\u00e2t antidepresivele triciclice, este semnificativ\u0103 din punct de vedere medical.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0 0 0;border-radius:4px;font-size:13.5px;line-height:1.55;\"><strong>Avertizare medical\u0103:<\/strong> Informa\u021biile de pe aceast\u0103 pagin\u0103 sunt destinate adul\u021bilor care folosesc medicamente psihiatrice prescrise \u0219i nu \u00eenlocuiesc \u00eengrijirea medical\u0103 individualizat\u0103. Antidepresivele, antipsihoticele \u0219i medicamentele \u00eenrudite pot interac\u021biona cu alte medicamente, alcool \u0219i afec\u021biuni preexistente. Discuta\u021bi orice medicament nou, modificare de doz\u0103 sau \u00eentrerupere planificat\u0103 cu un medic calificat. Dac\u0103 experimenta\u021bi g\u00e2nduri suicidare, manie, acatisie sever\u0103, semne de sindrom serotoninergic (febr\u0103 mare, confuzie, rigiditate muscular\u0103, ritm cardiac rapid) sau sindrom neuroleptic malign, c\u0103uta\u021bi imediat \u00eengrijire de urgen\u021b\u0103.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>Afec\u021biuni cronice<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/novorapid-flexpen\/\">Novorapid Flexpen<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/fempro\/\">Fempro<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/valprol-cr\/\">Valprol-CR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/melanocyl\/\">Melanocyl<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/rofaday\/\">Rofaday<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Trateaz\u0103 depresia<br \/>\n\u2705 Gestioneaz\u0103 tulbur\u0103rile de anxietate<br \/>\n\u2705 \u00cembun\u0103t\u0103\u021be\u0219te starea de spirit<br \/>\n\u2705 \u00cembun\u0103t\u0103\u021be\u0219te starea de bine<br \/>\n\u2705 Regleaz\u0103 nivelul de serotonin\u0103<\/p>\n<p>Sertima contains Sertraline HCL.<\/p>","protected":false},"featured_media":59233,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,4647],"product_tag":[4654,4650],"class_list":{"0":"post-59232","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-situational-anxiety-treatment","9":"product_tag-sertima","10":"product_tag-sertraline","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/59232","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=59232"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/59233"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=59232"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=59232"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=59232"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=59232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}