Posso tomar medicamentos para tosse com Dextrometorfano e Sertralina juntos?

You should speak to your doctor or pharmacist before taking dextromethorphan cough medicine e sertralina together. Combining them can increase the risk of síndrome serotoninérgica.

Por que isso acontece

Sertraline is an SSRI antidepressant that increases serotonin levels. Dextromethorphan cough medicines also slightly increases serotonin. When combined, they can raise serotonin to unsafe levels.

Both medicines can also have a calming effect on the central nervous system, which may lead to increased sleepiness.

You may be experiencing an interaction between dextromethorphan and sertraline if you:

• Feel agitated, restless, or confused.

• Have a rapid heartbeat or high blood pressure.

• Are sweating heavily, are shivering, or have a fever.

• Have muscle twitches, stiffness, or a tremor.

• Feel dizzy or drowsy.

• Have a high temperature (fever).

If you develop any of the above symptoms, you should:

• Stop taking dextromethorphan and seek urgent medical advice.

• Do not take any further doses of dextromethorphan until you have spoken to a healthcare professional.

• Tell the healthcare professional that you are taking sertraline. They may suggest a different type of cough medicine that does not contain dextromethorphan (such as a simple linctus or a medicine containing only guaifenesin).

Transtornos de depressão e ansiedade

Você pode experimentar um aumento nos pensamentos suicidas ou na vontade de se machucar ao iniciar o uso de sertralina ou ao alterar a dose. Isso é mais comum em jovens adultos menores de 25 anos. Entre em contato com seu médico ou vá ao hospital imediatamente se notar alguma mudança no seu humor ou comportamento.

Bipolar disorder or history of mania

Sertraline can trigger a manic episode (extreme high mood and overactivity) in people with undiagnosed bipolar disorder.

Distúrbios de coagulação ou uso de anticoagulantes

A sertralina pode aumentar o risco de sangramento grave, especialmente se você também estiver tomando aspirina, ibuprofeno ou medicamentos anticoagulantes como a varfarina.

Síndrome serotoninérgica

Check with a pharmacist before using cough suppressants with sertraline, as the combination can cause a life-threatening reaction called serotonin syndrome.

Álcool

You should avoid drinking alcohol while taking these medicines. Both sertraline and dextromethorphan can cause drowsiness and dizziness; alcohol will significantly increase these effects, making you feel more sleepy and less alert.

Suco de toranja

Avoid consuming large amounts of grapefruit juice. Grapefruit can increase the levels of sertraline in your blood, which may increase the risk of side effects.

Cafeína (Café, Chá, Bebidas Energéticas)

Sertraline can sometimes cause nervousness or tremors. Consuming high amounts of caffeine may worsen these side effects or increase feelings of anxiety. It is advisable to monitor your caffeine intake.

Taking multiple medicines? Our Verificador de Interações de Medicamentos helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Aviso Legal

Esta informação é apenas para fins educacionais gerais e não deve ser considerada como um substituto para aconselhamento médico profissional. Sempre consulte seu médico, farmacêutico ou outro profissional de saúde qualificado antes de tomar decisões sobre seus medicamentos. As circunstâncias individuais podem variar, e somente um profissional de saúde que conheça seu histórico médico pode fornecer orientações personalizadas.