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Sertraline Hydrochloride
Overview
Active ingredients
Source: NDC DirectoryForms, strengths and routes
Source: NDC DirectoryPharmacologic classes are listed in the class section below.
Pharmacologic class
Source: NDC Directory| Class | Type | Browse |
|---|---|---|
| Cytochrome P450 2D6 Inhibitors [MoA] | MoA | All 72 members |
| Serotonin Reuptake Inhibitor [EPC] | EPC | All 51 members |
| Serotonin Uptake Inhibitors [MoA] | MoA | All 73 members |
Regulatory status
Source: Drugs@FDANDC Directory| Product | Trade name | Form | Strength | Ingredient | Status | TE | Flags |
|---|---|---|---|---|---|---|---|
| 077397-001 | SERTRALINE HYDROCHLORIDE | TABLET | SERTRALINE HYDROCHLORIDE | Prescription | AB | ||
| 077397-002 | SERTRALINE HYDROCHLORIDE | TABLET | SERTRALINE HYDROCHLORIDE | Prescription | AB | ||
| 077397-003 | SERTRALINE HYDROCHLORIDE | TABLET | SERTRALINE HYDROCHLORIDE | Prescription | AB |
Therapeutic equivalence
Source: Orange BookWhat this rating means: Therapeutically equivalent — bioequivalence demonstrated by in vivo or in vitro testing
Codes beginning with “A” indicate products the FDA considers therapeutically equivalent. Codes beginning with “B” indicate bioequivalence has not been established. See methodology.
Approval history
Source: Drugs@FDA| Type | No. | Action | Status | Date | Review |
|---|---|---|---|---|---|
| Supplement | 36 | Labeling | Approved | March 28, 2024 | Standard |
| Supplement | 31 | Labeling | Approved | August 30, 2022 | Standard |
| Supplement | 26 | Labeling | Approved | February 21, 2020 | Standard |
| Supplement | 19 | Labeling | Approved | February 21, 2020 | Standard |
| Supplement | 14 | Labeling | Approved | June 9, 2015 | Standard |
| Supplement | 9 | Labeling | Approved | June 9, 2015 | Standard |
| Supplement | 6 | Labeling | Approved | December 21, 2012 | — |
| Supplement | 3 | Labeling | Approved | August 31, 2009 | — |
| Supplement | 2 | Labeling | Approved | July 16, 2008 | — |
| Supplement | 1 | Labeling | Approved | February 7, 2008 | — |
| Original application | 1 | Approved | February 6, 2007 | — |
Prescribing information
Source: openFDA Drug LabelingReproduced verbatim from the Structured Product Labeling submitted to the FDA (effective 20260903). This is the manufacturer's labelling text, not a summary and not advice.
Boxed Warning
openFDA Drug LabelingBOXED WARNING Suicidality and Antidepressant Drugs Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of Sertraline hydrochloride or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Sertraline hydrochloride tablets are not approved for the treatment of major depressive disorder in pediatric patients. (See WARNINGS:Clinical Worsening and Suicide Risk , PRECAUTIONS:Information for Patients , and PRECAUTIONS:Pediatric Use ).
Recent Major Changes
openFDA Drug LabelingRECENT MAJOR CHANGES Warnings and Precautions (5.2,5.3) 8/2023 Warnings and Precautions (5.2,5.3) 8/2023
Indications and Usage
openFDA Drug LabelingINDICATIONS AND USAGE Major Depressive Disorder – Sertraline hydrochloride is indicated for the treatment of major depressive disorder in adults. The efficacy of Sertraline hydrochloride in the treatment of a major depressive episode was established in six to eight week controlled trials of adult outpatients whose diagnoses corresponded most closely to the DSM-III category of major depressive disorder (see Clinical Trials under CLINICAL PHARMACOLOGY ). A major depressive episode implies a prominent and relatively persistent depressed or dysphoric mood that usually interferes with daily functioning (nearly every day for at least 2 weeks); it should include at least 4 of the following 8 symptoms: change in appetite, change in sleep, psychomotor agitation or retardation, loss of interest in usual activities or decrease in sexual drive, increased fatigue, feelings of guilt or worthlessness, slowed thinking or impaired concentration, and a suicide attempt or suicidal ideation. The antidepressant action of sertraline hydrochloride in hospitalized depressed patients has not been adequately studied. The efficacy of sertraline hydrochloride in maintaining an antidepressant response for up to 44 weeks following 8 weeks of open-label acute treatment (52 weeks total) was demonstrated in a placebo-controlled trial. The usefulness of the drug in patients receiving sertraline hydrochloride for extended periods should be reevaluated periodically (see Clinical Trials under CLINICAL PHARMACOLOGY ). Obsessive-Compulsive Disorder – Sertraline hydrochloride is indicated for the treatment of obsessions and compulsions in patients with obsessive-compulsive disorder (OCD), as defined in the DSM-III-R; i.e., the obsessions or compulsions cause marked distress, are time-consuming, or significantly interfere with social or occupational functioning. The efficacy of Sertraline hydrochloride was established in 12-week trials with obsessive-compulsive outpatients having diagnoses of obsessive-compulsive disorder as defined according to DSM-III or DSM-III-R criteria (see Clinical Trials under CLINICAL PHARMACOLOGY ). Obsessive-compulsive disorder is characterized by recurrent and persistent ideas, thoughts, impulses, or images (obsessions) that are ego-dystonic and/or repetitive, purposeful, and intentional behaviors (compulsions) that are recognized by the person as excessive or unreasonable. The efficacy of Sertraline hydrochloride in maintaining a response, in patients with OCD who responded during a 52-week treatment phase while taking Sertraline hydrochloride and were then observed for relapse during a period of up to 28 weeks, was demonstrated in a placebo-controlled trial (see Clinical Trials under CLINICAL PHARMACOLOGY ). Nevertheless, the physician who elects to use Sertraline hydrochloride for extended periods should periodically re-evaluate the long-term usefulness of the drug for the individual patient (see DOSAGE AND ADMINISTRATION ). Panic Disorder – Sertraline hydrochloride is indicated for the treatment of panic disorder in adults, with or without agoraphobia, as defined in DSM-IV. Panic disorder is characterized by the occurrence of unexpected panic attacks and associated concern about having additional attacks, worry about the implications or consequences of the attacks, and/or a significant change in behavior related to the attacks. The efficacy of Sertraline hydrochloride was established in three 10-12 week trials in adult panic disorder patients whose diagnoses corresponded to the DSM-III-R category of panic disorder (see Clinical Trials under CLINICAL PHARMACOLOGY ). Panic disorder (DSM-IV) is characterized by recurrent unexpected panic attacks, i.e., a discrete period of intense fear or discomfort in which four (or more) of the following symptoms develop abruptly and reach a peak within 10 minutes: (1) palpitations, pounding heart, or accelerated heart rate; (2) sweating; (3) trembling or shaking; (4) sensations of shortness of breath …
Dosage and Administration
openFDA Drug LabelingDOSAGE AND ADMINISTRATION Initial Treatment Dosage for Adults Major Depressive Disorder –Sertraline hydrochloride treatment should be administered at a dose of 50 mg once daily. While a relationship between dose and effect has not been established for major depressive disorder, OCD, panic disorder, PTSD or social anxiety disorder, patients were dosed in a range of 50-200 mg/day in the clinical trials demonstrating the effectiveness of Sertraline hydrochloride for the treatment of this indication. Consequently, a dose of 50 mg, administered once daily, is recommended as the initial therapeutic dose. Patients not responding to a 50 mg dose may benefit from dose increases up to a maximum of 200 mg/day. Given the 24 hour elimination half-life of sertraline hydrochloride, dose changes should not occur at intervals of less than 1 week. Premenstrual Dysphoric Disorder – Sertraline hydrochloride treatment should be initiated with a dose of 50 mg/day, either daily throughout the menstrual cycle or limited to the luteal phase of the menstrual cycle, depending on physician assessment. While a relationship between dose and effect has not been established for PMDD, patients were dosed in the range of 50-150 mg/day with dose increases at the onset of each new menstrual cycle (see Clinical Trials under CLINICAL PHARMACOLOGY ). Patients not responding to a 50 mg/day dose may benefit from dose increases (at 50 mg increments/ menstrual cycle) up to 150 mg/day when dosing daily throughout the menstrual cycle, or 100 mg/day when dosing during the luteal phase of the menstrual cycle. If a 100 mg/day dose has been established with luteal phase dosing, a 50 mg/day titration step for three days should be utilized at the beginning of each luteal phase dosing period. Sertraline hydrochloride should be administered once daily, either in the morning or evening. Dosage for Pediatric Population (Children and Adolescents) Obsessive-Compulsive Disorder – Sertraline hydrochloride treatment should be initiated with a dose of 25 mg once daily in children (ages 6-12) and at a dose of 50 mg once daily in adolescents (ages 13-17). While a relationship between dose and effect has not been established for OCD, patients were dosed in a range of 25-200 mg/day in the clinical trials demonstrating the effectiveness of Sertraline hydrochloride for pediatric patients (6-17 years) with OCD. Patients not responding to an initial dose of 25 or 50 mg/day may benefit from dose increases up to a maximum of 200 mg/day. For children with OCD, their generally lower body weights compared to adults should be taken into consideration in advancing the dose, in order to avoid excess dosing. Given the 24 hour elimination half-life of Sertraline hydrochloride, dose changes should not occur at intervals of less than 1 week. Sertraline hydrochloride should be administered once daily, either in the morning or evening. Maintenance/Continuation/Extended Treatment Major Depressive Disorder –It is generally agreed that acute episodes of major depressive disorder require several months or longer of sustained pharmacologic therapy beyond response to the acute episode. Systematic evaluation of sertraline hydrochloride has demonstrated that its antidepressant efficacy is maintained for periods of up to 44 weeks following 8 weeks of initial treatment at a dose of 50-200 mg/day (mean dose of 70 mg/day) (see Clinical Trials under CLINICAL PHARMACOLOGY ). It is not known whether the dose of sertraline hydrochloride needed for maintenance treatment is identical to the dose needed to achieve an initial response. Patients should be periodically reassessed to determine the need for maintenance treatment. Posttraumatic Stress Disorder –It is generally agreed that PTSD requires several months or longer of sustained pharmacological therapy beyond response to initial treatment. Systematic evaluation of Sertraline hydrochloride has demonstrated that its efficacy in PTSD is maintained for periods of up to 28 wee …
Dosage Forms and Strengths
openFDA Drug Labeling3 DOSAGE FORMS AND STRENGTHS Sertraline Hydrochloride Tablets USP, 25 mg Tablets: Light Green film coated Modified oval biconvex tablets debossed with I on the left Side of bisect and G on the right Side of bisect on one Side and “212” on other Sertraline Hydrochloride Tablets USP, 50 mg Tablets: Light Blue film coated Modified oval biconvex tablets debossed with I on the left side of bisect and G on the right side of bisect on one side and “213” on other Sertraline Hydrochloride Tablets USP, 100 mg Tablets: Light Yellow film coated Modified oval biconvex tablets debossed with I on the left side of bisect and G on the right side of bisect on one side and “214” on other Tablets: 25 mg, 50 mg and 100 mg ( 3 )
Contraindications
openFDA Drug LabelingCONTRAINDICATIONS All Dosage Forms of Sertraline: The use of MAOIs intended to treat psychiatric disorders with Sertraline hydrochloride or within 14 days of stopping treatment with Sertraline hydrochloride is contraindicated because of an because of an increased risk if serotonin syndrome. The use of Sertraline hydrochloride within 14 days of stopping an MAOI intended to treat psychiatric disorders is also contraindicated (see WARNINGS and DOSAGE AND ADMINISTRATION ). Starting Sertraline hydrochloride in a patient who is being treated with MAOIs such as linezolid or intravenous methyelene blue is also contraindicated because of an increased risk of serotonin syndrome (see WARNINGS and DOSAGE AND ADMINISTRATION). Concomitant use in patients taking pimozide is contraindicated (see PRECAUTIONS ). Sertraline is contraindicated in patients with a hypersensitivity to sertraline or any of the inactive ingredients in sertraline hydrochloride tablets.
Warnings and Cautions
openFDA Drug Labeling5 WARNINGS AND PRECAUTIONS • Serotonin Syndrome: Increased risk when co-administered with other serotonergic agents (e.g., SSRI, SNRI, triptans), but also when taken alone. If it occurs, discontinue sertraline and initiate supportive treatment. (5.2) • Increased Risk of Bleeding: Concomitant use of aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), other antiplatelet drugs, warfarin, and other anticoagulants may increase this risk. (5.3) • Activation of Mania/Hypomania: Screen patients for bipolar disorder. (5.4) • Seizures: Use with caution in patients with seizure disorders. (5.6) • Angle Closure Glaucoma: Avoid use of antidepressants, including sertraline, in patients with untreated anatomically narrow angles. (5.7) • QTc Prolongation: Sertraline should be used with caution in patients with risk factors for QTc prolongation. (5.10) • Sexual Dysfunction: Sertraline may cause symptoms of sexual dysfunction. (5.11) 5.1 Suicidal Thoughts and Behaviors in Pediatric and Young Adult Patients In pooled analyses of placebo-controlled trials of antidepressant drugs (SSRIs and other antidepressant classes) that included approximately 77,000 adult patients and over 4,400 pediatric patients, the incidence of suicidal thoughts and behaviors in pediatric and young adult patients was greater in antidepressant-treated patients than in placebo-treated patients. The drug-placebo differences in the number of cases of suicidal thoughts and behaviors per 1,000 patients treated are provided in Table 2. No suicides occurred in any of the pediatric studies. There were suicides in the adult studies, but the number was not sufficient to reach any conclusion about antidepressant drug effect on suicide. Table 2: Risk Differences of the Number of Cases of Suicidal Thoughts or Behaviors in the Pooled Placebo-Controlled Trials of Antidepressants in Pediatric and Adult Patients Age Range (years) Drug-Placebo Difference in Number of Patients of Suicidal Thoughts or Behaviors per 1000 Patients Treated Increases Compared to Placebo <18 14 additional patients 18-24 5 additional patients Decreases Compared to Placebo 25-64 1 fewer patient ≥65 6 fewer patients It is unknown whether the risk of suicidal thoughts and behaviors in pediatric and young adult patients extends to longer-term use, i.e., beyond four months. However, there is substantial evidence from placebo-controlled maintenance trials in adults with MDD that antidepressants delay the recurrence of depression. Monitor all antidepressant-treated patients for clinical worsening and emergence of suicidal thoughts and behaviors, especially during the initial few months of drug therapy and at times of dosage changes. Counsel family members or caregivers of patients to monitor for changes in behavior and to alert the healthcare provider. Consider changing the therapeutic regimen, including possibly discontinuing sertraline, in patients whose depression is persistently worse, or who are experiencing emergent suicidal thoughts or behaviors. 5.2 Serotonin Syndrome Serotonin-norepinephrine reuptake inhibitors (SNRIs) and selective serotonin reuptake inhibitors (SSRIs), including sertraline, can precipitate serotonin syndrome, a potentially life-threatening condition. The risk is increased with concomitant use of other serotonergic drugs (including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, meperidine, methadone, tryptophan, buspirone, amphetamines, and St. John’s Wort) and with drugs that impair metabolism of serotonin, i.e., MAOIs [See Contraindications (4) , Drug Interactions (7.1) ]. Serotonin syndrome can also occur when these drugs are used alone. Serotonin syndrome signs and symptoms may include mental status changes (e.g., agitation, hallucinations, delirium, and coma), autonomic instability (e.g., tachycardia, labile blood pressure, dizziness, diaphoresis, flushing, hyperthermia), neuromuscular symptoms (e.g., tremor, rigidity, myoclonus, hyperreflexia, incoordination), seizur …
Warnings
openFDA Drug LabelingWARNINGS Clinical Worsening and Suicide Risk Patients with major depressive disorder (MDD), both adult and pediatric, may experience worsening of their depression and/or the emergence of suicidal ideation and behavior (suicidality) or unusual changes in behavior, whether or not they are taking antidepressant medications, and this risk may persist until significant remission occurs. Suicide is a known risk of depression and certain other psychiatric disorders, and these disorders themselves are the strongest predictors of suicide. There has been a long-standing concern, however, that antidepressants may have a role in inducing worsening of depression and the emergence of suicidality in certain patients during the early phases of treatment. Pooled analyses of short-term placebo-controlled trials of antidepressant drugs (SSRIs and others) showed that these drugs increase the risk of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults (ages 18-24) with major depressive disorder (MDD) and other psychiatric disorders. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction with antidepressants compared to placebo in adults aged 65 and older. The pooled analyses of placebo-controlled trials in children and adolescents with MDD, obsessive compulsive disorder (OCD), or other psychiatric disorders included a total of 24 short-term trials of 9 antidepressant drugs in over 4400 patients. The pooled analyses of placebo-controlled trials in adults with MDD or other psychiatric disorders included a total of 295 short-term trials (median duration of 2 months) of 11 antidepressant drugs in over 77,000 patients. There was considerable variation in risk of suicidality among drugs, but a tendency toward an increase in the younger patients for almost all drugs studied. There were differences in absolute risk of suicidality across the different indications, with the highest incidence in MDD. The risk differences (drug vs placebo), however, were relatively stable within age strata and across indications. These risk differences (drug-placebo difference in the number of cases of suicidality per 1000 patients treated) are provided in Table 1. Table 1 Age Range Drug-Placebo Difference in Number of Cases of Suicidality per 1000 Patients Treated Increases Compared to placebo 65 6 fewer cases No suicides occurred in any of the pediatric trials. There were suicides in the adult trials, but the number was not sufficient to reach any conclusion about drug effect on suicide. It is unknown whether the suicidality risk extends to longer-term use, i.e., beyond several months. However, there is substantial evidence from placebo-controlled maintenance trials in adults with depression that the use of antidepressants can delay the recurrence of depression. All patients being treated with antidepressants for any indication should be monitored appropriately and observed closely for clinical worsening, suicidality, and unusual changes in behavior, especially during the initial few months of a course of drug therapy, or at times of dose changes, either increases or decreases. The following symptoms, anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggressiveness, impulsivity, akathisia (psychomotor restlessness), hypomania, and mania, have been reported in adult and pediatric patients being treated with antidepressants for major depressive disorder as well as for other indications, both psychiatric and nonpsychiatric. Although a causal link between the emergence of such symptoms and either the worsening of depression and/or the emergence of suicidal impulses has not been established, there is concern that such symptoms may represent precursors to emerging suicidality. Consideration should be given to changing the therapeutic regimen, including possibly discontinuing the medication, in patients whose depression is …
Adverse Reactions
openFDA Drug Labeling6 ADVERSE REACTIONS The following adverse reactions are described in more detail in other sections of the prescribing information: Hypersensitivity reactions to sertraline [See Contraindications (4) ] QTc prolongation and ventricular arrhythmias when taken with pimozide [See Contraindications (4) ], Clinical Pharmacology (12.2)] Suicidal thoughts and behaviors [See Warnings and Precautions (5.1) ] Serotonin syndrome [See Contraindications (4) , Warnings and Precautions (5.2) , Drug Interactions (7.1) ] Increased risk of bleeding [See Warnings and Precautions (5.3) ] Activation of mania/hypomania [See Warnings and Precautions (5.4) ] Discontinuation syndrome [See Warnings and Precautions (5.5) ] Seizures [See Warnings and Precautions (5.6) ] Angle-closure glaucoma [See Warnings and Precautions (5.7) ] Hyponatremia [See Warnings and Precautions (5.8) ] Sexual Dysfunction [See Warnings and Precautions (5.11)] Most common adverse reactions (≥5% and twice placebo) in pooled placebo-controlled MDD, OCD, PD, PTSD, SAD and PMDD clinical trials were nausea, diarrhea/loose stool, tremor, dyspepsia, decreased appetite, hyperhidrosis, ejaculation failure, and decreased libido ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Cipla Ltd. at 1-866-604-3268 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch . 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The data described below are from randomized, double-blind, placebo-controlled trials of sertraline (mostly 50 mg to 200 mg per day) in 3,066 adults diagnosed with MDD, OCD, PD, PTSD, SAD, and PMDD. These 3,066 patients exposed to sertraline for 8 to12 weeks represent 568 patient-years of exposure. The mean age was 40 years; 57% were females and 43% were males. The most common adverse reactions (≥5% and twice placebo) in all pooled placebo-controlled clinical trials of all sertraline -treated patients with MDD, OCD, PD, PTSD, SAD and PMDD were nausea, diarrhea/loose stool, tremor, dyspepsia, decreased appetite, hyperhidrosis, ejaculation failure, and decreased libido (see Table 3). The following are the most common adverse reactions in trials of sertraline (≥5% and twice placebo) by indication that were not mentioned previously. MDD: somnolence; OCD: insomnia, agitation; PD: constipation, agitation; PTSD: fatigue; PMDD: somnolence, dry mouth, dizziness, fatigue, and abdominal pain; SAD: insomnia, dizziness, fatigue, dry mouth, malaise. Table 3: Common Adverse Reactions in Pooled Placebo-Controlled Trials in Adults with MDD, OCD, PD, PTSD, SAD, and PMDD * Sertraline (N=3066) Placebo (N=2293) Cardiac disorders Palpitations 4% 2% Eye disorders Visual impairment 4% 2% Gastrointestinal Disorders Nausea 26% 12% Diarrhea/Loose Stools 20% 10% Dry mouth 14% 9% Dyspepsia 8% 4% Constipation 6% 4% Vomiting 4% 1% General disorders and administration site conditions Fatigue 12% 8% Metabolism and nutrition disorders Decreased appetite 7% 2% Nervous system disorders Dizziness 12% 8% Somnolence 11% 6% Tremor 9% 2% Psychiatric Disorders Insomnia 20% 13% Agitation 8% 5% Libido Decreased 6% 2% Reproductive system and breast disorders Ejaculation failure (1) 8% 1% Erectile dysfunction (1) 4% 1% Ejaculation disorder (1) 3% 0% Male sexual dysfunction (1) 2% 0% Skin and subcutaneous tissue disorders Hyperhidrosis 7% 3% (1) Denominator used was for male patients only (n=1316 sertraline; n=973 placebo). * Adverse reactions that occurred greater than 2% in sertraline -treated patients and at least 2% greater in sertraline -treated patients than placebo-treated patients. Adverse Reactions Leading to Discontinuation in Placebo-Controlled Clinical Trials In all placebo-controlled studies in patients with MDD, OCD, PD, PTSD, SAD and PMDD, 368 (12%) of the 3,066 patients who r …
Drug Interactions
openFDA Drug Labeling7 DRUG INTERACTIONS Protein-bound drugs: Monitor for adverse reactions and reduce dosage of sertraline hydrochloride or other protein-bound drugs (e.g., warfarin) as warranted. ( 7.1 , 12.3 ) CYP2D6 substrates: Reduce dosage of drugs metabolized by CYP2D6 ( 7.1 , 12.3 ) 7.1 Clinically Significant Drug Interactions Table 5 includes clinically significant drug interactions with sertraline hydrochloride [See Clinical Pharmacology (12.3) ] . Table 5: Clinically-Significant Drug Interactions with Sertraline Hydrochloride Monoamine Oxidase Inhibitors (MAOIs) Clinical Impact: The concomitant use of SSRIs including sertraline hydrochloride and MAOIs increases the risk of serotonin syndrome. Intervention: Sertraline hydrochloride is contraindicated in patients taking MAOIs, including MAOIs such as linezolid or intravenous methylene blue [See Dosage and Administration (2.5) , Contraindications (4) , Warnings and Precautions (5.2) ]. Examples: selegiline, tranylcypromine, isocarboxazid, phenelzine, linezolid, methylene blue Pimozide Clinical Impact: Increased plasma concentrations of pimozide, a drug with a narrow therapeutic index, may increase the risk of QTc prolongation and ventricular arrhythmias. Intervention: Concomitant use of pimozide and sertraline hydrochloride is contraindicated [See Contraindications (4) ]. Other Serotonergic Drugs Clinical Impact: The concomitant use of serotonergic drugs with sertraline hydrochloride increases the risk of serotonin syndrome. Intervention: Monitor patients for signs and symptoms of serotonin syndrome, particularly during treatment initiation and dosage increases. If serotonin syndrome occurs, consider discontinuation of sertraline hydrochloride and/or concomitant serotonergic drugs [See Warnings and Precautions (5.2) ]. Examples: Other SSRIs, SNRIs, triptans, tricyclic antidepressants, opioids, lithium, tryptophan, buspirone, amphetamines, and St. John’s Wort Drugs that Interfere with Hemostasis (antiplatelet agents and anticoagulants) Clinical Impact: The concurrent use of an antiplatelet agent or anticoagulant with sertraline hydrochloride may potentiate the risk of bleeding. Intervention: Inform patients of the increased risk of bleeding associated with the concomitant use of sertraline hydrochloride and antiplatelet agents and anticoagulants. For patients taking warfarin, carefully monitor the international normalized ratio [See Warnings and Precautions (5.3) ]. Examples: aspirin, clopidogrel, heparin, warfarin Drugs Highly Bound to Plasma Protein Clinical Impact: Sertraline hydrochloride is highly bound to plasma protein. The concomitant use of sertraline hydrochloride with another drug that is highly bound to plasma protein may increase free concentrations of sertraline hydrochloride or other tightly-bound drugs in plasma [See Clinical Pharmacology (12.3) ] . Intervention: Monitor for adverse reactions and reduce dosage of sertraline hydrochloride or other protein-bound drugs as warranted. Examples: warfarin Drugs Metabolized by CYP2D6 Clinical Impact: Sertraline hydrochloride is a CYP2D6 inhibitor [See Clinical Pharmacology (12.3) ] . The concomitant use of sertraline hydrochloride with a CYP2D6 substrate may increase the exposure of the CYP2D6 substrate. Intervention: Decrease the dosage of a CYP2D6 substrate if needed with concomitant sertraline hydrochloride use. Conversely, an increase in dosage of a CYP2D6 substrate may be needed if sertraline hydrochloride is discontinued. Examples: propafenone, flecainide, atomoxetine, desipramine, dextromethorphan, metoprolol, nebivolol, perphenazine, thoridazine, tolterodine, venlafaxine Phenytoin Clinical Impact: Phenytoin is a narrow therapeutic index drug. Sertraline hydrochloride may increase phenytoin concentrations. Intervention: Monitor phenytoin levels when initiating or titrating sertraline hydrochloride. Reduce phenytoin dosage if needed. Examples: phenytoin, fosphenytoin Drugs that Prolong the QTc Interval Clinical Impact: The ris …
Use in Specific Populations
openFDA Drug Labeling8 USE IN SPECIFIC POPULATIONS Pregnancy: Third trimester use may increase risk for persistent pulmonary hypertension and withdrawal in the neonate ( 8.1 ) Pediatric use: Safety and effectiveness of sertraline in pediatric patients other than those with OCD have not been established ( 8.4 ) 8.1 Pregnancy Risk Summary Overall, available published epidemiologic studies of pregnant women exposed to sertraline in the first trimester suggest no difference in major birth defect risk compared to the background rate for major birth defects in comparator populations. Some studies have reported increases for specific major birth defects; however, these study results are inconclusive [See Data] . There are clinical considerations regarding neonates exposed to SSRIs and SNRIs, including sertraline, during the third trimester of pregnancy [See Clinical Considerations]. Although no teratogenicity was observed in animal reproduction studies, delayed fetal ossification was observed when sertraline was administered during the period of organogenesis at doses less than the maximum recommended human dose (MRHD) in rats and doses 3.1 times the MRHD in rabbits on a mg/m 2 basis in adolescents. When sertraline was administered to female rats during the last third of gestation, there was an increase in the number of stillborn pups and pup deaths during the first four days after birth at the MRHD [See Data] . The background risk of major birth defects and miscarriage for the indicated population are unknown. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively. Advise a pregnant woman of possible risks to the fetus when prescribing sertraline. Clinical Considerations Disease-associated maternal and/or embryo/fetal risk A prospective longitudinal study followed 201 pregnant women with a history of major depression who were euthymic taking antidepressants at the beginning of pregnancy. The women who discontinued antidepressants during pregnancy were more likely to experience a relapse of major depression than women who continued antidepressants. Consider the risks of untreated depression when discontinuing or changing treatment with antidepressant medication during pregnancy and postpartum. Fetal/Neonatal adverse reactions Exposure to SSRIs and SNRIs, including sertraline in late pregnancy may lead to an increased risk for neonatal complications requiring prolonged hospitalization, respiratory support, and tube feeding, and/or persistent pulmonary hypertension of the newborn (PPHN). When treating a pregnant woman with sertraline during the third trimester, carefully consider both the potential risks and benefits of treatment. Monitor neonates who were exposed to sertraline in the third trimester of pregnancy for PPHN and drug discontinuation syndrome [See Data]. Data Human Data Third Trimester Exposure Neonates exposed to sertraline and other SSRIs or SNRIs late in the third trimester have developed complications requiring prolonged hospitalization, respiratory support, and tube feeding. These findings are based on post-marketing reports. Such complications can arise immediately upon delivery. Reported clinical findings have included respiratory distress, cyanosis, apnea, seizures, temperature instability, feeding difficulty, vomiting, hypoglycemia, hypotonia, hypertonia, hyperreflexia, tremor, jitteriness, irritability, and constant crying. These features are consistent with either a direct toxic effect of SSRIs and SNRIs or, possibly, a drug discontinuation syndrome. In some cases, the clinical picture was consistent with serotonin syndrome [See Warnings and Precautions (5.2) ] . Exposure during late pregnancy to SSRIs may have an increased risk for persistent pulmonary hypertension of the newborn (PPHN). PPHN occurs in 1-2 per 1,000 live births in the general population and is associated with substantial neonatal morbidity and m …
Mechanism of Action
openFDA Drug Labeling12.1 Mechanism of Action Sertraline potentiates serotonergic activity in the central nervous system through inhibition of neuronal reuptake of serotonin (5-HT).
Description
openFDA Drug Labeling11 DESCRIPTION Sertraline hydrochloride tablets USP contains sertraline hydrochloride, an SSRI. Sertraline hydrochloride has a molecular weight of 342.7 and has the following chemical name: (1S-cis)-4-(3,4-dichlorophenyl)-1,2,3,4-tetrahydro-N-methyl-1-naphthalenamine hydrochloride. The empirical formula C 17 H 17 NCl 2 •HCl is represented by the following structural formula: Sertraline hydrochloride USP is a white crystalline powder that is slightly soluble in water and isopropyl alcohol, and sparingly soluble in ethanol. Sertraline hydrochloride tablets, USP for oral administration are supplied as scored tablets containing 27.98 mg, 55.9 mg and 111.9 mg sertraline hydrochloride equivalent to 25 mg, 50 mg and 100 mg of sertraline and the following inactive ingredients: dibasic calcium phosphate dihydrate, hydroxypropyl cellulose, microcrystalline cellulose, magnesium stearate, ascorbic acid, opadry green (titanium dioxide, hypromellose 3cP, hypromellose 6cP, Macrogol/Peg 400, polysorbate 80, D&C Yellow #10 Aluminum Lake, and FD&C Blue # 2/Indigo Carmine Aluminum Lake for 25 mg tablet), opadry light blue (hypromellose 3cP, hypromellose 6cP, titanium dioxide, Macrogol/Peg 400, FD&C Blue #2/Indigo Carmine Aluminum Lake and polysorbate 80 for 50 mg tablet), opadry yellow (hypromellose 3cP, hypromellose 6cP, titanium dioxide, Macrogol/Peg 400, polysorbate 80, Iron Oxide Yellow, Iron oxide Red for 100 mg tablet) and sodium starch glycolate. sertraline-str.jpg
Overdosage
openFDA Drug LabelingOVERDOSAGE Human Experience – Of 1,027 cases of overdose involving sertraline hydrochloride worldwide, alone or with other drugs, there were 72 deaths (circa 1999). Among 634 overdoses in which sertraline hydrochloride was the only drug ingested, 8 resulted in fatal outcome, 75 completely recovered, and 27 patients experienced sequelae after overdosage to include alopecia, decreased libido, diarrhea, ejaculation disorder, fatigue, insomnia, somnolence and serotonin syndrome. The remaining 524 cases had an unknown outcome. The most common signs and symptoms associated with non-fatal sertraline hydrochloride overdosage were somnolence, vomiting, tachycardia, nausea, dizziness, agitation and tremor. The largest known ingestion was 13.5 grams in a patient who took sertraline hydrochloride alone and subsequently recovered. However, another patient who took 2.5 grams of sertraline hydrochloride alone experienced a fatal outcome. Other important adverse events reported with sertraline hydrochloride overdose (single or multiple drugs) include bradycardia, bundle branch block, coma, convulsions, delirium, hallucinations, hypertension, hypotension, manic reaction, pancreatitis, QT-interval prolongation, serotonin syndrome, stupor and syncope. Overdose Management –Treatment should consist of those general measures employed in the management of overdosage with any antidepressant. Ensure an adequate airway, oxygenation and ventilation. Monitor cardiac rhythm and vital signs. General supportive and symptomatic measures are also recommended. Induction of emesis is not recommended. Gastric lavage with a large-bore orogastric tube with appropriate airway protection, if needed, may be indicated if performed soon after ingestion, or in symptomatic patients. Activated charcoal should be administered. Due to large volume of distribution of this drug, forced diuresis, dialysis, hemoperfusion and exchange transfusion are unlikely to be of benefit. No specific antidotes for sertraline are known. In managing overdosage, consider the possibility of multiple drug involvement. The physician should consider contacting a poison control center on the treatment of any overdose. Telephone numbers for certified poison control centers are listed in the Physicians' Desk Reference ® (PDR®).
How Supplied / Storage and Handling
openFDA Drug Labeling16 HOW SUPPLIED/STORAGE AND HANDLING Sertraline Hydrochloride Tablets USP, 25 mg Tablets: Light Green film coated Modified oval biconvex tablets debossed with I on the left Side of bisect and G on the right Side of bisect on one Side and “212” on other NDC 69097-833-02 Bottles of 30 NDC 69097-833-05 Bottles of 90 NDC 69097-833-07 Bottles of 100 NDC 69097-833-12 Bottles of 500 Sertraline Hydrochloride Tablets USP, 50 mg Tablets: Light Blue film coated Modified oval biconvex tablets debossed with I on the left side of bisect and G on the right side of bisect on one side and “ 213” on other NDC 69097-834-02 Bottles of 30 NDC 69097-834-05 Bottles of 90 NDC 69097-834-07 Bottles of 100 NDC 69097-834-12 Bottles of 500 Sertraline Hydrochloride Tablets USP, 100 mg Tablets: Light Yellow film coated Modified oval biconvex tablets debossed with I on the left side of bisect and G on the right side of bisect on one side and “214” on other NDC 69097-835-02 Bottles of 30 NDC 69097-835-05 Bottles of 90 NDC 69097-835-07 Bottles of 100 NDC 69097-835-12 Bottles of 500 Store at 20°C to 25°C (68°F to 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature].
Adverse event reports
Source: openFDA FAERSAttributed to this product's most-reported active ingredient: SERTRALINE HYDROCHLORIDE. Combination products with more than six active ingredients are not attributed, because a report count summed across a long ingredient list measures the list, not the medicine.
Recalls
Source: FDA Enforcement| Classification | Reported | Firm | Reason | Status |
|---|---|---|---|---|
| Class II | January 3, 2024 | Legacy Pharmaceutical Packaging LLC | CGMP Deviations: Inadequate line clearance which may result in a potential comingling of product. | Ongoing |
Packaging and NDCs
Source: NDC Directory| Package NDC | Product NDC | Labeler | Description | Marketing start |
|---|---|---|---|---|
| 50090-7691-0 | 50090-7691 | A-S Medication Solutions | 30 TABLET in 1 BOTTLE (50090-7691-0) | October 10, 2025 |
| 50090-7691-1 | 50090-7691 | A-S Medication Solutions | 60 TABLET in 1 BOTTLE (50090-7691-1) | October 10, 2025 |
| 50090-7691-2 | 50090-7691 | A-S Medication Solutions | 90 TABLET in 1 BOTTLE (50090-7691-2) | October 10, 2025 |
| 50090-7692-0 | 50090-7692 | A-S Medication Solutions | 90 TABLET in 1 BOTTLE (50090-7692-0) | October 10, 2025 |
| 50090-7693-0 | 50090-7693 | A-S Medication Solutions | 30 TABLET in 1 BOTTLE (50090-7693-0) | October 10, 2025 |
| 50090-7693-1 | 50090-7693 | A-S Medication Solutions | 60 TABLET in 1 BOTTLE (50090-7693-1) | October 10, 2025 |
| 50090-7693-2 | 50090-7693 | A-S Medication Solutions | 90 TABLET in 1 BOTTLE (50090-7693-2) | October 10, 2025 |
| 50090-7694-0 | 50090-7694 | A-S Medication Solutions | 90 TABLET in 1 BOTTLE (50090-7694-0) | October 10, 2025 |
| 60687-231-01 | 60687-231 | American Health Packaging | 100 BLISTER PACK in 1 BOX, UNIT-DOSE (60687-231-01) / 1 TABLET in 1 BLISTER PACK (60687-231-11) | January 30, 2017 |
| 60687-242-01 | 60687-242 | American Health Packaging | 100 BLISTER PACK in 1 BOX, UNIT-DOSE (60687-242-01) / 1 TABLET in 1 BLISTER PACK (60687-242-11) | January 11, 2017 |
| 60687-253-01 | 60687-253 | American Health Packaging | 100 BLISTER PACK in 1 BOX, UNIT-DOSE (60687-253-01) / 1 TABLET in 1 BLISTER PACK (60687-253-11) | June 19, 2017 |
| 71610-886-15 | 71610-886 | Aphena Pharma Solutions - Tennessee, LLC | 15 TABLET in 1 BOTTLE (71610-886-15) | March 18, 2025 |
| 71610-886-45 | 71610-886 | Aphena Pharma Solutions - Tennessee, LLC | 45 TABLET in 1 BOTTLE (71610-886-45) | March 18, 2025 |
| 71610-886-60 | 71610-886 | Aphena Pharma Solutions - Tennessee, LLC | 90 TABLET in 1 BOTTLE (71610-886-60) | March 18, 2025 |
| 71610-886-73 | 71610-886 | Aphena Pharma Solutions - Tennessee, LLC | 135 TABLET in 1 BOTTLE (71610-886-73) | March 18, 2025 |
| 71610-886-80 | 71610-886 | Aphena Pharma Solutions - Tennessee, LLC | 180 TABLET in 1 BOTTLE (71610-886-80) | March 18, 2025 |
| 43602-979-15 | 43602-979 | Ascent Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE (43602-979-15) | May 3, 2021 |
| 43602-979-16 | 43602-979 | Ascent Pharmaceuticals, Inc. | 500 TABLET in 1 BOTTLE (43602-979-16) | May 3, 2021 |
| 43602-980-15 | 43602-980 | Ascent Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE (43602-980-15) | May 3, 2021 |
| 43602-980-16 | 43602-980 | Ascent Pharmaceuticals, Inc. | 500 TABLET in 1 BOTTLE (43602-980-16) | May 3, 2021 |
| 43602-981-15 | 43602-981 | Ascent Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE (43602-981-15) | May 3, 2021 |
| 43602-981-16 | 43602-981 | Ascent Pharmaceuticals, Inc. | 500 TABLET in 1 BOTTLE (43602-981-16) | May 3, 2021 |
| 71335-0328-1 | 71335-0328 | Bryant Ranch Prepack | 30 TABLET in 1 BOTTLE (71335-0328-1) | February 13, 2018 |
| 71335-0328-2 | 71335-0328 | Bryant Ranch Prepack | 60 TABLET in 1 BOTTLE (71335-0328-2) | February 20, 2018 |
| 71335-0328-3 | 71335-0328 | Bryant Ranch Prepack | 90 TABLET in 1 BOTTLE (71335-0328-3) | February 26, 2018 |
| 71335-0328-4 | 71335-0328 | Bryant Ranch Prepack | 180 TABLET in 1 BOTTLE (71335-0328-4) | December 27, 2021 |
| 71335-0328-5 | 71335-0328 | Bryant Ranch Prepack | 28 TABLET in 1 BOTTLE (71335-0328-5) | December 27, 2021 |
| 71335-0328-6 | 71335-0328 | Bryant Ranch Prepack | 120 TABLET in 1 BOTTLE (71335-0328-6) | December 27, 2021 |
| 71335-0896-1 | 71335-0896 | Bryant Ranch Prepack | 30 TABLET in 1 BOTTLE (71335-0896-1) | February 9, 2022 |
| 71335-0896-2 | 71335-0896 | Bryant Ranch Prepack | 60 TABLET in 1 BOTTLE (71335-0896-2) | February 9, 2022 |
| 71335-0896-3 | 71335-0896 | Bryant Ranch Prepack | 90 TABLET in 1 BOTTLE (71335-0896-3) | February 9, 2022 |
| 71335-0896-4 | 71335-0896 | Bryant Ranch Prepack | 180 TABLET in 1 BOTTLE (71335-0896-4) | February 9, 2022 |
| 71335-0896-5 | 71335-0896 | Bryant Ranch Prepack | 28 TABLET in 1 BOTTLE (71335-0896-5) | February 9, 2022 |
| 71335-0896-6 | 71335-0896 | Bryant Ranch Prepack | 15 TABLET in 1 BOTTLE (71335-0896-6) | February 9, 2022 |
| 71335-0896-7 | 71335-0896 | Bryant Ranch Prepack | 120 TABLET in 1 BOTTLE (71335-0896-7) | February 9, 2022 |
| 71335-0896-8 | 71335-0896 | Bryant Ranch Prepack | 100 TABLET in 1 BOTTLE (71335-0896-8) | February 9, 2022 |
| 71335-0896-9 | 71335-0896 | Bryant Ranch Prepack | 45 TABLET in 1 BOTTLE (71335-0896-9) | February 9, 2022 |
| 31722-145-05 | 31722-145 | Camber Pharmaceuticals, Inc. | 500 TABLET in 1 BOTTLE (31722-145-05) | May 3, 2021 |
| 31722-145-30 | 31722-145 | Camber Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE (31722-145-30) | May 3, 2021 |
| 31722-145-90 | 31722-145 | Camber Pharmaceuticals, Inc. | 90 TABLET in 1 BOTTLE (31722-145-90) | May 3, 2021 |
| 31722-146-05 | 31722-146 | Camber Pharmaceuticals, Inc. | 500 TABLET in 1 BOTTLE (31722-146-05) | May 3, 2021 |
| 31722-146-30 | 31722-146 | Camber Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE (31722-146-30) | May 3, 2021 |
| 31722-146-90 | 31722-146 | Camber Pharmaceuticals, Inc. | 90 TABLET in 1 BOTTLE (31722-146-90) | May 3, 2021 |
| 31722-147-05 | 31722-147 | Camber Pharmaceuticals, Inc. | 500 TABLET in 1 BOTTLE (31722-147-05) | May 3, 2021 |
| 31722-147-30 | 31722-147 | Camber Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE (31722-147-30) | May 3, 2021 |
| 31722-147-90 | 31722-147 | Camber Pharmaceuticals, Inc. | 90 TABLET in 1 BOTTLE (31722-147-90) | May 3, 2021 |
| 55154-4687-0 | 55154-4687 | Cardinal Health 107, LLC | 10 BLISTER PACK in 1 BAG (55154-4687-0) / 1 TABLET in 1 BLISTER PACK | December 5, 2016 |
| 55154-4692-0 | 55154-4692 | Cardinal Health 107, LLC | 10 BLISTER PACK in 1 BAG (55154-4692-0) / 1 TABLET in 1 BLISTER PACK | April 3, 2017 |
| 69097-833-02 | 69097-833 | Cipla USA Inc. | 30 TABLET in 1 BOTTLE (69097-833-02) | July 21, 2016 |
| 69097-833-05 | 69097-833 | Cipla USA Inc. | 90 TABLET in 1 BOTTLE (69097-833-05) | July 21, 2016 |
| 69097-833-07 | 69097-833 | Cipla USA Inc. | 100 TABLET in 1 BOTTLE (69097-833-07) | July 21, 2016 |
| 69097-833-12 | 69097-833 | Cipla USA Inc. | 500 TABLET in 1 BOTTLE (69097-833-12) | July 21, 2016 |
| 69097-834-02 | 69097-834 | Cipla USA Inc. | 30 TABLET in 1 BOTTLE (69097-834-02) | July 21, 2016 |
| 69097-834-05 | 69097-834 | Cipla USA Inc. | 90 TABLET in 1 BOTTLE (69097-834-05) | July 21, 2016 |
| 69097-834-07 | 69097-834 | Cipla USA Inc. | 100 TABLET in 1 BOTTLE (69097-834-07) | July 21, 2016 |
| 69097-834-12 | 69097-834 | Cipla USA Inc. | 500 TABLET in 1 BOTTLE (69097-834-12) | July 21, 2016 |
| 69097-835-02 | 69097-835 | Cipla USA Inc. | 30 TABLET in 1 BOTTLE (69097-835-02) | July 21, 2016 |
| 69097-835-05 | 69097-835 | Cipla USA Inc. | 90 TABLET in 1 BOTTLE (69097-835-05) | July 21, 2016 |
| 69097-835-07 | 69097-835 | Cipla USA Inc. | 100 TABLET in 1 BOTTLE (69097-835-07) | July 21, 2016 |
| 69097-835-12 | 69097-835 | Cipla USA Inc. | 500 TABLET in 1 BOTTLE (69097-835-12) | July 21, 2016 |
| 67046-1181-3 | 67046-1181 | Coupler LLC | 30 TABLET in 1 BLISTER PACK (67046-1181-3) | July 10, 2026 |
| 68645-521-54 | 68645-521 | Legacy Pharmaceutical Packaging, LLC | 30 TABLET in 1 BOTTLE (68645-521-54) | July 21, 2016 |
| 68645-522-54 | 68645-522 | Legacy Pharmaceutical Packaging, LLC | 30 TABLET in 1 BOTTLE (68645-522-54) | July 21, 2016 |
| 68645-523-54 | 68645-523 | Legacy Pharmaceutical Packaging, LLC | 30 TABLET in 1 BOTTLE (68645-523-54) | July 21, 2016 |
| 51655-345-26 | 51655-345 | Northwind Health Company, LLC | 90 TABLET in 1 BOTTLE, PLASTIC (51655-345-26) | May 28, 2020 |
| 68071-3951-3 | 68071-3951 | NuCare Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE (68071-3951-3) | January 15, 2026 |
| 68071-4658-3 | 68071-4658 | NuCare Pharmaceuticals,Inc. | 30 TABLET in 1 BOTTLE (68071-4658-3) | December 10, 2018 |
| 43063-033-30 | 43063-033 | PD-Rx Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE, PLASTIC (43063-033-30) | June 27, 2017 |
| 43063-033-60 | 43063-033 | PD-Rx Pharmaceuticals, Inc. | 60 TABLET in 1 BOTTLE, PLASTIC (43063-033-60) | September 12, 2017 |
| 43063-033-90 | 43063-033 | PD-Rx Pharmaceuticals, Inc. | 90 TABLET in 1 BOTTLE, PLASTIC (43063-033-90) | April 14, 2017 |
| 43063-754-30 | 43063-754 | PD-Rx Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE, PLASTIC (43063-754-30) | June 9, 2017 |
| 43063-754-60 | 43063-754 | PD-Rx Pharmaceuticals, Inc. | 60 TABLET in 1 BOTTLE, PLASTIC (43063-754-60) | July 31, 2017 |
| 43063-754-90 | 43063-754 | PD-Rx Pharmaceuticals, Inc. | 90 TABLET in 1 BOTTLE, PLASTIC (43063-754-90) | April 17, 2017 |
| 63187-767-30 | 63187-767 | Proficient Rx LP | 30 TABLET in 1 BOTTLE (63187-767-30) | November 1, 2016 |
| 63187-767-60 | 63187-767 | Proficient Rx LP | 60 TABLET in 1 BOTTLE (63187-767-60) | November 1, 2016 |
| 63187-767-90 | 63187-767 | Proficient Rx LP | 90 TABLET in 1 BOTTLE (63187-767-90) | November 1, 2016 |
| 63187-795-30 | 63187-795 | Proficient Rx LP | 30 TABLET in 1 BOTTLE (63187-795-30) | December 1, 2016 |
| 63187-795-60 | 63187-795 | Proficient Rx LP | 60 TABLET in 1 BOTTLE (63187-795-60) | December 1, 2016 |
| 63187-795-90 | 63187-795 | Proficient Rx LP | 90 TABLET in 1 BOTTLE (63187-795-90) | December 1, 2016 |
| 63187-859-30 | 63187-859 | Proficient Rx LP | 30 TABLET in 1 BOTTLE (63187-859-30) | June 1, 2017 |
| 63187-859-60 | 63187-859 | Proficient Rx LP | 60 TABLET in 1 BOTTLE (63187-859-60) | June 1, 2017 |
| 63187-859-90 | 63187-859 | Proficient Rx LP | 90 TABLET in 1 BOTTLE (63187-859-90) | June 1, 2017 |
| 70518-4307-0 | 70518-4307 | REMEDYREPACK INC. | 30 TABLET in 1 BLISTER PACK (70518-4307-0) | March 11, 2025 |
| 70518-4307-1 | 70518-4307 | REMEDYREPACK INC. | 90 TABLET in 1 BOTTLE, PLASTIC (70518-4307-1) | May 27, 2025 |
| 72865-205-05 | 72865-205 | XLCare Pharmaceuticals, Inc. | 500 TABLET in 1 BOTTLE (72865-205-05) | May 3, 2021 |
| 72865-205-18 | 72865-205 | XLCare Pharmaceuticals, Inc. | 180 TABLET in 1 BOTTLE (72865-205-18) | May 3, 2021 |
| 72865-205-30 | 72865-205 | XLCare Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE (72865-205-30) | May 3, 2021 |
| 72865-205-90 | 72865-205 | XLCare Pharmaceuticals, Inc. | 90 TABLET in 1 BOTTLE (72865-205-90) | May 3, 2021 |
| 72865-206-05 | 72865-206 | XLCare Pharmaceuticals, Inc. | 500 TABLET in 1 BOTTLE (72865-206-05) | May 3, 2021 |
| 72865-206-18 | 72865-206 | XLCare Pharmaceuticals, Inc. | 180 TABLET in 1 BOTTLE (72865-206-18) | May 3, 2021 |
| 72865-206-30 | 72865-206 | XLCare Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE (72865-206-30) | May 3, 2021 |
| 72865-206-90 | 72865-206 | XLCare Pharmaceuticals, Inc. | 90 TABLET in 1 BOTTLE (72865-206-90) | May 3, 2021 |
| 72865-207-05 | 72865-207 | XLCare Pharmaceuticals, Inc. | 500 TABLET in 1 BOTTLE (72865-207-05) | May 3, 2021 |
| 72865-207-18 | 72865-207 | XLCare Pharmaceuticals, Inc. | 180 TABLET in 1 BOTTLE (72865-207-18) | May 3, 2021 |
| 72865-207-30 | 72865-207 | XLCare Pharmaceuticals, Inc. | 30 TABLET in 1 BOTTLE (72865-207-30) | May 3, 2021 |
| 72865-207-90 | 72865-207 | XLCare Pharmaceuticals, Inc. | 90 TABLET in 1 BOTTLE (72865-207-90) | May 3, 2021 |
| 50090-7691 | 50090-7691 | A-S Medication Solutions | — | May 3, 2021 |
| 50090-7692 | 50090-7692 | A-S Medication Solutions | — | May 3, 2021 |
| 50090-7693 | 50090-7693 | A-S Medication Solutions | — | May 3, 2021 |
| 50090-7694 | 50090-7694 | A-S Medication Solutions | — | May 3, 2021 |
| 60687-231 | 60687-231 | American Health Packaging | — | January 30, 2017 |
| 60687-242 | 60687-242 | American Health Packaging | — | January 11, 2017 |
| 60687-253 | 60687-253 | American Health Packaging | — | June 19, 2017 |
| 71610-886 | 71610-886 | Aphena Pharma Solutions - Tennessee, LLC | — | July 21, 2016 |
| 43602-979 | 43602-979 | Ascent Pharmaceuticals, Inc. | — | May 3, 2021 |
| 43602-980 | 43602-980 | Ascent Pharmaceuticals, Inc. | — | May 3, 2021 |
| 43602-981 | 43602-981 | Ascent Pharmaceuticals, Inc. | — | May 3, 2021 |
| 71335-0328 | 71335-0328 | Bryant Ranch Prepack | — | July 21, 2016 |
| 71335-0896 | 71335-0896 | Bryant Ranch Prepack | — | July 21, 2016 |
| 31722-145 | 31722-145 | Camber Pharmaceuticals, Inc. | — | May 3, 2021 |
| 31722-146 | 31722-146 | Camber Pharmaceuticals, Inc. | — | May 3, 2021 |
| 31722-147 | 31722-147 | Camber Pharmaceuticals, Inc. | — | May 3, 2021 |
| 55154-4687 | 55154-4687 | Cardinal Health 107, LLC | — | December 5, 2016 |
| 55154-4692 | 55154-4692 | Cardinal Health 107, LLC | — | April 3, 2017 |
| 69097-833 | 69097-833 | Cipla USA Inc. | — | July 21, 2016 |
| 69097-834 | 69097-834 | Cipla USA Inc. | — | July 21, 2016 |
| 69097-835 | 69097-835 | Cipla USA Inc. | — | July 21, 2016 |
| 67046-1181 | 67046-1181 | Coupler LLC | — | July 10, 2026 |
| 68645-521 | 68645-521 | Legacy Pharmaceutical Packaging, LLC | — | July 21, 2016 |
| 68645-522 | 68645-522 | Legacy Pharmaceutical Packaging, LLC | — | July 21, 2016 |
| 68645-523 | 68645-523 | Legacy Pharmaceutical Packaging, LLC | — | July 21, 2016 |
| 51655-345 | 51655-345 | Northwind Health Company, LLC | — | May 28, 2020 |
| 68071-3951 | 68071-3951 | NuCare Pharmaceuticals, Inc. | — | May 3, 2021 |
| 68071-4658 | 68071-4658 | NuCare Pharmaceuticals,Inc. | — | July 21, 2016 |
| 43063-033 | 43063-033 | PD-Rx Pharmaceuticals, Inc. | — | July 21, 2016 |
| 43063-754 | 43063-754 | PD-Rx Pharmaceuticals, Inc. | — | July 21, 2016 |
| 63187-767 | 63187-767 | Proficient Rx LP | — | July 21, 2016 |
| 63187-795 | 63187-795 | Proficient Rx LP | — | July 21, 2016 |
| 63187-859 | 63187-859 | Proficient Rx LP | — | July 21, 2016 |
| 70518-4307 | 70518-4307 | REMEDYREPACK INC. | — | March 11, 2025 |
| 72865-205 | 72865-205 | XLCare Pharmaceuticals, Inc. | — | May 3, 2021 |
| 72865-206 | 72865-206 | XLCare Pharmaceuticals, Inc. | — | May 3, 2021 |
| 72865-207 | 72865-207 | XLCare Pharmaceuticals, Inc. | — | May 3, 2021 |
Sources for this page
| Dataset | Agency | Used for |
|---|---|---|
| NDC Directory | FDA | Identity, ingredients, strengths, forms, routes, labelers, packages |
| Drugs@FDA | FDA | Application, sponsor, submissions, review documents, marketing status |
| Orange Book | FDA | Therapeutic equivalence codes, reference drug flags, patents, exclusivity |
| Drug Labeling | FDA / NLM | Prescribing information reproduced above |
| FAERS | FDA | Adverse event report counts |
| Enforcement | FDA | Recall records |
Generated September 25, 2026 · 13 sections on this page.