At the outset, it should be noted that Sertraline is a prescription antidepressant, so the legitimacy and need for its use is assessed by a doctor. Please remember that taking all medications and dietary supplements should always be reported to your doctor, especially when he or she decides to implement further medications. Such a procedure will allow for the selection of safe and effective pharmacotherapy.

Sertraline can interact with many active substances, including Maca root. Maca may increase the effect of antidepressants, which may increase the risk of side effects. Tribulus Terrestris is a dietary supplement that generally has no serious interactions with Sertraline.

Please note that Sertraline, as a selective serotonin reuptake inhibitor (SSRI), may cause decreased libido and other sexual disorders such as difficulty reaching orgasm, delayed ejaculation or erectile dysfunction. It is estimated that up to 50–80% of people using SSRIs experience such side effects. The mechanism is to increase serotonin levels, which reduces dopaminergic activity, which is crucial for sexual desire. In the case of troublesome problems, it is worth consulting a doctor, who may consider changing the medication or adjusting the dose.

If you need more personalized advice, you can use teleconsultations here:

https://www.gdziepolek.pl/telekonsultacja

The availability of Sertraline in pharmacies in Polish can be checked at the following address:

https://www.gdziepolek.pl/produkty/70702/sertralina-krka-tabletki-powlekane/apteki