How should you use this medication?
Take this medication by mouth with a drink of water. Follow the directions on the prescription label. You can take the tablets with or without food. Take your medication at regular intervals. Do not take it more often than directed. Do not stop taking this medication suddenly except upon the advice of your care team. Stopping this medication too quickly may cause serious side effects or your condition may worsen. A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time. Talk to your care team regarding the use of this medication in children. Special care may be needed.
What are the possible side effects of this medicine?
Side effects that you should report to your care team as soon as possible:
Allergic reactions-skin rash, itching, hives, swelling of the face, lips, tongue, or throat
Heart rhythm changes- fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing
Serotonin syndrome-irritability, confusion, fast or irregular heartbeat, muscle stiffness, twitching muscles, sweating, high fever, seizure, chills, vomiting, diarrhea
Sudden eye pain or change in vision such as blurry vision, seeing halos around lights, vision loss
Thoughts of suicide or self-harm, worsening mood, feelings of depression Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
Change in appetite or weight
Change in sex drive or performance
What may interact with this medicine?
Our pharmacists will check to see if this medication will cause any interactions with the information in your profile.
Do not take this medication with any of the following:
Certain medications used to regulate abnormal heartbeat or to treat other heart conditions
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
Other medications for mental depression
Phenothiazines like perphenazine, thioridazine and chlorpromazine
St. John’s Wort This medication may also interact with the following:
Atropine and related medications like hyoscyamine, scopolamine, tolterodine and others
Barbiturate medications for inducing sleep or treating seizures, like phenobarbital
Thyroid hormones such as levothyroxine
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