How should you use this medication?
Take this medication by mouth with a glass of water. Follow the directions on the prescription label. You can take it with or without food. Take your medication at regular intervals. Do not take your medication 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 about the use of this medication in children. While this medication may be prescribed for children as young as 7 years for selected conditions, precautions do apply.
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
Bleeding-bloody or black, tar-like stools, red or dark brown urine, vomiting blood or brown material that looks like coffee grounds, small red or purple spots on skin, unusual bleeding or bruising
Heart rhythm changes-fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing
Low sodium level-muscle weakness, fatigue, dizziness, headache, confusion
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 blurred vision, seeing halos around lights, vision loss
Thoughts of suicide or self-harm, worsening mood Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
Change in sex drive or performance
Tremors or shaking
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:
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
Methylene blue (injected into a vein)
Thioridazine This medication may also interact with the following:
Aspirin and aspirin-like medications
Certain medications for depression, anxiety, or psychotic disturbances
Certain medications for fungal infections like ketoconazole, fluconazole, posaconazole, and itraconazole
Certain medications for irregular heart beat like flecainide, quinidine, propafenone
Certain medications for migraine headaches like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
Certain medications for sleep
Certain medications for seizures like carbamazepine, valproic acid, phenytoin
Certain medications that treat or prevent blood clots like warfarin, enoxaparin, dalteparin
NSAIDs, medications for pain and inflammation, like ibuprofen or naproxen
Other medications that prolong the QT interval (cause an abnormal heart rhythm) like dofetilide
Supplements like St. John’s wort, kava kava, valerian
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