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Do not take this medicine with any of the following:
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
kidney or liver disease
attempted suicide or thinking about it
This medicine may also interact with the following:
You may get drowsy, dizzy or have blurred vision. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may increase dizziness or drowsiness. Avoid alcoholic drinks.
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Side effects that you should report to your doctor or health care professional as soon as possible:
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You may get drowsy, dizzy or have blurred vision. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may increase dizziness or drowsiness. Avoid alcoholic drinks.
Patients and their families should watch out for worsening depression or thoughts of suicide. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of antidepressant treatment or after a change in dose, call your health care professional.
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This list may not describe all possible side effects.
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
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What if I miss a dose?
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Patients and their families should watch out for worsening depression or thoughts of suicide. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of antidepressant treatment or after a change in dose, call your health care professional.
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This medicine may also interact with the following:
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barbiturates such as phenobarbital
Visit your doctor or health care professional for regular checks on your progress. You may have to take this medicine for two weeks or more before you feel better.
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What may interact with this medicine?
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Store at room temperature between 15 and 30 degrees C (59 to 86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date.
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If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
heart disease, or previous heart attack
other medicines for depression
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
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NOTE: This medicine is only for you. Do not share this medicine with others.
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Store at room temperature between 15 and 30 degrees C (59 to 86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date.
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