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You might experience dry mouth, nausea, upset stomach, diarrhea, constipation, dizziness, weight loss, trouble sleeping, or headache. These are common side effects and usually not a cause for concern. However, if they persist or worsen, it's important to consult a healthcare professional. Additionally, this medication can increase blood pressure, so regular monitoring is advised.

More serious side effects require immediate attention. Contact a healthcare provider if you notice signs of blood flow problems in your fingers or toes, unusual wounds, mood or behavior changes, uncontrolled muscle movements, swelling in the ankles or feet, extreme fatigue, rapid or unexplained weight loss, changes in sexual interest or ability, prolonged erections in males, or vision changes.

Seek urgent medical assistance for very serious side effects such as fainting, severe headaches, irregular heartbeat, seizures, symptoms of a heart attack or stroke. Serotonin syndrome is a rare but severe condition that may occur, especially if combined with other serotonin-increasing drugs. Symptoms include a rapid heartbeat, hallucinations, severe dizziness, nausea, vomiting, twitching muscles, fever, or agitation.

A severe allergic reaction to this medication is rare, but requires immediate medical help if symptoms like rash, swelling (particularly of the face, tongue, or throat), severe dizziness, or difficulty breathing occur. Always consult a healthcare professional if you notice any effects not listed here.

Avoid using MAO inhibitors while taking this medication, as it can lead to a severe and potentially life-threatening interaction. This includes drugs like isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, and tranylcypromine. Additionally, most MAO inhibitors should not be used within two weeks before starting this medication. Consult your doctor for guidance on when to begin or discontinue use.

Certain products can increase your heart rate or blood pressure. Inform your pharmacist about all the products you are using, especially cough and cold remedies, diet pills, or NSAIDs like ibuprofen and naproxen, to ensure safe usage.

Taking other medications that elevate serotonin levels can heighten the risk of serotonin syndrome or toxicity. This includes substances such as MDMA ("ecstasy"), St. John's wort, and specific antidepressants like SSRIs (e.g., fluoxetine, paroxetine) and SNRIs (e.g., duloxetine, venlafaxine). The likelihood of serotonin syndrome may increase when starting or increasing the dose of these drugs.

This medication might affect the results of certain medical or laboratory tests, such as brain scans for Parkinson's disease or corticosteroid levels, potentially leading to inaccurate results. Inform lab personnel and all your healthcare providers that you are using this medication.