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Antidepressant medications are prescribed to treat various conditions, including depression and other mental or mood disorders. They can play a crucial role in preventing suicidal thoughts and attempts, along with providing other significant benefits. However, research indicates that a small percentage of individuals, particularly those under 25, may experience an increase in depression or other mental or mood symptoms, including suicidal thoughts or actions, when taking these medications. It is essential to have a thorough discussion with your doctor about the potential risks and benefits of using antidepressants, especially for individuals younger than 25, regardless of whether the treatment is for a mental or mood condition.

• Notify your doctor immediately if you observe:
  • Worsening of depression or other psychiatric conditions.
  • Unusual behavioral changes, including possible suicidal thoughts or attempts.
  • New or worsening mental or mood changes, such as increased anxiety, panic attacks, difficulty sleeping, irritability, feelings of hostility or anger, impulsive behavior, extreme restlessness, or rapid speech.
• Vigilance is particularly important when starting a new antidepressant or altering the dosage.

By maintaining open communication with your healthcare provider, you can ensure the safe and effective use of antidepressant medications.

Common side effects:

• nausea
• drowsiness
• dizziness
• trouble sleeping
• loss of appetite
• weakness
• dry mouth
• sweating
• blurred vision

• yawning

  Less common but important to monitor:

• tremors
• restlessness
• decreased interest in sex
• changes in sexual ability
• numbness or tingling
• easy bleeding or bruising
• irregular heartbeat
• muscle weakness or spasms

• seizures

  Serious side effects:

• black stools
• vomit resembling coffee grounds
• eye pain or redness
• vision changes
• widened pupils
• serotonin syndrome
• rapid heartbeat
• hallucinations
• loss of coordination
• severe dizziness
• nausea and vomiting
• diarrhea
• muscle twitching
• fever
• extreme agitation
• prolonged or painful erection
• allergic reactions (rash, itching, swelling, severe dizziness, breathing difficulties)

Certain medications can interact with your current drug, potentially causing harmful effects. These include Thioridazine and medications that increase bleeding risk, such as antiplatelet drugs like Clopidogrel, NSAIDs like Ibuprofen and Naproxen, and anticoagulants like Dabigatran and Warfarin. Using Aspirin alongside this medication might heighten bleeding risk; however, continue with low-dose aspirin for heart health if advised by your doctor. Always consult your healthcare provider for guidance.

This drug can also impede the elimination of other medications from your system, possibly altering their effectiveness. Affected medications include Atomoxetine, certain antipsychotics like phenothiazines and Pimozide, Risperidone, Tamoxifen, Tetrabenazine, some antiarrhythmics like Propafenone and Flecainide, and tricyclic antidepressants such as Desipramine and Amitriptyline.

Avoid combining this medication with MAO inhibitors (e.g., isocarboxazid, linezolid, phenelzine) due to the risk of a severe, potentially fatal interaction. MAO inhibitors should not be taken within two weeks before or after this treatment. Consult your doctor on timing for starting or stopping these medications.

Taking other serotonin-increasing drugs, like MDMA, St. John's wort, certain antidepressants (SSRIs and SNRIs), or Tryptophan, can raise the risk of serotonin syndrome, particularly when you begin or increase doses. Notify your doctor if you're using any of these.

Inform your healthcare provider if you're taking substances that cause drowsiness, including alcohol, cannabis, antihistamines, sleep or anxiety medications, muscle relaxants, and opioid pain relievers. Check medication labels for ingredients that may cause drowsiness and seek advice from your pharmacist for safe use.

This medication might affect results of certain lab tests, such as Parkinson's disease brain scans, possibly leading to incorrect results. Ensure all medical personnel are aware of your medication use.