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When taking Qelbree (viloxazine) for attention-deficit hyperactivity disorder (ADHD), it's crucial to understand the potential risks and precautions associated with its use. Below are some important safety guidelines to consider:

• Mental Health Changes: A small percentage of individuals may experience worsening ADHD symptoms, other mental health issues, or suicidal thoughts. It is imperative to discuss the risks and benefits with your healthcare provider. Alert your doctor immediately if you notice any new or worsening psychiatric symptoms, such as anxiety, depression, panic attacks, irritability, or impulsive behavior. Be particularly vigilant when starting the medication or adjusting the dose.

• Suicidal Thoughts and Behavior: The risk of suicidal thoughts or behaviors may increase, especially during the first few months or when changing doses. If you or someone close to you observes mood changes or unusual behaviors, including depression or anxiety, contact your healthcare provider without delay.

• Cardiovascular Effects: Qelbree (viloxazine) can elevate blood pressure and heart rate. Regular monitoring by your healthcare provider is necessary before starting the medication, during dose adjustments, and periodically thereafter. Seek medical attention immediately if you experience symptoms like severe headaches, chest pain, or trouble breathing.

• Bipolar Disorder Caution: This medication is not recommended for individuals with bipolar disorder, as it may trigger manic episodes. Your doctor will evaluate you for bipolar disorder before beginning treatment. Report any behavioral changes such as excessive happiness or irritability to your provider.

• Drowsiness: Qelbree (viloxazine) can cause significant drowsiness, affecting your concentration and reaction time. This effect may be intensified by alcohol or other sedative medications. Avoid driving or operating machinery until you understand how the drug affects you.

• Drug Interactions: Qelbree (viloxazine) may interact with various medications. It should not be combined with monoamine oxidase inhibitors (MAOIs) or taken within two weeks of MAOIs, as this can lead to dangerously high blood pressure. Additionally, it can increase the levels of certain drugs like duloxetine and tizanidine, causing severe side effects. Inform your healthcare provider about all medications you are taking, and consult them before starting any new ones.

• Contraindications: Qelbree (viloxazine) should not be used in conjunction with MAOIs or within 14 days of taking an MAOI. It is also contraindicated with medications such as alosetron, duloxetine, ramelteon, tasimelteon, tizanidine, and theophylline.

In case of an overdose, seek emergency medical help immediately. Always consult your healthcare provider with any concerns or questions related to your treatment with Qelbree (viloxazine).

When taking this medication, you may experience some common side effects, which are usually mild and manageable. These include trouble sleeping, headache, nausea, extreme tiredness, dry mouth, and decreased appetite. It's important to monitor these symptoms, and if they persist or worsen, consult your healthcare provider for guidance.

Some other side effects that have been reported include sleepiness, a sore throat, cough, and other symptoms of an upper respiratory tract infection. While these symptoms are typically not severe, it's advisable to seek medical advice if they become bothersome.

There are also rare but serious side effects associated with this medication that require immediate medical attention. These include symptoms like easy bleeding or bruising, fast heartbeat, unusual weight loss, black stools, and vomit that resembles coffee grounds. Additionally, although very uncommon, a serious allergic reaction may occur, characterized by rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, and trouble breathing. If you notice any of these severe symptoms, it is crucial to seek urgent medical care.

This summary does not cover all potential side effects. If you experience other unusual symptoms, it's important to contact your healthcare provider for further evaluation. Always remember to regularly monitor your health and report any high blood pressure readings to your doctor, as this medication may increase blood pressure in some individuals.

Certain medications can interact with this drug, and it's important to be aware of them. Medications that can increase the risk of bleeding or bruising include antiplatelet drugs like clopidogrel, NSAIDs such as ibuprofen and naproxen, and blood thinners like dabigatran and warfarin. Using MAO inhibitors together with this drug can lead to a serious, potentially life-threatening interaction. It's advised to avoid MAO inhibitors—such as isocarboxazid, linezolid, and selegiline—during treatment and generally for two weeks before and after. Consult your doctor for guidance on when to start or stop these medications.

This drug can also affect how your body processes other medications, possibly altering their effectiveness. Drugs that might be impacted include alosetron, duloxetine, and tizanidine, among others. Additionally, while aspirin may elevate the risk of bleeding with this drug, continue taking low-dose aspirin for heart attack or stroke prevention if your doctor has recommended it, unless directed otherwise. Discuss with your doctor or pharmacist for specific advice.

Moreover, some products might contain ingredients that could raise your heart rate or blood pressure. Always inform your pharmacist about all the products you are using, particularly cough-and-cold remedies, diet aids, or NSAIDs like ibuprofen and naproxen, and seek advice on their safe use.