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When using viloxazine for treating attention-deficit hyperactivity disorder (ADHD), it is critical to monitor for any potential negative effects, including a possible worsening of symptoms or the emergence of new mental health issues. Here are key points to consider:

• A small number of individuals may experience a deterioration in their condition or develop new mental or mood-related symptoms, such as suicidal thoughts or actions.
• Discuss thoroughly with your healthcare provider the potential risks and benefits of using this medication.
• Immediately inform your doctor if you observe any worsening of your condition or other psychiatric symptoms. This includes any unusual changes in behavior, such as suicidal ideation or attempts, new or worsening anxiety, panic attacks, depression, sleep disturbances, irritability, feelings of hostility or anger, hallucinations, delusions, impulsive behavior, severe restlessness, or excessively rapid speech.
• Pay special attention to these symptoms particularly when starting the medication or when the dosage is adjusted.

Maintaining open communication with your healthcare provider can help in effectively managing and mitigating any adverse effects.

You might experience some mild side effects such as drowsiness, tiredness, headache, decreased appetite, nausea, vomiting, dry mouth, or constipation. These are generally manageable, but if they persist or worsen, it's important to consult a healthcare professional. Regularly monitoring your blood pressure is advised, as this medication may cause an increase. If you notice elevated readings, seek medical guidance.

Some side effects can be more serious, although they are less common. Be vigilant for symptoms like easy bleeding or bruising, a fast heartbeat, or unusual weight loss, and report these to your doctor immediately. It is crucial to seek urgent medical attention if you encounter very serious symptoms such as black stools or vomit resembling coffee grounds, as these may indicate a significant issue.

Though rare, a severe allergic reaction is possible. Symptoms like rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, or difficulty breathing require immediate medical intervention. This summary does not cover all potential side effects. If you experience any uncommon symptoms, reach out to a healthcare provider for advice.

Certain medications can interact with this drug. These include drugs that may cause bleeding or bruising, like antiplatelet medications (e.g., clopidogrel), nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen, and blood thinners like dabigatran or warfarin. Additionally, combining this drug with MAO inhibitors can result in a severe and potentially life-threatening reaction. Do not use MAO inhibitors (such as isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, and tranylcypromine) while on this medication. Most MAO inhibitors should be avoided for two weeks before and after taking this medication. Consult your doctor about the appropriate timing for starting or stopping the medication.

This drug may also slow the elimination of certain other medications from your system, affecting their effectiveness. Drugs affected include alosetron, duloxetine, fezolinetant, ramelteon, tasimelteon, tizanidine, and theophylline, among others.

Aspirin can heighten the risk of bleeding when taken with this medication. However, if your doctor has advised you to take low-dose aspirin to prevent heart attacks or strokes (typically 81-162 milligrams daily), continue taking it unless instructed otherwise. For more information, consult your doctor or pharmacist.

Be aware that some products contain ingredients that could increase your heart rate or blood pressure. Inform your pharmacist about all the products you use and seek advice on safe usage, especially for cough-and-cold products, diet aids, or NSAIDs like ibuprofen or naproxen.