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Antidepressants are prescribed to manage depression and various other mental health conditions. They play a crucial role in decreasing the risk of suicidal thoughts and attempts while offering significant therapeutic benefits. However, it is important to note that a small percentage of individuals, particularly those under the age of 25, might experience an increase in depressive symptoms, changes in mood, or suicidal ideation when using antidepressants. Here are some important considerations:

• Engage in a thorough discussion with your healthcare provider about the advantages and potential risks of using antidepressants, especially for those younger than 25, regardless of whether the medication is for a mental health condition.
• Immediately inform your healthcare provider if you observe a deterioration in depression or other psychiatric conditions. This includes any unusual shifts in behavior, such as suicidal thoughts or actions.
• Be vigilant for any new or worsening symptoms, such as increased anxiety, panic attacks, sleep disturbances, irritability, feelings of hostility or anger, impulsive behaviors, severe restlessness, or excessively rapid speech.
• Special attention is warranted when initiating a new antidepressant or adjusting the dosage.

Ensuring open communication with your healthcare provider can help manage these risks effectively.

When taking this medication, you may experience some common side effects such as nausea, dizziness, drowsiness, dry mouth, loss of appetite, increased sweating, diarrhea, upset stomach, or trouble sleeping. These effects are usually mild, but if they persist or worsen, it is important to consult your healthcare provider.

While serious side effects are less common, it is crucial to be aware of them. Contact your healthcare provider immediately if you notice easy bleeding or bruising, decreased interest in sex, changes in sexual ability, muscle cramps or weakness, shaking, or unusual weight loss.

In rare cases, this medication can cause very serious side effects. Seek urgent medical attention if you experience a fast or irregular heartbeat, fainting, black stools, vomit resembling coffee grounds, eye pain or swelling, widened pupils, or vision changes like seeing rainbows around lights or blurred vision. Additionally, serotonin syndrome, a rare but serious condition, can occur. Symptoms include a rapid heartbeat, hallucinations, loss of coordination, severe dizziness, nausea, vomiting, diarrhea, muscle twitching, unexplained fever, or unusual agitation.

Men should be particularly mindful of a rare side effect involving a painful or prolonged erection lasting four or more hours. If this occurs, discontinue use and seek immediate medical help to prevent permanent damage.

Allergic reactions to this medication are uncommon, but if you experience symptoms such as a rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing, seek medical assistance right away.

This is not an exhaustive list of side effects. If you notice other unusual symptoms, contact your healthcare provider for advice.

Some drugs and products can interact with this medication. These include pimozide and medications that increase the risk of bleeding, such as antiplatelet drugs like clopidogrel, NSAIDs like ibuprofen and naproxen, and blood thinners like dabigatran and warfarin. Taking this medication with MAO inhibitors can lead to a severe and potentially fatal reaction. Avoid using 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 also be avoided for two weeks before and after using this drug. Consult your doctor about when to start or stop taking this medication.

The risk of serotonin syndrome or toxicity increases if you use drugs that boost serotonin levels. These drugs include street drugs like MDMA or ecstasy, St. John's wort, certain antidepressants like SSRIs (such as fluoxetine and paroxetine) and SNRIs (such as duloxetine and venlafaxine), and tryptophan. This risk is higher when beginning or raising the dose of these medications.

Inform your doctor or pharmacist if you are using products that cause drowsiness, such as alcohol, marijuana (cannabis), antihistamines (like cetirizine and diphenhydramine), sleep or anxiety medications (like alprazolam, diazepam, zolpidem), muscle relaxants, and opioid pain relievers (like codeine and hydrocodone).

Check the labels on all your medications, including those for allergies or cold symptoms, as they may contain ingredients that cause drowsiness. Consult your pharmacist for safe usage.

Aspirin can increase bleeding risk when taken with this medication. However, if your doctor has advised you to take low-dose aspirin to prevent heart issues (typically 81-162 milligrams daily), continue using it unless instructed otherwise by your doctor.

Be aware that this medication might interfere with certain medical or laboratory tests, such as a brain scan for Parkinson's disease, potentially leading to inaccurate results. Ensure all medical personnel are informed that you are taking this medication.