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Antidepressant medications are commonly prescribed to treat depression and various mental or mood disorders. They are effective in reducing the risk of suicidal thoughts and attempts, but it is crucial to be aware of certain risks associated with their use. Research indicates that a small percentage of individuals, particularly those under the age of 25, may experience worsening depression, heightened mental or mood symptoms, or suicidal thoughts or behaviors while using antidepressants.

• It is essential to have a thorough discussion with your healthcare provider about the potential risks and benefits of antidepressant treatment, especially if you are under 25 years old, regardless of whether the medication is prescribed for a mental or mood disorder.
• Immediately inform your doctor if you observe any deterioration in depression symptoms, changes in psychiatric conditions, or unusual behavior, such as suicidal thoughts, increased anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsive actions, extreme restlessness, or rapid speech.
• Be particularly vigilant for these symptoms when starting a new antidepressant or when adjusting the dosage.

It is important to monitor these changes closely to ensure safety and efficacy in treatment.

You might experience mild side effects such as nausea, constipation, vomiting, or dizziness. These are common and often temporary. If they persist or worsen, it's 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 experience symptoms like tremors, restlessness, an inability to remain still, changes in sexual ability, decreased interest in sex, numbness or tingling, easy bruising, difficulty concentrating, memory changes, confusion, or weakness.

In rare instances, this medication can cause very serious side effects. Seek emergency medical attention if you notice seizures, black stools, vomit resembling coffee grounds, eye pain or redness, widened pupils, or vision changes such as seeing rainbows around lights or blurred vision.

This drug may increase serotonin levels, potentially leading to a rare but serious condition known as serotonin syndrome. Be vigilant for symptoms like a rapid heartbeat, hallucinations, loss of coordination, severe dizziness, extreme nausea or vomiting, twitching muscles, unexplained fever, or unusual agitation.

Allergic reactions to this medication are rare but can be severe. If you experience symptoms such as a rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing, seek medical help immediately.

Remember, this list does not cover all possible side effects. If you experience any unusual symptoms, contact your healthcare provider for guidance.

This medication can interact with certain other drugs, which may lead to increased bleeding or bruising. Medications that can cause such issues include antiplatelet drugs like clopidogrel, NSAIDs such as ibuprofen and naproxen, as well as blood thinners like dabigatran and warfarin. Using aspirin along with this medication can heighten the risk of bleeding. However, if your doctor has prescribed low-dose aspirin (81-162 milligrams daily) to help prevent a heart attack or stroke, continue taking it unless advised otherwise by your doctor. Consult your healthcare provider or pharmacist for more guidance.

Avoid taking MAO inhibitors with this medication, as it could result in a severe, potentially fatal interaction. MAO inhibitors include isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, and tranylcypromine. Most MAO inhibitors should not be used for two weeks before and 21 days after ending treatment with this medication. Your doctor can advise on when to start or stop these medications.

The risk of developing serotonin syndrome or toxicity is higher if you take other drugs that increase serotonin levels. These include recreational drugs like MDMA, herbal supplements like St. John's wort, and certain antidepressants, such as other SSRIs (fluoxetine, paroxetine) and SNRIs (duloxetine, venlafaxine). This risk may be greater when starting or increasing the dose of these drugs.