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Antidepressant medications are prescribed to manage depression and other mental health conditions, offering significant benefits such as reducing suicidal thoughts and behaviors. However, it is important to note that a small percentage of individuals, particularly those under the age of 25, might experience an increase in depression symptoms or develop suicidal thoughts or behaviors when using these medications. Therefore, it is crucial to have a thorough discussion with a healthcare provider about the potential risks and benefits, especially for young adults, even if the medication is being used for non-mental health conditions.

Key Points to Monitor:

• Report any signs of worsening depression or new psychiatric symptoms to your doctor immediately.
• Be vigilant for changes in behavior, such as unusual mood swings, suicidal thoughts or attempts, increased anxiety, panic attacks, sleep disturbances, irritability, feelings of hostility or anger, impulsive behavior, severe agitation, or rapid speech.
• Pay special attention to these symptoms when beginning a new antidepressant or adjusting the dosage.

Communicating these concerns with a healthcare professional promptly can help manage any adverse effects effectively.

While taking this medication, you might experience mild side effects such as diarrhea, nausea, vomiting, dizziness, or difficulty sleeping. These are usually temporary, but if they persist or worsen, consult with a healthcare professional. It is important to remember that many people do not experience serious side effects from this medication.

However, be vigilant for any serious side effects. Contact your healthcare provider immediately if you notice symptoms like easy bleeding or bruising, numbness or tingling, tremors, restlessness, difficulty concentrating, confusion, memory issues, weakness, unsteadiness, or changes in sexual interest or ability.

In rare situations, very serious side effects can occur. Seek urgent medical attention if you experience black stools, vomit resembling coffee grounds, seizures, eye pain or swelling, widened pupils, or vision changes such as seeing rainbows around lights at night.

This medication can increase serotonin levels and may rarely lead to serotonin syndrome, a serious condition. This risk is heightened if combined with other serotonin-boosting drugs. Symptoms of serotonin syndrome include a rapid heartbeat, hallucinations, loss of coordination, severe dizziness, extreme nausea, twitching muscles, high fever, or unusual agitation. Immediate medical help is necessary if these symptoms appear.

Though rare, serious allergic reactions can occur. Symptoms include rash, severe itching or swelling, especially of the face, tongue, or throat, severe dizziness, and difficulty breathing. Prompt medical attention is crucial if these symptoms develop.

This summary does not cover all possible side effects. If you notice any other unusual effects, contact a healthcare professional for advice.

This medication can interact with various other drugs. Some that may raise the risk of bleeding or bruising include antiplatelet drugs like Clopidogrel, NSAIDs such as Ibuprofen and Naproxen, and blood thinners like Dabigatran and Warfarin. Aspirin can also increase bleeding risk when combined with this medication. However, if your doctor has advised you to take low-dose aspirin (81-162 mg daily) for heart attack or stroke prevention, continue unless instructed otherwise. Consult your doctor or pharmacist for guidance.

Avoid using MAO inhibitors, such as isocarboxazid, Linezolid, and others, with this medication, as a severe and potentially fatal interaction can occur. Do not take MAO inhibitors during treatment and for two weeks before and after using this medication. Your doctor will advise when to start or stop this treatment.

The likelihood of serotonin syndrome or toxicity rises if combined with drugs that enhance serotonin levels. These include MDMA, St. John's wort, certain antidepressants like SSRIs (e.g., Fluoxetine, paroxetine) and SNRIs (e.g., Duloxetine, Venlafaxine), and Tryptophan. The risk is higher when beginning or increasing doses of these medications.

This drug might affect specific medical or lab tests, such as brain scans for Parkinson's disease, potentially leading to inaccurate results. Inform all your healthcare providers and lab personnel about your use of this medication.