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Antidepressant medications are prescribed for various conditions, including depression and other mental or mood disorders. These drugs can offer significant benefits, such as reducing the risk of suicide. However, research indicates that a small percentage of individuals, particularly those under 25, might experience a decline in their mental health, such as increased depression or suicidal thoughts, when taking antidepressants for any condition. It is crucial to have a thorough discussion with a healthcare provider about the potential risks and benefits of these medications, especially for individuals under 25, regardless of whether the treatment is for a mental or mood disorder.

• Inform your healthcare provider immediately if you notice any signs of worsening depression or other psychiatric symptoms, unusual changes in behavior, or thoughts of self-harm.
• Pay attention to symptoms like new or worsening anxiety, panic attacks, sleep disturbances, irritability, hostility, impulsivity, severe restlessness, or excessively rapid speech.
• Vigilance is particularly important when beginning a new antidepressant or altering the dosage.

You may experience mild side effects such as diarrhea, nausea, vomiting, dizziness, or trouble sleeping. These usually resolve on their own, but if they persist or worsen, consult your healthcare provider. While many individuals take this medication without severe issues, be vigilant for any serious side effects. Contact your healthcare provider immediately if you notice easy bleeding or bruising, numbness, tingling, tremors, restlessness, concentration issues, confusion, memory problems, weakness, unsteadiness, or changes in sexual interest and function.

In rare cases, you may experience very serious side effects that require urgent medical attention. These include black stools, vomit resembling coffee grounds, seizures, eye pain, swelling, redness, widened pupils, or vision changes like seeing rainbows around lights at night or blurred vision. The medication can occasionally increase serotonin levels, leading to serotonin syndrome, especially if combined with other serotonin-boosting drugs. Symptoms to watch for include a rapid heartbeat, hallucinations, loss of coordination, severe dizziness, intense nausea or vomiting, muscle twitching, unexplained fever, or unusual agitation.

Allergic reactions to this medication are rare but can be severe. Seek immediate medical help if you experience a rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, or breathing difficulties. If you notice any other unusual effects, reach out to your healthcare provider for guidance. Always ensure your healthcare provider is informed of all the medications you are taking to minimize risks of interaction.

Certain medications may interact with this drug, affecting how it works or increasing the risk of side effects. For instance, using this medication alongside drugs that can cause bleeding or bruising—such as antiplatelet drugs like Clopidogrel, NSAIDs like Ibuprofen and Naproxen, and blood thinners such as Dabigatran and Warfarin—may heighten the risk of bleeding. If you are taking Aspirin for heart attack or stroke prevention (typically 81-162 milligrams daily), continue taking it unless advised otherwise by your doctor. Consult with your doctor or pharmacist for further guidance.

A serious, potentially life-threatening interaction can occur if this medication is taken with MAO inhibitors. These include drugs like isocarboxazid, Linezolid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, and Tranylcypromine. Avoid using MAO inhibitors while on this medication and typically for two weeks before and after treatment. Speak with your doctor about when to start or stop this medication.

Additionally, taking other drugs that boost serotonin levels can increase the risk of serotonin syndrome, a potentially dangerous condition. These drugs include street drugs like MDMA ("ecstasy"), St. John's wort, certain antidepressants (such as other SSRIs like Fluoxetine and paroxetine, and SNRIs like Duloxetine and Venlafaxine), and Tryptophan. This risk may be higher when you begin or raise the dose of these medications.

Lastly, this medication might interfere with certain medical or laboratory tests, such as brain scans for Parkinson's disease, potentially leading to inaccurate results. Ensure that all healthcare providers and lab personnel are aware that you are using this medication.