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Antidepressant medications are prescribed to address depression and various mental or mood disorders. They play a crucial role in preventing suicidal thoughts and attempts, among other benefits. However, it is important to be aware that a small percentage of individuals, particularly those under 25, may experience an increase in depression symptoms, other mental or mood changes, or suicidal thoughts and attempts when taking these medications. It is essential to have a thorough discussion with a healthcare provider regarding the advantages and risks of using antidepressants, especially for individuals younger than 25, regardless of whether the treatment is for a mental or mood disorder.

• Immediately contact your healthcare provider if you observe any worsening of depression or psychiatric conditions.
• Watch for unusual behavior changes, such as suicidal thoughts or attempts, or other mental or mood alterations, including increased anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsive actions, severe restlessness, or excessively rapid speech.
• Be particularly vigilant for these symptoms when starting a new antidepressant or adjusting the medication dosage.

Maintaining open communication with your doctor and monitoring for these changes can help manage any potential risks effectively.

It's normal to experience some mild side effects with this medication, such as nausea, dizziness, drowsiness, dry mouth, loss of appetite, increased sweating, diarrhea, upset stomach, or trouble sleeping. These symptoms are typically temporary, but if they persist or worsen, it's important to consult a healthcare professional.

While many individuals tolerate this medication well, there are some serious side effects to be aware of. Notify your healthcare provider immediately if you experience easy bleeding or bruising, decreased interest in sex, changes in sexual ability, muscle cramps or weakness, shaking, or unusual weight loss.

In rare cases, severe side effects may occur, necessitating urgent medical attention. These include a fast or irregular heartbeat, fainting, black stools, vomit resembling coffee grounds, eye pain or swelling, widened pupils, or vision changes such as seeing rainbows around lights at night or blurred vision.

This medication may increase serotonin levels, leading to a potentially serious condition known as serotonin syndrome or toxicity. Symptoms include a fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea, vomiting, diarrhea, twitching muscles, unexplained fever, and unusual agitation or restlessness. Immediate medical attention is crucial if these symptoms arise.

Additionally, males may rarely experience a painful or prolonged erection lasting over four hours. Cease using the medication and seek immediate medical help to prevent long-term complications. Though a severe allergic reaction to this drug is uncommon, seek emergency assistance if you experience a rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing.

This summary does not cover all possible side effects. If you notice any other concerning symptoms, reach out to your healthcare provider for guidance.

Some medications and products can interact with this drug. These include Pimozide and medications that increase bleeding risk, such as antiplatelet drugs (like Clopidogrel), NSAIDs (like Ibuprofen or Naproxen), and anticoagulants (like Dabigatran or Warfarin). Using MAO inhibitors along with this medication can lead to a severe and potentially fatal interaction. Avoid MAO inhibitors (such as isocarboxazid, Linezolid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, Tranylcypromine) while on this treatment. Additionally, you should not take most MAO inhibitors for two weeks before and after using this medication. Consult your doctor about the appropriate timing for starting or stopping this medication.

Taking other medications that increase serotonin levels can raise the risk of serotonin syndrome, which can be dangerous. These include illicit drugs like MDMA ("ecstasy"), herbal supplements like St. John's wort, certain antidepressants (including SSRIs like Fluoxetine or paroxetine, and SNRIs like Duloxetine or Venlafaxine), and Tryptophan. The risk is higher when beginning or increasing doses of these drugs.

Inform your doctor or pharmacist if you are using other products that cause drowsiness, such as alcohol, cannabis, antihistamines (like Cetirizine or diphenhydramine), sleep or anxiety medications (like Alprazolam, Diazepam, or Zolpidem), muscle relaxants, and opioid pain or cough relievers (like codeine or hydrocodone).

Check the labels of all your medications (including those for allergies or cold symptoms) since they might contain ingredients that induce drowsiness. Consult your pharmacist on how to use these products safely.

Aspirin may heighten bleeding risk when taken with this medication. However, if your doctor has recommended low-dose aspirin (typically 81-162 milligrams daily) to prevent heart attacks or strokes, continue taking it unless advised otherwise by your doctor.

This medication may interfere with certain medical or laboratory tests, such as brain scans for Parkinson's disease, potentially causing incorrect results. Ensure that lab personnel and all your healthcare providers are aware of your use of this medication.