Side
Effects
This medication may initially cause dizziness and nausea as your body adjusts
to the medication. Other side effects reported include sweating, loss of appetite,
dizziness, dry mouth, anxiety, tremor, blurred vision, constipation, sleepiness,
change in sexual ability. If any of these effects continue or become bothersome,
inform your doctor. Notify your doctor if you develop any of these serious
effects: rapid or irregular heartbeat, chest pain, severe headache, trouble
breathing, painful or difficult urination, skin rash. This medication may cause
drowsiness, dizziness, or clouded thinking. Use caution operating machinery
or engaging in activities requiring alertness. If you notice other effects
not listed above, contact your doctor or pharmacist.
Precautions
Tell your doctor your medical history, especially of: kidney disease, liver
disease, heart disease, high blood pressure, glaucoma, any allergies. Elderly
persons may be more sensitive to the effects of this medication. Use with
caution. This medication should be used only if clearly needed during pregnancy.
Discuss the risks and benefits with your doctor. It is not known if this
medication appears in breast milk. Consult your doctor before breast-feeding.
Drug Interactions
Tell your doctor of any over-the-counter or prescription medication you may
take especially: MAO inhibitors (e.g., tranylcypromine, phenelzine, isocarboxazid,
selegiline, furazolidone), other antidepressants, cimetidine, lithium, sedatives,
narcotic pain relievers (e.g., codeine, morphine), seizure medication, certain
migraine medicine (e.g., sumatriptan), medicine for weight control. It is
recommended to avoid alcohol while using this medication. Do not start or
stop any medicine without doctor or pharmacist approval.
Overdose
If overdose is suspected, contact your local poison control center or emergency
room immediately. Symptoms of overdose may include sleepiness, irregular
heartbeat, and seizures.
Notes
Laboratory tests may be done periodically while taking this medication to monitor
the effects. See your doctor regularly.
Missed Dose
Try to take each dose at the scheduled time. If you miss a dose, take it as
soon as remembered; do not take it if it is near the time for the next dose,
instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the
dose to catch up.
Storage
Store this medication at room temperature between 59 and 86 degrees F (between
15 and 30 degrees C) away from heat and light. Do not store in the bathroom.
Keep this and all medications out of the reach of children.
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