Links to other sites are provided for information only-they do not constitute endorsements of those other sites. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. is among the first to achieve this important distinction for online health information and services. follows rigorous standards of quality and accountability. is accredited by URAC, also known as the American Accreditation HealthCare Commission (URAC's accreditation program is an independent audit to verify that A.D.A.M. Never share your medicine with anyone.Ī.D.A.M., Inc. Keep all medicine out of the reach of children.Your doctor will check your progress and the effects of this medicine at regular visits.This medicine may affect certain medical test results. Tell any doctor or dentist who treats you that you are using this medicine.Do not drive or do anything else that could be dangerous until you know how this medicine affects you. This medicine may make you dizzy or cause blurred vision.Call your doctor if you think your medicine is not working. Do not use more than your prescribed dose. Serotonin syndrome (when used with certain medicines).Peripheral vasculopathy (a blood circulation problem).Unusual changes in behavior or thoughts.Serious heart or blood vessel problems, including heart attack and stroke.This medicine may cause the following problems:.Tell your doctor if you or anyone in your family has a history of depression, mental health problems, or drug or alcohol addiction. Tell your doctor if you are pregnant or breastfeeding, or if you have heart or blood vessel disease (including arteriosclerosis), kidney disease, heart rhythm problems, high blood pressure, or a history of heart attack, stroke, seizures, or Tourette syndrome.If you notice other side effects that you think are caused by this medicine, tell your doctor Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.Do not take extra medicine to make up for a missed dose. If it is almost time for your next dose, wait until then and take a regular dose. Missed dose: Take a dose as soon as you remember.Ask your pharmacist for a copy if you do not have one. This medicine should come with a Medication Guide.You may have trouble falling asleep if you take it at night. Tablet: Take the tablet in the morning and early afternoon.You may take the capsule with or without food, but make sure to take it the same way each time.Swallow the mixture right away without chewing. If you cannot swallow the capsule, you may open it and sprinkle the contents over a spoonful of applesauce.You may have trouble falling asleep at night if you take it in the afternoon or evening. Take the capsule in the morning right after you wake up.Your dose may need to be changed several times to find what works best for you. ![]() Do not drink alcohol while you are using this medicine.Fruit juice and vitamin C can affect how your body absorbs this medicine.Triptan medicine to treat migraine headache.Medicine to treat depression (including desipramine, fluoxetine, paroxetine, protriptyline). ![]() Antacid or other stomach medicine (including cimetidine, esomeprazole, omeprazole, pantoprazole, sodium bicarbonate).Acetazolamide, ammonium chloride, buspirone, chlorpromazine, ethosuximide, fentanyl, glutamic acid, guanethidine, haloperidol, hydrochlorothiazide, lithium, meperidine, methenamine, phenobarbital, phenytoin, propoxyphene, quinidine, reserpine, ritonavir, sodium acid phosphate, St John's wort, tramadol, or tryptophan supplement.Tell your doctor if you are using any of the following: Some foods and medicines can affect how this medicine works.Do not use this medicine if you are using or you have used an MAO inhibitor (MAOI) within the past 14 days. ![]() Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
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