Be sure to mention any of the following acetaminophen tylenol , antidepressants such as amitriptyline elavil , amoxapine asendin , clomipramine anafranil , desipramine norpramin , doxepin adapin, sinequan , imipramine tofranil , nortriptyline aventyl, pamelor , protriptyline vivactil , and trimipramine surmontil , aspirin and other nonsteroidal anti-inflammatory medications nsaids such as ibuprofen advil, motrin and naproxen aleve, naprosyn , propranolol inderal , selective serotonin reuptake inhibitors such as citalopram celexa , escitalopram lexapro , fluoxetine prozac, sarafem, in symbyax , fluvoxamine, paroxetine paxil , and sertraline zoloft , and selective serotonin norepinephrine reuptake inhibitors snris such as desvenlafaxine pristiq , duloxetine cymbalta , sibutramine meridia , and venlafaxine effexor .
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CommentsThe full therapeutic effect may take as long as 30 days to developElderly patients should be monitored carefully and serum levels obtained as clinically appropriateDose adjustments should be made according to clinical response.
Since untreated mental/mood problemssuch as depressionanxietypanic disordercan be a serious conditiondo not stop using this medication unless directed by your doctorIf you are planning pregnancybecome pregnantor think you may be pregnantimmediately discuss with your doctor the benefits and risks of using this medication during pregnancy.
Take this medication regularly in order to get the most benefit from itTo help you remembertake it at the same time(seach dayDo not increase your dose or use this drug more often or for longer than prescribedYour condition will not improve any fasterand your risk of side effects will increase.
Rare0.01to 0.1Jaundiceliver function test abnormaltransaminases increased.
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