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Antidepressant medications are used to treat a variety of conditionsincluding depression and other mental/mood disordersThese medications can help prevent suicidal thoughts/attempts and provide other important benefitsHoweverstudies have shown that a small number of peopleespecially people younger than 25who take antidepressants for any condition may experience worsening depressionother mental/mood symptomsor suicidal thoughts/attemptsThereforeit is very important to talk with the doctor about the risks and benefits of antidepressant medicationespecially for people younger than 25even if treatment is not for a mental/mood condition.

Before taking fluoxetinetell your doctor or pharmacist if you are allergic to itor if you have any other allergiesThis product may contain inactive ingredientswhich can cause allergic reactions or other problemsTalk to your pharmacist for more details.

The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotoninExamples include street drugs such as MDMAecstasyStJohn’s wortcertain antidepressantsincluding other SSRIs such as citalopram/paroxetineSNRIs such as duloxetine/venlafaxinetryptophanamong othersThe risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs.

Patients should be monitored closely for changes in behaviorclinical worseningand suicidal tendenciesthis should be done during the initial 1-2 months of therapy and dosage adjustments.

The development of a potentially life-threatening serotonin syndrome has been reported with SNRIs and SSRIsincluding SARAFEMalone but particularly with concomitant use of other serotonergic drugsincluding triptanstricyclic antidepressantsfentanyllithiumtramadoltryptophanbuspironeand StJohn’s Wortand with drugs that impair metabolism of serotoninin particularMAOIsboth those intended to treat psychiatric disorders and also otherssuch as linezolid and intravenous methylene blue

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about sarafem about a year ago and was told they didn t make it under that name anymore, but a generic name.

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