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Patients.their families.and their caregivers should be encouraged to be alert to the emergence of anxiety.agitation.panic attacks.insomnia.irritability.hostility.aggressiveness.purchase desyrel 50.akathisia (psychomotor restlessness).hypomania.mania.other unusual changes in behavior.worsening of depression.and suicidal ideation.especially early during antidepressant treatment and when the dose is adjusted up or down. Families and caregivers of patients should be advised to observe for the emergence of purchase desyrel 50 symptoms on a day-to-day basis.since changes may be abrupt. Such symptoms should be reported to the patient’s prescriber or health professional.especially if they are severe.abrupt in onset.or were not part of the patient’s presenting symptoms. Symptoms such as these may be associated with an increased risk for suicidal thinking and behavior and indicate a need for very close monitoring and possibly changes in the medication.

Antidepressants may impair the mental and/or physical ability required for the performance of potentially hazardous tasks.such as operating an automobile or machinery. the patient should be cautioned accordingly.

For sleep. For sleep less than an hour. For depression two to four weeks. . Read more.

All pediatric patients being treated with antidepressants for any indication should be observed closely for clinical worsening.suicidality.and unusual changes in behavior.especially during the initial few months of a course of drug therapy.or at times of dose changes.either increases or decreases. Such observation would generally include at least weekly face-to-face contact with patients or their family members or caregivers during the first 4 weeks of treatment.then every other week visits for the next 4 weeks.then at 12 weeks.and as clinically indicated beyond 12 weeks. Additional contact by telephone may be appropriate between face-to-face visits.

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