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Patients should be advised that hyponatremia has been reported as a result of treatment with SNRIs and SSRIs.including SARAFEM. Signs and symptoms order sarafem tablet hyponatremia include headache.difficulty concentrating.memory impairment.confusion.weakness.and unsteadiness.which may lead to falls. More severe and/or acute cases order sarafem tablet been associated with hallucination.syncope.seizure.coma.respiratory arrest.and death [see WARNINGS AND PRECAUTIONS ].

This medication may increase serotonin and rarely cause a very serious condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin.so tell your doctor or pharmacist of all the drugs you take (see Drug Interactions section). Get medical help right away if you develop some of the following symptoms. fast heartbeat.hallucinations.loss of coordination.severe dizziness.severe nausea/vomiting/diarrhea.twitching muscles.unexplained fever.unusual agitation/restlessness.

Because clinical trials are conducted under widely varying conditions.adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect or predict the rates observed in practice.

Patients should be advised that taking SARAFEM can cause mild pupillary dilation.which in susceptible individuals.can lead to an order sarafem tablet of angle-closure glaucoma. Pre-existing glaucoma is almost always open-angle glaucoma because angle-closure glaucoma.when diagnosed.can be treated definitively with iridectomy. Open-angle glaucoma is not a risk factor for angle-closure glaucoma. Patients may wish to be examined to determine whether they are susceptible to angle-closure.and have a prophylactic procedure (e.g..order sarafem tablet).if they are susceptible [see WARNINGS AND PRECAUTIONS ].

Patients.their families.and their caregivers should be encouraged to be alert to the emergence of anxiety.agitation.panic attacks.insomnia.irritability.hostility.aggressiveness.impulsivity.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 look for the emergence of such 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 [see BOXED WARNING and WARNINGS AND PRECAUTIONS ].

Get emergency medical help if you have signs of an allergic reaction. skin rash or hives. difficulty breathing. swelling of your face.lips.tongue.or throat.

Fluoxetine may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness.fainting) that need medical attention right away.

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