Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. The risks and benefits should be discussed with the doctor before taking this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. The risks and benefits should be discussed with the doctor before taking this medicine.
General warnings
Suicidal thoughts
This medicine may increase the risk of suicidal thoughts in some patients. Patients should be monitored closely for any changes in behavior or mood. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Urinary tract obstruction
This medicine should be used with caution in patients with urinary tract obstruction since it may worsen the patient's condition. Close monitoring of the clinical condition, appropriate dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition.
Neuroleptic malignant syndrome
This medicine should be used with extreme caution in patients with a known history of a neuroleptic malignant syndrome (NMS) due to the increased risk of worsening of the patient's condition. Close monitoring of the clinical condition, appropriate dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition.
Bleeding disorders
This medicine should be used with extreme caution in patients suffering from bleeding disorders due to the increased risk of worsening of the patient's condition. Close monitoring of the clinical condition, appropriate dose adjustments, or replacement with a suitable alternative may be necessary in some cases based on the clinical condition.
Manic episodes
The use of this medicine may cause agitation and aggressive behavior in some patients. The patient should be screened for bipolar disorder before starting the treatment course with this medicine.
Heart diseases
This medicine should be used with caution in patients suffering from heart diseases due to the increased risk of severe adverse effects. Close monitoring of heart function, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition. It is not recommended for use in patients with severe heart diseases.
Hyponatremia
This medicine should be used with caution in patients having low sodium levels in the body. It is recommended to initiate treatment with this medicine only after the sodium deficit is corrected. Close monitoring of sodium levels, appropriate dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition.
Bone fractures
The use of this medicine has been associated with an increase in the incidence of bone fractures. Report any incidence of bone pain to the doctor immediately. Close monitoring of the clinical condition, appropriate dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition.
Sexual dysfunction
The use of this medicine may cause sexual dysfunction. These dysfunctions may include a decrease in libido, erectile disorders, or unusual orgasm.
Withdrawal symptoms
The use of this medicine should not be discontinued abruptly since some patients may suffer from withdrawal symptoms such as a headache, anxiety, etc. Your doctor may suggest an appropriate titration regimen prior to stopping treatment with this medicine.
Use in children
This medicine is not recommended for use in children below 18 years of age since the safety and efficacy of use are not clinically established.
Use in elderly population
This medicine should be used with extreme caution in the elderly population due to the increased risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Driving or operating machinery
The use of this medicine may cause blurred vision, drowsiness, or dizziness in some patients. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you experience any of these symptoms.