Warnings for special population
This medicine is not recommended for use in pregnant women unless clearly needed and the benefits outweigh the risks. Consult your doctor before using this medicine.
This medicine is not recommended for use in breastfeeding women. It is advised to discontinue breastfeeding if the use of the medicine is necessary. Consult your doctor and discuss the risks before starting the use of this medicine.
Suicidal thoughts and behaviour
Use of this medicine is reported to provoke suicidal thoughts and increased suicidal tendencies, especially in young patients. Report any such incidence to the doctor so that counseling and monitoring of progress can be performed at regular intervals.
Use of this medicine along with other serotonergic drugs may cause a condition marked by high body temperature, agitation, increased reflexes, tremor, sweating, dilated pupils and diarrhea.
The use of this medicine should not be discontinued abruptly. Symptoms of an abrupt withdrawal may include dizziness, abnormal dreams, agitation, anxiety, tremor etc.
Use of this medicine has been associated with rare cases of bone fracture. Report any instance of bone pain, swelling, or bruising to the doctor while being treated with this medicine.
Use of this medicine may cause a movement disorder marked be restlessness and a compelling need to be in constant motion. The patient may also feel that the surrounding, as well as himself, is moving constantly.
Neuroleptic malignant syndrome
Use of this medicine has been associated with the occurrence of a rare but serious condition characterized by very high fever, irregular heart rate, increased need to breathe, muscle stiffness, altered mental status etc.
This medicine should be used with caution in patients suffering from angle closure glaucoma.
Change in libido
Use of this medicine has been associated with a change in libido and sexual dysfunction.
Use of this medicine may precipitate mania and hence should be used with caution in patients suffering from bipolar disorder.
Heart and blood vessel disorder
Use of this medicine may worsen the symptoms of a heart or blood vessel disorder. It should be used with caution in such cases especially if the patient is taking other medications that could also affect the functioning of heart and blood vessels.
Use of this medicine may cause drowsiness in some patients. You should refrain from driving or operating heavy machinery at least in the initial phase of treatment with this medicine.
Increased appetite and weight gain
Use of this medicine may cause an increase in appetite and may lead to weight gain.