What should I watch for?
Visit your doctor or health care professional for regular checks on your progress. This medicine should be used together with a patient support program. It is important to participate in a behavioral program, counseling, or other support program that is recommended by your health care professional.
Patients and their families should watch out for new or worsening thoughts of suicide or depression. Also watch out for sudden changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of treatment or after a change in dose, call your health care professional.
Avoid alcoholic drinks while taking this medicine. Drinking excessive alcoholic beverages, using sleeping or anxiety medicines, or quickly stopping the use of these agents while taking this medicine may increase your risk for a seizure.
Do not drive or use heavy machinery until you know how this medicine affects you. This medicine can impair your ability to perform these tasks.
Do not take this medicine close to bedtime. It may prevent you from sleeping.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.
Do not use nicotine patches or chewing gum without the advice of your doctor or health care professional while taking this medicine. You may need to have your blood pressure taken regularly if your doctor recommends that you use both nicotine and this medicine together.
Common and Rare Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
More common
hyperventilation
irregular heartbeats
irritability
restlessness
shaking
trouble sleeping
Rare
Confusion
fainting
false beliefs that cannot be changed by facts
having extreme distrust of people
seeing, hearing, or feeling things that are not there
seizures
trouble concentrating
Incidence not known
Actions that are out of control
anger
assaulting or attacking others
being aggressive or impulsive
chest pain or discomfort
fast or pounding heartbeat
force
inability to sit still
need to keep moving
sweating
talking, feeling, or acting with excitement
Get emergency help immediately if any of the following symptoms of overdose occur:
Symptoms of overdose
Lightheadedness, dizziness, or fainting
loss of consciousness
slow or irregular heartbeat
unusual tiredness
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Less common
Blurred vision
change in sense of taste
drowsiness
unusual feeling of well-being
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
