What should I watch for?
Visit your doctor or health care professional for regular checks on your progress. Even after you stop taking this medicine the effects can last for two weeks or more.
This medicine can interact with certain foods that contain high amounts of tyramine. The combination may cause severe headaches, a rise in blood pressure, or irregular heart beat. Foods that contain significant amounts of tyramine include aged cheeses, meats and fish (especially aged, smoked, pickled, or processed such as bologna, pepperoni, salami, summer sausage), beer and ale, alcohol-free beer, wine (especially red), sherry, hard liquor, liqueurs, avocados, bananas, figs, raisins, soy sauce, miso soup, yeast/protein extracts, bean curd, fava or broad bean pods, or any over-ripe fruit. Ask your doctor or health care professional, pharmacist, or nutritionist for a complete listing of tyramine-containing foods.
Talk to your doctor if you are taking, or are planning to take, any prescription or over-the-counter drugs, especially antidepressants and over-the-counter cold medications. Some medicines may interact with this medicine and could cause you adverse effects.
If you are scheduled for any medical or dental procedure, tell your healthcare provider that you are taking this medicine. This medicine can interact with other medicines used during surgery.
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:
Abdominal or stomach pain
arm, back, or jaw pain
black, tarry stools
chest pain or discomfort
chest tightness or heaviness
fast or irregular heartbeat
loss of appetite
painful or difficult urination
persistent, non-healing sore
pink growth on the skin
puffiness or swelling of the eyelids or around the eyes
reddish patch or irritated area
redness, blistering, peeling, or loosening of the skin
seeing, hearing, or feeling things that are not there
sores, ulcers, or white spots on lips or in mouth
tests that show problems with the liver
tightness in the chest
unusual bleeding or bruising
unusual tiredness or weakness
white, yellow or waxy scar-like area
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:
Acid or sour stomach
difficulty with moving
muscle pain or stiffness
pain in the joints
stomach discomfort or upset
burning, crawling, itching, numbness, prickling, "pins and needles" or tingling feelings
burning, dry, or itching eyes
decreased interest in sexual intercourse
difficulty with moving
feeling of constant movement of self or surroundings
feeling sad or empty
general feeling of discomfort or illness
inability to have or keep an erection
lack of appetite
large, flat, blue or purplish patches in the skin
loss in sexual ability, desire, drive, or performance
loss of interest or pleasure
redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid
sensation of spinning
swelling or redness in the joints
thinning of the hair
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.