What should I watch for?
Tell your doctor if your symptoms do not get better or if they get worse. Visit your doctor or health care professional for regular checks on your progress. Because it may take several weeks to see the full effects of this medicine, it is important to continue your treatment as prescribed by your doctor.
Patients and their families should watch out for worsening depression or thoughts of suicide. Also watch out for sudden or severe 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 antidepressant treatment or after a change in dose, call 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.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
Do not treat yourself for coughs, colds, or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.
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.
This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your eye doctor if the problem does not go away or is severe.
This medicine can cause constipation. Try to have a bowel movement at least every 2 to 3 days. If you do not have a bowel movement for 3 days, call your doctor or health care professional.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
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:
Incidence not known
Abdominal or stomach pain
black, tarry stools
bleeding or bruising
blood in the urine or stools
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
chest pain or discomfort
confusion about identity, place, and time
continuing ringing, buzzing, or other unexplained noise in the ears
cool, pale skin
cough or hoarseness
decrease in the frequency of urination
decreased urine output or volume
difficulty in passing urine (dribbling)
difficulty with speaking
dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
false beliefs that cannot be changed by facts
fast, pounding, or irregular heartbeat or pulse
feeling of warmth
feeling that others are watching you or controlling your behavior
feeling that others can hear your thoughts
feeling, seeing, or hearing things that are not there
fever with or without chills
flushed, dry skin
fruit-like breath odor
general feeling of tiredness or weakness
inability to move the arms, legs, or facial muscles
inability to speak
increased need to urinate
itching or rash
lack of coordination
loss of appetite
loss of balance control
lower back or side pain
mood or mental changes
muscle spasm or jerking of all extremities
muscle trembling or stiffness
pain or discomfort in the arms, jaw, back, or neck
painful or difficult urination
passing urine more often
pinpoint red or purple spots on the skin
pounding in the ears
rapid weight gain
redness of the face, neck, arms, and occasionally, upper chest
shakiness and unsteady walk
sores, ulcers, or white spots on the lips or in the mouth
stiffness of the limbs
sudden loss of consciousness
swelling of the face, ankles, legs, or hands
talking, feeling, and acting with excitement
trouble in holding or releasing urine
twisting movements of the body
uncontrolled movements, especially of the face, neck, and back
unpleasant breath odor
unsteadiness, awkwardness, trembling, or other problems with muscle control or coordination
unusual tiredness or weakness
vomiting of blood
weakness in the arms, hands, legs, or feet
weight gain or loss
yellow eyes or skin
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:
Incidence not known
Abdominal or stomach cramps
bigger, dilated, or enlarged pupils (black part of the eye)
decreased interest in sexual intercourse
difficulty having a bowel movement (stool)
disturbance of accommodation
enlargement of the breast
hair loss or thinning of the hair
hives or welts
inability to have or keep an erection
increase in sexual ability, desire, drive, or performance
increased sensitivity of the eyes to light
increased sensitivity of the skin to sunlight
loss in sexual ability, desire, drive, or performance
pain or discomfort in the chest, upper stomach, or throat
redness or other discoloration of the skin
small red or purple spots on the skin
swelling of the breasts or breast soreness in both women and men
swelling of the testicles
swelling or inflammation of the mouth
swollen, painful, or tender lymph glands in the neck
unexpected milk flow from the breasts
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.