

May precipitate a manic episode in people with undiagnosed bipolar disorder.May increase the risk of bleeding, especially if used with other drugs that also increase bleeding risk (such as other antidepressants, tramadol, or St John's Wort).Investigate any unexplained bone pain, tenderness, swelling, or bruising since bone fragility fractures have been associated with antidepressant treatment.May cause a discontinuation syndrome if abruptly stopped or interrupted (symptoms include nausea, vomiting, diarrhea, headaches, sweating, tremors, vivid dreams, or insomnia).Interaction or overdosage may cause serotonin syndrome (symptoms include agitation, hallucinations, fast heart rate, dizziness, muscle tremor, nausea, vomiting, or diarrhea).May increase the risk of suicidal thoughts or behavior in young adults (similar to other antidepressants).
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May cause drowsiness, but not as likely as with some other antidepressants however, caution should still be used when driving or operating machinery until the full effects of the drug are known.A headache, nausea, diarrhea, weight loss, insomnia, and sexual dysfunction.If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include:

