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The prescriber should be aware that the figures in the tables and tabulations cannot be used to predict the incidence of side effects in the course of usual medical practice where patient characteristics and other factors differ from those that prevailed in the clinical trialsSimilarlythe cited frequencies cannot be compared order sarafem medication figures obtained from other clinical investigations involving different treatmentsusesand investigatorsThe cited figureshoweverdo provide the prescribing physician with some basis for estimating the relative contribution of drug and non drug factors to the side effect incidence rate in the population studied.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Because clinical trials are conducted under widely varying conditionsadverse reaction rates observed in the clinical trials of a drug cannot be directly compared to cheap pain pills online. rates in the clinical trials of another drug and may not reflect or predict the rates observed in practice.

Fluoxetine can stay order sarafem medication your body for many weeks after your last dose and may interact with many other medicationsBefore using any medicationtell your doctor or order sarafem medication if you have taken fluoxetine in the previous 5 weeks.

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Patients should be advised that taking SARAFEM can cause mild pupillary dilationwhich in susceptible individualscan lead to an episode of angle-closure glaucomaPre-existing glaucoma is almost always open-angle glaucoma because angle-closure glaucomawhen diagnosedcan be treated definitively with iridectomyOpen-angle glaucoma is not a risk factor for angle-closure glaucomaPatients may wish to be examined to determine whether they are susceptible to angle-closureand have a prophylactic proceduree.giridectomyif they are susceptiblesee WARNINGS AND PRECAUTIONS

Patientstheir familiesand their caregivers should be encouraged to be alert to the emergence of anxietyagitationpanic attacksinsomniairritabilityhostilityaggressivenessimpulsivityakathisiapsychomotor restlessnesshypomaniamaniaother unusual changes in behaviorworsening of depressionand suicidal ideationespecially early during antidepressant treatment and when the dose is adjusted up or downFamilies and caregivers of patients should be advised to look for the emergence of such symptoms on a day-to-day basissince changes may be abruptSuch order sarafem medication should be reported to the patient’s prescriber or health professionalespecially if they are severeabrupt in onsetor were not part of order sarafem medication order sarafem medication‘s presenting symptomsSymptoms such as these may be associated with an increased risk for suicidal thinking and behavior and indicate a need for very close monitoring and possibly changes in the medicationsee BOXED WARNING and WARNINGS AND PRECAUTIONS

Caution is advised if the concomitant administration of order sarafem medication SARAFEMand other CNS acting drugs is requiredIn order sarafem medication individual casesconsideration should be given to using lower initial doses of the concomitantly administered drugsusing conservative titration schedulesand monitoring of clinical statussee CLINICAL PHARMACOLOGY

A lower or less Order sarafem medication order sarafem medication should be used in patients with hepatic impairmentsee CLINICAL PHARMACOLOGY and Use in Specific Populations

Patients should be cautioned about the risk of serotonin syndrome with the concomitant use of SARAFEM and other serotonergic agents including triptanstricyclic antidepressantsfentanyllithiumtramadolbuspironetryptophanand StJohn’s Wortsee CONTRAINDICATIONSWARNINGS AND PRECAUTIONSand DRUG INTERACTIONS

Concomitant use of SARAFEMfluoxetinein patients taking MAOIs is contraindicatedThere have been reports of serioussometimes fatalreactionsincluding hyperthermiarigiditymyoclonusautonomic instability with possible rapid fluctuations of vital signsand mental status changes that include extreme agitation progressing to delirium and comain patients receiving fluoxetine in combination with a monoamine oxidase inhibitorMAOIand in patients who order sarafem medication recently discontinued fluoxetine and are then started on an MAOISome cases presented with features resembling neuroleptic malignant syndromeThereforefluoxetineincluding SARAFEMshould not be used in combination with an MAOIor within a minimum of 14 days of discontinuing therapy with an MAOIsee CONTRAINDICATIONSSince fluoxetine and its major metabolite have very long elimination half-livesat least 5 weeksperhaps longerespecially if fluoxetine has been prescribed chronically and/or at higher dosesshould be allowed after stopping fluoxetine before starting an MAOIsee DOSAGE AND ADMINISTRATIONCONTRAINDICATIONSWARNINGS AND PRECAUTIONSand CLINICAL PHARMACOLOGY

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