Bipolar disorder. Screen for risk factors of developing a manic episode prior to initiation. Peripheral vasculopathy, including Raynaud's Phenomenon; monitor for digital changes. Monitor growth esp. Reduce dose or discontinue if paradoxical aggravation of symptoms occur. Reevaluate periodically. Nursing mothers: monitor infants. See Contraindications. Hypertensive crisis with MAOIs. Avoid concomitant use with halogenated anesthetics eg, halothane. Risk of serotonin syndrome with serotonergic drugs.
Concomitant risperidone may increase risk of extrapyramidal symptoms; monitor. Dyspepsia, dry mouth, decreased appetite, headache, anxiety, pharyngolaryngeal pain, anorexia, nausea, abdominal pain, fever; weight loss, hypertension, tachycardia, priapism. Take this medicine only as directed by your doctor.
Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If you take too much, the medicine may become habit-forming causing mental or physical dependence.
This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor if you have any questions. Ask your pharmacist for the Medication Guide if you do not have one. If you think this medicine is not working properly after you have taken it for several weeks, do not increase the dose. Check with your doctor right away.
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
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