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For the relief of symptoms of depressionEndogenous depression is more likely to be alleviated than are other depressive states.

Antidepressant medications are used to treat a variety of conditionsincluding depression and other mental/mood disordersThese medications can help prevent suicidal thoughts/attempts and provide other important benefitsHoweverstudies have shown that a small number of peopleespecially people younger than 25who take antidepressants for any condition may experience worsening depressionother mental/mood symptomsor suicidal thoughts/attemptsThereforeit is very important to talk with the doctor about the risks and benefits of antidepressant medicationespecially for people younger than 25even if treatment is not for a mental/mood conditionTell the doctor right away if you notice worsening depression/other psychiatric conditionsunusual behavior changesincluding possible suicidal thoughts/attemptsor other mental/mood changesincluding new/worsening anxietypanic attackstrouble sleepingirritabilityhostile/angry feelingsimpulsive actionssevere restlessnessvery rapid speechBe especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.

Abdominal or stomach pain agitation blacktarry stools bleeding gums blood in urine or stools blurred vision burningcrawlingitchingnumbnesspricklingpins and needlesor tingling feelings change in consciousness changes in patterns and rhythms of speech chest pain or discomfort chills cold sweats coma confusion confusion about identityplaceand time continuing ringingbuzzingor other unexplained noise in ears convulsions coolpale skin cough or hoarseness dark urine decrease in frequency of urination decrease in urine volume decreased urine output difficulty in breathing difficulty in passing urinedribblingdifficulty in speaking disturbance of accommodation disturbed concentration dizzinessfaintnessor lightheadedness when getting up from a lying or sitting position suddenly double vision drooling dry mouth excitement fainting false beliefs that cannot be changed by facts fastslowor irregular heartbeat fear or nervousness fever with or without chills flusheddry skin fruit-like breath odor general feeling of tiredness or weakness headache hearing loss high fever high or low blood pressure hostility inability to move armslegsor facial muscles inability to speak increased hunger increased need to urinate increased ocular pressure increased sweating increased thirst increased urination irritability lack of coordination lethargy light-colored stools lip smacking or puckering loss of appetite loss of balance control loss of bladder control loss of consciousness lower back or side pain mental depression or anxiety muscle spasm or jerking of all extremities muscle tightness muscle tremblingjerkingor stiffness muscle twitching nausea and vomiting nightmares or unusually vivid dreams overactive reflexes painful or difficult urination passing urine more often pinpoint red spots on skin poor coordination pounding in the ears puffing of cheeks rapid or worm-like movements of tongue rapid weight gain restlessness seeinghearingor feeling things that are not there seizures severe muscle stiffness shakiness and unsteady walk shivering shortness of breath shuffling walk sleeplessness slow speech slurred speech sore throat soresulcersor white spots on lips or in mouth stiffness of limbs stupor sudden loss of consciousness sweating swelling of faceanklesor hands swelling or puffiness of face swollen glands talking or acting with excitement you cannot control trouble in speaking trouble sleeping troubled breathing twisting movements of body pain or discomfort in armsjawbackor neck unable to sleep uncontrolled chewing movements uncontrolled movementsespecially of armsfaceneckbackand legs unexplained weight loss unpleasant breath odor unsteadinesstremblingor other problems with muscle control or coordination unusual bleeding or bruising unusual tiredness or weakness unusually pale skin upper right abdominal pain vomiting of blood weakness in armshandslegsor feet weight gain or loss yellow eyes and skin.

Sudden weakness or ill feelingfeverchillssore throatmouth soresred or swollen gumstrouble swallowing.

This medication passes into breast milk and the effect on a nursing infant is unknownConsult your doctor before breast-feeding.

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