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Contra indications: Hypersensitivity Seizue disorder, bulimia or anorxixa nervosa, monoamine oxidase inhibitors.
Special Precautions: Patients under 18 years the recommended dose should not be exceeded. Liver impairment, the recommended dose should not be exceeded. Renal impairment. It may precipitate a manic episode in patients with bipolar disorder during the depressed phase of there iliness and may activate lafent psychosis in other susceptible patients. Concomitant therapy with drugs predomi nantly metabolised by this isonezyme (such as cetrain beta-blocker antarrhythmic SSRIS. TCAS. Antisychotics) Should be intiated at the lower end of the dose range. Pregnancy and lactation, it may affect ability to perform tasks that require judgement or motor and congnitive skills.
Side effects: Fever chest pain asthenia tachyardia, vasodilation, postural hypotension increased blood pressure (in some case severe). flushing syncope seizure insomnia tremor concetraion disftuance headache dizzines depression confusion, agitation anxiety irrtability hostitly anorexia dry mouth gastrointestinla disturbance including nausea and vomting abdominla pain constipation rash pruitus, sweating.