Take this medication exactly as prescribed. When first taking this medication your doctor may increase your dose gradually to determine the best effective dose. This medication may be taken with food to prevent stomach upset. Do not stop taking this medication without your doctors approval. Nausea headache or fatigue can occur if the drug is suddenly stopped.

This medication may cause drowsiness dizziness increased sun sensitivity or blurred vision. Use caution performing tasks that require alertness. This medication may initially cause dizziness and lightheadedness when rising too quickly from a sitting or lying position. Change positions and get out of bed slowly. Other side effects may include heartburn weight gain dry mouth strange taste in mouth anxiety restlessness or sweating. These effects should subside as your body adjusts to the medication. Inform your doctor if they continue or become bothersome. Notify your doctor if you develop: chest pain a rapid heart rate difficulty urinating nightmares ringing in the ears excessive sedation uncoordinated movements fainting. Males may experience sexual dysfunction while taking this medication. In the unlikely event you have a serious allergic reaction to this drug seek medical attention immediately. Symptoms of a serious allergic reaction include: rash itching swelling severe dizziness trouble breathing. If you notice other effects not listed above contact your doctor or pharmacist.

Inform your doctor about what drugs you take especially of: drugs used to treat an over-active thyroid MAO inhibitors e.g. furazolidone linezolid phenelzine selegiline tranylcypromine other tranquilizers medicines that make you excited high blood pressure drugs narcotic pain medications e.g. codeine SSRI antidepressants e.g. fluoxetine fluvoxamine other drugs you use both prescription and non- prescription St Johns wort. Do not start or stop any medicine without doctor or pharmacist approval.

If overdose is suspected contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include flushing fast or irregular heartbeat dry mouth drowsiness confusion agitation enlarged pupils seizures and loss of consciousness.

Taking this medication at bedtime may help minimize side effects such as day time sleepiness. Talk to your doctor about this.

If you miss a dose take as soon as remembered do not take if it is almost time for the next dose instead skip the missed dose and resume your usual dosing schedule. Do not double-up the dose to catch up.

This medication is used in the treatment of Obsessive Compulsive Disorders OCD. It may take 2 to 3 weeks before the full effects of this medication are noticed.

This medication has also been used to treat depression and panic attacks.

Store at room temperature away from sunlight and moisture.

Before using this drug tell your doctor your medical history especially of: glaucoma prostate problems decreased urine output thyroid disease breathing problems seizure problems alcohol use heart disease mental/emotional problems liver or kidney disease drug allergies. This medication can increase sensitivity to sunlight. Avoid prolonged sun exposure. Wear a sunscreen and protective clothing. Limit alcohol while using this drug to avoid excessive drowsiness. Though uncommon depression itself can lead to thoughts or attempts of suicide. Tell your doctor immediately if you have any suicidal thoughts or other mental/mood changes. Keep all medical appointments so your doctor can monitor your progress closely. Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug e.g. confusion may occur or worsen. This drug should be used during pregnancy only if clearly needed. Discuss the risks and benefits with your doctor. This drug is excreted into breast milk. The effects on the infant are not known at this time. Consult your doctor before breast-feeding.