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Before using this medicationtell your doctor or pharmacist your medical historyespecially ofpersonal or family history of bipolar/manic-depressive disorderpersonal or family history of suicide attemptsliver problemsdiabeteslow sodium in the bloodsuch as may occur while takingwater pillsdiureticssevere loss of body waterdehydrationseizuresstomach/intestinal ulcerspersonal order sarafem coupons family history order sarafem coupons glaucomaangle-closure type

Whether these systemic reactions and rash have a common underlying cause or are due to different etiologies or pathogenic processes is not knownFurthermorea specific underlying immunologic basis for these reactions has not been identifiedUpon the appearance of rash or of other possibly allergic phenomena for which an alternative etiology cannot be identifiedSARAFEM should be discontinued.

Neonates exposed to fluoxetine and other SSRIs or serotonin and norepinephrine reuptake inhibitorsSNRIslate in the third trimester have developed complications requiring prolonged hospitalizationrespiratory supportand tube feedingSuch complications can arise immediately upon deliveryReported clinical findings . have included respiratory distresscyanosisapneaseizurestemperature instabilityfeeding difficultyvomitinghypoglycemiahypotoniahypertoniahyperreflexiatremorjitterinessirritabilityand constant cryingThese features are consistent with either a direct toxic effect of SSRIs and SNRIs orpossiblya drug discontinuation syndromeIt should be noted thatin some casesthe clinical picture is consistent with serotonin syndromesee WARNINGS AND PRECAUTIONS

Patients should be advised to notify their physician if they become pregnant or intend to become pregnant during therapyFluoxetine should be used during pregnancy only if the potential benefit order sarafem coupons the potential risk to the fetussee Use In Specific Order sarafem coupons

Selective serotonin reuptake inhibitorlittle or no affinity for alpha-adrenergic histamine or cholinergic receptor.

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