1 AnswerTake the antidepressant Remeron SolTab (mirtazapine) as prescribed. Remeron SolTab is an orally disintegrating tablet (ODT), which dissolves on your tongue. This form of the medicine is good for people who have trouble swallowing whole pills. After removing the tablet from the package, place it on your tongue, where it will quickly dissolve. Then swallow normally. It is usually taken at bedtime, with or without food.
1 AnswerCommon side effects of Luvox (fluvoxamine) are:
- upset stomach or indigestion
- loss of appetite or weight
- dry mouth
- stuffy nose
- changes in taste
- frequent urination
- changes in sex drive or ability
In a review of studies, about 4% of children, teens and young adults on SSRIs experienced suicidal thoughts or actions, compared to about 2% of depressed people of these ages who took placebos, or "sugar pills." If your child is on Luvox, you may need to monitor him carefully for changes, including worsening depression, behaving aggressively or impulsively, agitation, restlessness, panic attacks or other changes in mental status.
Call the doctor right away if you're taking Luvox and experience the following problems:
- sudden or severe changes in mood, actions or behavior
- symptoms of serotonin syndrome (a potentially life-threatening condition caused by excess serotonin), including hallucinations, loss of consciousness, agitation, muscle twitching or stiffness, racing heartbeat, high or low blood pressure, sweating, fever, nausea, vomiting or diarrhea
- symptoms of allergic reaction, including trouble breathing, rash or hives, joint pain or swelling of the face, tongue, eyes or mouth
- symptoms of heart problems, including chest pain, fast or slow heartbeat, difficulty breathing, dizziness or fainting
- unusual bleeding or bruising
- seizures or convulsions
- symptoms of mania including racing thoughts or grandiose ideas, excessive happiness or irritability, greatly increased energy, reckless behavior and trouble sleeping
- signs of low sodium levels in the blood, including headache, weakness or feeling unsteady, mental confusion or memory problems
- eye pain, changes in vision or swelling or redness in the eye
1 AnswerLuvox CR contains the same active ingredient, fluvoxamine, as Luvox but in an "extended release" capsule that is formulated to dissolve slowly, giving a steady dose of the drug throughout the day. In contrast, Luvox is available as an immediate-release tablet.
Luvox CR is available in 100 milligram (mg) and 150 mg capsules. There are no generic versions of Luvox CR on the market. Luvox is available as an oral tablet in 25 mg, 50 mg and 100 mg as both brand-name and generic products.
Luvox is approved by the Food and Drug Administration (FDA) for treating obsessive-compulsive disorder (OCD) in adults and children ages 8 to 17. Luvox CR has been studied in adults and is recommended for treating adults with OCD, beginning with a starting dose of 100 mg taken at bedtime, compared to a recommended starting dose for adults of 50 mg for Luvox. Luvox CR has not been adequately studied in children, and its safety and effectiveness in children has not been proven.
Both Luvox and Luvox CR may cause side effects, including potentially serious or life-threatening ones, especially when taken by people who have certain medical conditions or who take certain other drugs or supplements. Before taking either Luvox and Luvox CR, give your doctor a detailed medical history and a list of all medicines (prescription and nonprescription), supplements and herbal remedies that you take to reduce your risk of dangerous interactions.
For more information about Luvox or Luvox CR, consult your doctor.
1 AnswerMultiple Sclerosis Foundation answeredThe most common adverse effects associated with the selective serotonin and norepinephrine reuptake inhibitors (SSNRIs) include changes in appetite, weight, and sleep; drowsiness, dizziness, fatigue, headache, nausea and vomiting, and sexual dysfunction. Generally, sexual dysfunction is milder with the SSNRIs compared to the selective serotonin reuptake inhibitors (SSRIs).
1 AnswerMultiple Sclerosis Foundation answeredSelective serotonin and norepinephrine reuptake inhibitors (SSNRIs) include Effexor (venlafaxine) and Cymbalta (duloxetine). Data suggests that these products may be more effective in treating multiple sclerosis (MS)-related severe depression and depression resistant to other medications than the selective serotonin reuptake inhibitors (SSRI) antidepressants and tricyclic antidepressants.
Seek immediate medical attention if you experience any possible signs of an allergic reaction to tranlycpromine, marked by facial swelling, hives, a rash, and difficulty breathing.
Seek immediate medical attention if you experience serious side effects of tranlycpromine, including frequent headaches, vision problems, sensitivity to light, rapid or pounding heartbeat, tight feeling in your chest or throat, swelling of your ankles or feet, pale skin, easy bruising or bleeding, unusual weakness, nausea, vomiting , dizziness, sweating, stiffness in your neck, confusion, lack of coordination, feeling light-headed, fainting, and tremors or uncontrollable muscle twitches.
Talk to your doctor about less serious side effects, including feelings of restlessness, weakness, drowsiness, nausea, diarrhea, constipation, loss of appetite, stomach pain, chills, numbness or tingly feeling, dry mouth, decreased urination, blurred vision, ringing in your ears, impotence, or difficulty acheiving orgasm.
1 AnswerTranylcypromine treats depression when all other medications have failed.
Tranylcypromine, also known by the brand name Parnate, is in a class of medications known as monoamine oxidase inhibitors (MAOIs). It comes in a tablet form and is taken orally.
Before using imipramine pamoate, it’s important to know that this drug is a type of tricyclic antidepressant. Initial dosing may increase thoughts of suicide, especially in people age 24 and younger. Dosing varies and will depend on the severity of the depression and reaction to treatment; dosing can change over time. It’s important to know that imipramine pamoate dosing can lead to symptoms of withdrawal if the medication is stopped suddenly.
Some medications used to treat pre-existing health conditions can interact with imipramine pamoate. Before using imipramine pamoate, tell your doctor about any other medical condition you may have, such as:
- adrenal gland tumor
- heart disease or a history of heart attack
- history of stroke or seizures
- kidney or liver disease
- manic-depression (bipolar disorder
- overactive thyroid
- urination problemsDosing can also be affected by medical procedures such as surgery. While taking imipramine pamoate, your skin can be more sensitive to UV rays, so it’s important to wear sunscreen to prevent sunburns. You may also develop certain side effects such as drowsiness or dizziness that can affect some of your daily activities. Talking to your doctor about possible side effects is a good way to begin weighing the benefits and risks of using imipramine pamoate to treat your depression.
Initial dosing can increase thoughts of suicide, especially in people age 24 and younger. Imipramine should not be used to treat children or teenagers younger than 18 years. Common side effects like drowsiness can affect some daily activities. If any of the following side effects are persistent or worsen, talk to your doctor. Common side effects include:
- blurred vision
- constipation or diarrhea
- decreased sex drive or difficulty having an orgasm
- dry mouth
- lack of coordination
- loss of appetite
- ringing in your ears
- stomach ache
- swelling of the breasts (men and women)
If any of the following behavioral side effects develop, talk to your doctor right away. Behavioral side effects include:
- increased thoughts of suicide
- increased depression
- manic behavior
- panic attack
Although unwanted side effects can be uncomfortable, do not stop taking your medication unless directed to do so by your doctor. Stopping your doses suddenly can cause symptoms of withdrawal. If you have any of the following severe side effects, talk to your doctor right away. Serious side effects include:
- chest pain
- confusion or hallucinations
- change in frequency of urination
- easy bruising or bleeding
- feeling short of breath
- irregular heartbeat (fast, pounding, or uneven)
- irregular movement of the eyes, tongue, jaw, or neck
- persistent thirst with headache, nausea, vomiting, and weakness
- sudden weight gain
- sudden numbness or weakness
- sudden headache, confusion, blurred vision, speech, or lack of balance
Certain lab tests may be needed to monitor blood sugar levels while using imipramine.
Trimipramine, like other antidepressant medications, may increase the risk for suicidal thoughts and behavior, especially in children, teenagers, and young adults. A person with increased suicidal tendencies may be more anxious, restless, hostile, or irritable, and may act impulsively or suffer panic attacks. Talk to your doctor immediately if you notice any changes in mood of a person taking trimipramine.
Do not take trimipramine if you have a recent history of heart attack or have taken a monoamine oxidase inhibitor (MAOI) within the last two weeks. Trimipramine may not be suitable for people with kidney disease, hyperthyroidism, diabetes, or glaucoma.
Trimipramine may make your skin more sensitive to sunlight, so use sunscreen and wear protective clothing outside.
Avoid alcohol and other medications that can cause drowsiness while taking trimipramine. Do not drink grapefruit juice or eat grapefruit while taking trimipramine, as trimipramine may interact with these foods.
Do not suddenly stop taking trimipramine. To avoid withdrawal symptoms, talk to your doctor about how to wean yourself off trimipramine by decreasing your dose each time you take it.
Before taking trimipramine, tell your doctor all prescription medications, over-the-counter medications, vitamins, and herbal supplements you are taking. Be sure to include any medications that may interact with trimipramine, including certain antidepressants, heart rhythm medications, cimitedine, and guanethidine.