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What are the side effects of milnacipran HCl?

Common side effects of milnacipran HCl (hydrochloride) include:

  • dry mouth, nausea, abdominal pain, heartburn, and bloating
  • drowsiness, dizziness, fatigue, and headache
  • sneezing, stuffy nose, cold-like symptoms
  • insomnia
  • constipation
  • swelling of the feet or hands
  • tingling or numbness
  • sweating, itching, rash, hot flashes
  • blurred vision
  • decreased libido, erectile dysfunction, trouble reaching orgasm
  • weight loss
  • facial warmth and redness
  • testicular swelling or pain
  • difficult urination

Milnacipran HCl may have some serious side effects. Talk to your doctor right away if you experience any of the serious side effects of milnacipran HCl:

  • pounding or rapid heartbeats
  • easy bleeding or bruising
  • nosebleeds
  • tarry or bloody stools
  • coughing up blood
  • hallucinations, seizures, confusion, and weakness
  • high blood pressure
  • sweating, goosebumps, chills, high fever, memory problems, concentration problems, loss of coordination, excessive reflexes, diarrhea, and vomiting
  • abdominal pain, decreased appetite, darkened urine, pale stools, and jaundice (yellowing of the eyes and skin)
  • unsteady walking
  • fainting or coma
  • slowing or cessation of breath
  • difficulty breathing
  • extreme fatigue
  • black, gritty vomit or bloody vomit
  • flu-like symptoms
  • tiny red spots under the skin
  • mood or mental changes including new or worsening depression, suicidal thoughts or actions, panic attacks, anxiety, impulsivity, agitation, hostility, aggression, restlessness, hyperactivity, and insomnia

Milnacipran HCl may cause allergic reactions in some people. If you experience an allergic reaction characterized by difficulty breathing, facial swelling, itchy rash, or hives, seek emergency care.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.