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Do not stop using doxepin suddenly.or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using doxepin.

You must wait at least five weeks after stopping fluoxetine (Prozac) before you can take doxepin.

A major depressive episode may be the initial presentation of bipolar disorder. It is generally believed (though not established in controlled trials) that treating such an episode with an antidepressant alone may increase the likelihood of precipitation of a mixed/manic episode in patients at risk for bipolar disorder. Whether any of the symptoms described above represent such a conversion is unknown. However.prior to initiating treatment with an antidepressant.patients with depressive symptoms should be adequately screened to determine if they are at risk for bipolar disorder. such screening should include a detailed psychiatric history.including a family history of suicide.bipolar disorder.and depression. It should be noted that Sinequan is not approved for use in treating bipolar depression.

If you are taking several doses a day.cheap sinequan dosage the missed dose as soon as you remember.then take any remaining doses for that day at evenly spaced intervals. If it is almost time for your next dose.skip the one you missed and go back to your regular schedule. Never take 2 doses at the same time.

Unprescribed use or increased use without doctor cheap sinequan dosage can lead to life-threatening consequences.such as suicidal cheap sinequan dosage and/or overdose.

Every effort has been made to ensure that the information provided by Cerner Multum.Inc. (‘Multum’) is accurate.up-to-date.and complete.but no guarantee is made cheap sinequan dosage that effect. Drug cheap sinequan dosage contained herein may be time sensitive. Multum information has been compiled for use cheap sinequan dosage healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate.unless specifically indicated otherwise. Multum’s drug information does not endorse drugs.diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed cheap sinequan dosage practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to.and not a substitute for.the expertise.skill.knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe.effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses.directions.precautions.warnings.drug interactions.allergic reactions.or adverse effects. If you have questions about the drugs you are taking.check with your doctor.nurse or pharmacist.

Patients.their families.and their caregivers should be encouraged to be alert to the emergence of anxiety.agitation.panic attacks.insomnia.irritability.hostility.aggressiveness.impulsivity.akathisia (psychomotor restlessness).hypomania.mania.other unusual changes in behavior.worsening of depression.and suicidal ideation.especially early during antidepressant treatment and when the dose is adjusted up or down. Families and caregivers of patients should be advised to look for the emergence of such symptoms on a day-today basis.since changes may be abrupt. Such symptoms should be reported to the patient’s prescriber or health professional.especially if they are severe.abrupt in onset.or were not part of the patient’s presenting symptoms. Symptoms such as these may be associated with an increased risk for suicidal thinking and behavior and indicate a need for very close monitoring and possibly changes in the medication.

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