Sarafem is used for treating premenstrual dysphoric disorder (PMDD), a serious type of premenstrual syndrome. Sarafem is actually a discerning serotonin re-uptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural substance in the mind, which aids to enhance mood.
Use Sarafem as instructed by your physician.
Consider Sarafem orally with or without any food.
Using Sarafem at the same time each day can help you remember to go on it.
Carry on to take Sarafem actually though you are feeling well. Do not miss any amounts.
Do not suddenly quit taking Sarafem without consulting your physician. Side effects may occur. They might include mental or mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual fatigue. You will be carefully supervised whenever you start Sarafem and every time a change in dose is made.
Take it as as soon as you can, should you miss a dose of Sarafem. When it is nearly time for your next dose, skip the missed dose and go back to your regular dosing timetable. Do not take 2 doses at the same time.
Ask your health care provider any questions that may have regarding the way to utilize Sarafem.
Do NOT use Sarafem if:
you are allergic to any ingredient in Sarafem
You're getting or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort in the last fortnight
You're taking a fenfluramine derivative (eg, dexfenfluramine), an H1 antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, a serotonin-norepinephrine re-uptake inhibitor (SNRI) (eg, venlafaxine), another SSRI (eg, paroxetine), sibutramine, thioridazine, or trp.
Contact your doctor or health care provider right away if one of these apply to you personally.
Some health conditions may interact with Sarafem. If you hold any medical conditions, especially if any of the following apply to you tell your physician or pharmacist:
If you're pregnant, intending to get pregnant, or are breast-feeding
In case you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
For those who are allergic to medications, foods, or other materials
In the event that you or a relative has a history of bipolar disorder (manicdepression), other mental or mood issues, suicidal thoughts or even attempts, or even alcohol or substance misuse
When you have a history of convulsions, heart problems, liver issues, acute kidney problems, stomach or bowel bleeding, diabetes, or metabolism problems
If you're dehydrated, have low blood sodium levels, or consume alcohol
if You'll be having electroconvulsive treatment (ECT).
Some medications may interact with Sarafem. Tell your doctor should you be using any other medicines, particularly the following:
Anorexiants (eg, phentermine), fenfluramine derivatives (eg, dexfenfluramine), linezolid, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT1 receptor agonists (eg, sumatriptan), sibutramine, SNRIs (eg, venlafaxine), St. John's wort, trazodone, or tryptophan because acute unwanted side effects, such as a reaction that may include temperature, rigid muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti inflammatory drugs (NSAIDs) (eg, motrin) because the risk of bleeding, including stomach bleeding, may be increased
Diuretics (eg, furosemide, hydrochlorothiazide) because the danger of low blood sodium levels might be raised
Tramadol because the chance of seizures may be increased
Cyclobenzaprine or H1 antagonists (eg, astemizole, terfenadine) because intense heart problems, including irregular heartbeat, may happen
HIV protease inhibitors (eg, ritonavir) because they may raise the risk of Sarafem's side effects
Cyproheptadine because it may reduce Sarafem's effectiveness
Aripiprazole, benzodiazepines (eg, alprazolam), beta blockers (eg, propranolol), carbamazepine, clozapine, dextromethorphan, digoxin, flecainide, haloperidol, hydantoins (eg, phenytoin), lithium, norepinephrine reuptake inhibitors (eg, atomoxetine), phenothiazines (eg, chlorpromazine, thioridazine), pimozide, propafenone, risperidone, tricyclic antidepressants (eg, amitriptyline), or vinblastine because the risk of these side effects may be raised by Sarafem.
This may not be a whole record of all interactions that might happen. Ask your doctor if Sarafem may interact with other medicines which you take. Check with your own physician before you start, stop, or change the dose of any medication.
Essential safety advice:
Sarafem may cause sleepiness or lightheadedness. These effects might be worse if you take it with alcohol or particular medicines. Take Sarafem with caution. Do not drive or execute other potential dangerous tasks until you realize how you respond to it.
Check with your doctor before you consume alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are getting Sarafem; it may increase their effects. Request your pharmacist if you've got questions about which medicines may cause drowsiness.
Many weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, change your dosage, or take Sarafem for longer than prescribed without checking with your physician.
Kids and teenagers who take Sarafem could be at greater risk for suicidal ideas or actions. Adults can also be influenced. The hazard could be better in patients who have had suicidal thoughts or actions before. The risk might even be greater in patients who've had bipolar (manicdepressive) illness, or if their loved ones have had it. Observe sufferers who take Sarafem carefully. Contact the doctor at once if new, worsened, or unexpected symptoms such as depressed mood; nervous, unsettled, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor at once if any signs of suicidal thoughts or actions occur.
Diabetes patients - Sarafem might affect your blood sugar. Check blood sugar carefully. Request your doctor prior to changing the dose of your diabetes medicine.
Serotonin syndrome is a possibly deadly syndrome which can result from Sarafem. Your own risk may be higher if you consider Sarafem with certain other medications (eg, MAOIs, SSRIs, "triptans"). Signs may include agitation; coma; confusion; extreme perspiration; speedy or irregular pulse; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Contact your doctor at once if you have any of these signs.
Neuroleptic malignant syndrome (NMS) is a potentially fatal syndrome that can result from Sarafem. Symptoms might include fever; stiff muscles; confusion; abnormal thinking; swiftly or irregular pulse; and sweating. Contact your doctor immediately if you have some of these signs.
You will have to pause for many weeks before starting to take certain other medications (eg, MAOIs, nefazodone, thioridazine, if your physician informs you to avoid using Sarafem). Ask your physician if you should begin to bring your new medicines when you have stopped taking Sarafem.
Sarafem may rarely cause a prolonged, painful erection. This might occur also when you're not having sex. If this isn't treated instantly, it could cause permanent sexual issues like impotence. Contact your doctor right away if this occurs.
Sarafem comprises a number of the exact same elements as Prozac, a medicine used as a treatment for depression and other mental problems, and Symbyax, a medicine used as a treatment for depression in patients with bipolar disorder. If you're also taking Prozac or Symbyax don't take Sarafem. Talk about any queries or issues with your physician.
Use Sarafem with caution in the elderly; they might be more sensitive to its effects, especially low blood sodium levels.
Caution is advised when using Sarafem in children; they might be more sensitive to its effects, particularly heightened risk of suicidal thoughts or actions.
Sarafem should be used with extreme caution in children; safety and effectiveness in children have not yet been confirmed.
Weight changes may be caused by sarafem. Children and teenagers may want growth checks and regular weight while they take Sarafem.
Pregnancy and breastfeeding: Sarafem could cause injury to the fetus if it's used during the last 3 weeks of pregnancy. In the event that you become pregnant, contact your physician. When you are pregnant you will need to talk about the hazards and advantages of utilizing Sarafem. Sarafem is found in breast milk. Don't breast-feed as long as you are taking Sarafem.

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