SIDE EFFECTS: Trouble sleeping, nausea, diarrhea, upset stomach, dizziness, headache, nervousness, loss of appetite, or weight loss may occur. If any of these effects persist or worsen, notify your doctor promptly. Tell your doctor immediately if any of these serious side effects occur: vomiting, stomach pain, fever, unusual weakness or tiredness, mental/mood changes. Tell your doctor immediately if any of these unlikely but serious side effects occur: unusually fast heartbeat, blurred vision, uncontrolled muscle movements (e.g., tics, tremors), change in sexual ability or desire, chest pain. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: This medication is not recommended for use if you have the following medical conditions: heart or blood vessel- related diseases (e.g., arteriosclerosis, cardiovascular disease), severe high blood pressure, over-active thyroid (hyperthyroidism), eye problems (e.g., glaucoma), emotional instability, history of drug abuse. Tell your doctor your medical history, especially of: other mental/mood problems (e.g., psychological disorders), growth problems, high blood pressure, uncontrolled muscle movements (e.g., tics, Tourette's syndrome), any allergies. This may make you dizzy and can affect your alertness. Use caution engaging in activities requiring alertness such as driving or using machinery. Though uncommon, depression itself can lead to thoughts or attempts of suicide. Tell your doctor immediately if you have any suicidal thoughts, or other mental/mood changes. Keep all medical appointments so your doctor can monitor your progress closely. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This medication passes into breast milk and may have undesirable effects on a nursing infant. Breast-feeding while taking this medication is not recommended.