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Sarafem is used for treating premenstrual dysphoric disorder (PMDD), a severe form of pre-menstrual syndrome. Sarafem is actually a picky serotonin reuptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural material in the brain, which aids to improve mood.
Use Sarafem as directed by your doctor.
Consider Sarafem by mouth with or without any food.
Getting Sarafem simultaneously daily can help you make sure to go.
Continue to have Sarafem also though you feel well. Don't skip any doses.
Don't abruptly stop using Sarafem without consulting your physician. Side effects may occur. They could include mental or mood changes, numbness or tingling of the skin, dizziness, confusion, headache, difficulty sleeping, or unusual tiredness. You are going to be carefully supervised whenever you start Sarafem and whenever a change in dosage is made.
Go as as soon as possible, should you miss a dose of Sarafem. When it is almost time for your following dose, skip the missed dose and go back to your usual dosing schedule. Do not take 2 doses at the same time.
Ask your physician any questions that may have regarding how to utilize Sarafem.
Don't use Sarafem if:
You're hypersensitive to any ingredient in Sarafem
You're taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort in the last 2 weeks
You're taking a fenfluramine derivative (eg, dexfenfluramine), an H1 antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, a serotoninnorepinephrine reuptake 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.
Some health conditions may interact with Sarafem. If you have any medical conditions, particularly if any of these apply to you tell your doctor or pharmacist:
If you're pregnant, planning to become pregnant, or are breast-feeding
If you're using any prescription or nonprescription medicine, herbal preparation, or dietary supplement
In case you are allergic to medicines, foods, or other substances
if you or a family member has a history of bi-polar disorder (manicdepression), other mental or mood problems, suicidal thoughts or even attempts, or alcohol or substance abuse
if you have a history of seizures, heart issues, liver issues, severe kidney issues, stomach or bowel bleeding, diabetes, or metabolism problems
If you're dehydrated, have low blood sodium levels, or drink alcohol
if you will be having electroconvulsive therapy (ECT).
Some medications may interact with Sarafem. Communicate to your health care provider in case you are taking any other medicines, especially any of 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 intense side effects, such as a reaction that may include fever, inflexible muscles, blood pressure changes, mental changes, confusion, irritability, agitation, delirium, or coma, may occur
Anticoagulants (eg, warfarin), aspirin, or non-steroidal antiinflammatory medicines (NSAIDs) (eg, ibuprofen) because the chance of bleeding, including stomach bleeding, may be raised
Diuretics (eg, furosemide, hydrochlorothiazide) because the chance of reduced blood salt levels might be increased
Tramadol because the risk of seizures may be raised
Cyclobenzaprine or H1 antagonists (eg, astemizole, terfenadine) because severe heart problems, including irregular pulse, may occur
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 their side effects might be increased by Sarafem.
This may not be a whole record of all relationships that may occur. Ask your doctor if Sarafem might interact with several other medicines which you take. Check with your physician before you start, stop, or change the dose of any medicine.
Important security tips:
Sarafem might cause sleepiness or dizziness. These effects might be worse for it with alcohol or certain medications. Consider Sarafem with caution. Do not drive or perform other potential dangerous jobs until you know how you respond to it.
Check with your physician before you drink alcohol or use medications that might cause drowsiness (eg, sleep aids, muscle relaxers) while you are getting Sarafem; it might add to their effects. Request your pharmacist if you have questions about which medicines can cause drowsiness.
Weeks may pass before your symptoms improve. Do NOT take much more than the recommended dosage, change your dosage, or consider Sarafem for longer than prescribed without checking with your doctor.
Children and teens who take Sarafem may be at higher risk for suicidal ideas or actions. Adults may also be influenced. The hazard could be higher in individuals who've had suicidal thoughts or actions previously. The risk could even be greater in patients who have had bipolar (manic depressive) illness, or if their loved ones have had it. Watch patients who take Sarafem carefully. Contact the physician at the same time if new, worsened, or abrupt symptoms like depressed mood; apprehensive, unsettled, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the physician at once if any signs of suicidal thoughts or actions occur.
Diabetes individuals - Sarafem may impact your blood sugar levels. Check blood sugar carefully. Ask your doctor prior to changing the dosage of your diabetes medicine.
This syndrome is a possibly fatal syndrome that may be caused by Sarafem. Your own risk could be higher if you just take Sarafem with certain other medicines (eg, MAOIs, SSRIs, "triptans"). Symptoms can include agitation; coma; confusion; extreme sweating; speedy or irregular pulse; fever; hallucinations; nausea, vomiting, or diarrhea; tremor. Get in touch with your doctor right away if you have any of these symptoms.
Neuroleptic malignant syndrome (NMS) is a potentially fatal syndrome that can be caused by Sarafem. Symptoms may include confusion; stiff muscles; fever; unusual thinking; rapidly or irregular heartbeat; and perspiration. Contact your doctor immediately if you have any of these signs.
You'll need to attend for several weeks before starting to consider certain other medicines (eg, MAOIs, nefazodone, thioridazine, if your doctor informs you to stop taking Sarafem). Ask your doctor if you need to start to take your new medicines after you have ceased using Sarafem.
Sarafem may infrequently cause a prolonged, painful erection. This could happen even if you are not sex. If that is not treated right away, it might cause permanent sexual difficulties such as impotence. Contact your physician right away if that occurs.
Sarafem includes a number of the exact same components as Prozac, a medication used in the treatment of depression and other psychological issues, and Symbyax, a medicine used in the treatment of depression in patients with bipolar disorder. Do not take Sarafem if you're also taking Prozac or Symbyax. Discuss any queries or concerns with your doctor.
Use Sarafem with caution in the elderly; they may be more sensitive to its effects, particularly low blood sodium levels.
Caution is recommended when using Sarafem in children; they might be more sensitive to its effects, notably increased risk of suicidal thoughts or actions.
Sarafem should be utilized with extreme caution in children; security and effectiveness in children have not yet been confirmed.
Weight changes may be caused by sarafem. Kids and adolescents may want increase checks and regular weight while they take Sarafem.
Pregnancy and breast feeding: If it is used during the past 3 months of pregnancy Sarafem could cause harm to the fetus. In case you become pregnant, contact your doctor. When you are pregnant you're going to need to discuss the benefits and hazards of utilizing Sarafem. Sarafem is found in mother's milk. Don't breast-feed as you are taking Sarafem.

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