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You must wait at least 5 weeks after stopping fluoxetine prozac before you can start using emsam.

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This medication must not be used in children younger than 12 years due to an increased risk of serious side effectssuch as extremely high blood pressureAlsothis medication is not recommended for use in children between 12 and 17 years oldStudies have not shown it to work in children in this age group.

In particulartell your health care professional if you takeother medicines to treat depressionantidepressantsincluding other MAOI medicines decongestant medicines to treat cold or cough symptoms over-the-counter diet pills or herbal weight-loss products any herbal or dietary supplement that contains tyramine and/or medicines called stimulants or uppersamphetaminesbuspironean anxiety medicine Some of these medicines need to be stopped for at least 1 week before you can start using EMSAM and for 2 weeks after you stop using EMSAMAsk your health care professional or pharmacist if you are not sure if you take these medicinesKnow the medicines you takeKeep a list of them to show your health care professional or pharmacist when you get a new medicine.

Tell the doctor right away if you notice worsening depression/other psychiatric conditionsunusual behavior changesincluding possible suicidal thoughts/attemptsor other mental/mood changesincluding new/worsening anxietypanic attackstrouble sleepingirritabilityhostile/angry feelingsimpulsive actionssevere restlessnessvery rapid speechBe especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.

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