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The side effects are blurred vision, drowsiness, nausea or vomiting, abdominal pain, and loss of consciousness

When to seek medical advice Get professional support if you: Feel persistently emotionally numb or disconnected Experience thoughts of hopelessness, self-harm, or suicide Struggle to function at work, school, or in relationships Have a history of depression that seems to be worsening Notice other symptoms like insomnia, changes in appetite, or severe fatigue Your provider may suggest adjusting the dose, slowing titration, or exploring supportive therapy

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