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Rarelymales may have a painful or prolonged erection lasting 4 or more hoursIf this occursstop using this drug and get medical help right awayor permanent problems could occur.
In 2 placebo-controlled clinical trials for PMDDpatients treated with SARAFEM reported anxietynervousnessand insomniasee Table 3
Five patients receiving fluoxetine in combination with tryptophan experienced adverse reactionsincluding agitationrestlessnessand gastrointestinal distressThe concomitant use with tryptophan is not recommendedsee WARNINGS AND PRECAUTIONS
It is important to continue taking this medication as prescribed even if you feel wellDo not stop taking this medication without first consulting your doctorSome conditions may become worse when the drug is abruptly stoppedYour dose may need to be gradually decreased.
In premarketing clinical trials for conditions other than PMDD2 patients are known to have developed a serious cutaneous systemic illnessIn neither patient was there an unequivocal diagnosisbut one was considered to have a leukocytoclastic vasculitisand the othera severe desquamating syndrome that was considered variously to be a vasculitis or erythema multiformeOther patients have had systemic syndromes suggestive of serum sickness.
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