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In the US -Call your doctor for medical advice about side effects.

You may report side effects to FDA at 1-800-FDA-1088 or at gov/medwatch.

Get medical help right away if you have any very serious side effects, including: shortness of breath, fainting, chest/jaw/left arm pain, seizures, weakness on one side of the body, slurred speech, confusion, sudden vision changes.

This medication may increase serotonin and rarely cause a very serious condition called serotonin syndrome/toxicity.

Use a spoon to break apart any powder that is stuck together. To help you remember, take it at the same time each day.

During treatment, your doctor may occasionally recommend stopping the medication for a short time to see whether there are any changes in your behavior and whether the medication is still needed.

If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of side effects.

It may help to reduce the number of binge eating days. It is thought to work by restoring the balance of certain natural chemicals (neurotransmitters) in the brain.

This medication is not recommended for use for weight loss due to the risk of serious side effects.

The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take (see Drug Interactions section).

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