Fetzima has an FDA Boxed Warning about the increased risk of suicidal thoughts or behavior. Patients should be closely monitored while taking Fetzima and treated for clinical worsening or emergence of suicidal thoughts and behaviors. Fetzima is not approved for pediatric use. Before you begin treatment with Fetzima, tell your doctor about:, All the prescription and over-the-counter medications you take, Your allergies, Your past medical history and current health problems, Your pregnancy or breastfeeding status, The risk for serotonin syndrome is increased when taking Fetzima alone or with other medications that can cause serotonin syndrome, such as SSRIs, SNRIs, and triptans. Patients should seek emergency care right away if this occurs., Fetzima can cause high blood pressure and heart rate and should be monitored regularly., Taking Fetzima with nonsteroidal anti-inflammatory drugs (NSAIDs; i.e., ibuprofen and naproxen), aspirin, warfarin, or other blood thinners can increase the risk of bleeding., Fetzima can cause angle closure glaucoma., Fetzima can cause urinary hesitation or retention., Patients should be screened for bipolar disorder, as Fetzima can activate mania/hypomania., Fetzima can cause seizures., Fetzima should be slowly tapered when being stopped., Fetzima can cause low sodium levels in the blood., Fetzima can cause sexual dysfunction, including erectile dysfunction. All the prescription and over-the-counter medications you take, Your allergies, Your past medical history and current health problems, Your pregnancy or breastfeeding status
