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    Patients should be cautioned about the risk of sertraline sex problems syndrome with the concomitant use of PROZAC and other serotonergic agents including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, amphetamines, and St. John's Wort see Contraindications 4. Warnings and Precautions 5."Generic drugs are being tested more carefully, and manufacturing standards are tighter than they were 10 years ago, he says.

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    Symptoms of a drug interaction with a MAOI include: hyperthermia, rigidity, myoclonus, autonomic instability sertraline sex problems possible sertraline sex problems fluctuations of vital signs, mental status changes that include confusion, irritability and extreme agitation progressing to delirium and coma. Therefore, fluoxetine is contra-indicated in combination with an irreversible, non-selective MAOI see Section 4.Apotex Technologies January.

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