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Common side effects include: constipation, itchiness and nausea.[1] Serious side effects may include seizures, increased risk of serotonin syndrome, decreased alertness, and drug addiction.[1] A change in dosage may be recommended in those with kidney or liver problems.[1] It is not recommended in those who are at risk of suicide.[1] While not recommended in women who are breastfeeding, those who take a single dose should not generally stop breastfeeding.[7]
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