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Extended release: Immediate release: Not FDA approved for children; in children and young adults; benefits of taking antidepressants must be weighed against risks. Patients should be monitored closely for changes in behavior, clinical worsening, and suicidal tendencies; this should be done during initial months of therapy and dosage adjustments. Worsening behavior and suicidal tendencies that are not https://www.healthcareguys.com part of presenting symptoms may necessitate discontinuance of therapy. May precipitate mania or hypomania episodes in patients with bipolar disorder; avoid monotherapy in bipolar disorder; screen patients presenting with depressive symptoms for bipolar disorder. Clinical worsening and suicidal ideation may occur despite medication in adolescents and young adults years. Bone fractures reported with antidepressant therapy; consider possibility if patient experiences bone pain.
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