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Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have a seizure (convulsions) or fast, uneven heartbeats.

Less serious side effects may be more likely to occur, such as:

* headache or migraine;
* nausea, vomiting, constipation, dry mouth;
* confusion, dizziness, tremors (shaking);
* appetite changes, weight loss or gain;
* mild itching or skin rash, increased sweating; or
* loss of interest in sex.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Get emergency medical help if you have any of these signs of an allergic reaction: hives; fever; swollen glands; painful sores in or around your eyes or mouth; difficulty breathing; swelling of your face, lips, tongue, or throat. This medication may cause severe or life-threatening skin rash, especially in children and in people who are allergic to other seizure medications. Serious skin rash may also be more likely to occur if you are taking Lamictal together with valproic acid (Depakene) or divalproex (Depakote). Seek emergency medical attention if you have a fever, sore throat, swollen glands, and headache with a severe blistering, peeling, and red skin rash.

If you have to stop taking Lamictal because of a serious skin rash, you may not be able to take it again in the future.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

* the first sign of any skin rash;
* fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;
* chest pain;
* pale skin, easy bruising or bleeding;
* fever, chills, body aches, flu symptoms; or
* nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Less serious side effects may include:

* dizziness or drowsiness;
* blurred vision;
* nausea, vomiting, diarrhea, upset stomach;
* headache;
* lack of coordination;
* weight loss;
* sleep problems (insomnia), unusual dreams; or
* runny or stuffy nose.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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This medication may cause severe or life-threatening skin rash, especially in children and in people who are allergic to other seizure medications. Serious skin rash may also be more likely to occur if you are taking Lamictal together with valproic acid (Depakene) or divalproex (Depakote). Seek emergency medical attention if you have a fever, sore throat, swollen glands, and headache with a severe blistering, peeling, and red skin rash.

If you have to stop taking Lamictal because of a serious skin rash, you may not be able to take it again in the future.

You may have thoughts about suicide while taking this medication. Your doctor will need to check you at regular visits. Do not miss any scheduled appointments.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.

Do not stop taking Lamictal without first talking to your doctor, even if you feel better. You may have increased seizures if you stop taking Lamictal suddenly. You will need to use less and less before you stop the medication completely. Contact your doctor if your seizures get worse or you have them more often while taking Lamictal. Carry an ID card or wear a medical alert bracelet stating that you are taking Lamictal, in case of emergency. Any doctor, dentist, or emergency medical care provider who treats you should know that you are taking a seizure medication. Lamictal can cause side effects that may impair your vision or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Taking this medication during early pregnancy can increase the risk of the baby being born with cleft lip or cleft palate. Tell your doctor if you are pregnant or if you become pregnant during treatment.

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Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

* dizziness, fainting, fast or pounding heartbeat;
* restless muscle movements in your eyes, tongue, jaw, or neck;
* tremor (uncontrolled shaking);
* fever, stiff muscles, confusion, sweating, fast or uneven heartbeats;
* stabbing chest pain, feeling short of breath, cough with yellow or green mucus;
* sudden mood changes;
* confusion, agitation, hallucinations, unusual thoughts or behavior; or
* jaundice (yellowing of your skin or eyes).

Less serious side effects may include:

* headache, dizziness, drowsiness;
* sleep problems (insomnia);
*  feeling restless or anxious;
* mild skin rash or itching;
* breast enlargement, irregular menstrual periods, loss of interest in sex; or
* dry mouth, blurred vision, urinating less than usual.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Geodon and call your doctor at once if you have any of these serious side effects:

* dizziness, feeling light-headed, fainting, fast or pounding heartbeat;
* fever, stiff muscles, confusion, sweating, fast or uneven heartbeats;
* tremor (uncontrolled shaking), restless muscle movements in your eyes, tongue, jaw, or neck;
* agitation, hostility, confusion;
* increased thirst or urination, weakness, extreme hunger; or
* penis erection that is painful or lasts 4 hours or longer.

Less serious side effects may include:

* mild skin rash;
* anxiety, headache, depressed mood;
* dizziness, drowsiness;
* muscle pain or twitching;
* nausea, vomiting, loss of appetite;
* runny or stuffy nose, cough, sore throat; or
* weight gain.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Difficulty in breathing (severe); dizziness (severe); drowsiness (severe); muscle trembling, jerking, stiffness, or uncontrolled movements (severe); small pupils; unusual excitement; unusual tiredness or weakness (severe)

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:

More common
Constipation; decreased sweating; dizziness, lightheadedness, or fainting; drowsiness (mild); dryness of mouth; increased appetite and weight; increased sensitivity of skin to sunlight (skin rash, itching, redness or other discoloration of skin, or severe sunburn); stuffy nose

Less common
Changes in menstrual period; decreased sexual ability; swelling of breasts (in males and females); unusual secretion of milk

After you stop taking this medicine your body may need time to adjust, especially if you took this medicine in high doses or for a long time. If you stop taking it too quickly, the following withdrawal effects may occur and should be reported to your doctor:

Dizziness; nausea and vomiting; stomach pain; trembling of fingers and hands; uncontrolled, continuing movements of mouth, tongue, or jaw

Although not all of the side effects listed above have been reported for all thioxanthenes, they have been reported for at least one of them. However, since these medicines are very similar, any of the above side effects may occur with any of them.

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

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Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

* seizures;
* fever, chills, body aches, flu symptoms;
* numbness, burning, pain, or tingly feeling; or
* fever, sore throat, and headache with a severe blistering, peeling, and red skin rash.

Less serious side effects may be more likely to occur, such as:

* vaginal yeast infection (itching, white discharge);
* an unpleasant metallic taste in your mouth;
* nausea, vomiting, loss of appetite, indigestion;
* constipation, diarrhea, stomach cramps;
* dark-colored urine;
* headache, dizziness;
* muscle or joint pain;
* dry mouth, thirst, change in the color of your tongue;
* white patches or sores inside your mouth or on your lips; or
* minor skin rash or itching.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

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Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

* fever;
* feeling short of breath, even with mild exertion;
* swelling, rapid weight gain;
* problems with hearing;
* numbness or tingly feeling;
* pain or burning when you urinate; or
* nausea, stomach pain, low fever, loss of appetite, weakness, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Less serious side effects may include:

* diarrhea, constipation, mild stomach pain;
* mild itching or skin rash;
* headache, dizziness; or
* runny nose or other cold symptoms.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Grisactin may decrease the effects of the following drugs:

* oral anticoagulants (blood thinners) such as warfarin (Coumadin). A decrease in the effectiveness of anticoagulants could lead to blood clotting. It may be necessary to increase anticoagulant dosage.
* birth control pills. Decreased effectiveness could lead to break-through bleeding and possibly to an unintended pregnancy. Talk to your doctor about using of other forms of birth control during treatment with Grisactin.
* salicylates such as aspirin, salsalate (Disalcid, Salsitab, Salflex, others), choline salicylate (Arthropan), magnesium salicylate (Doan’s, Magan), and others. Larger doses of these medicines may be needed.
* cyclosporine (Sandimmune, Neoral). Your doctor may need to adjust your cyclosporine dosage.

The effects of Grisactin may be decreased by barbiturates such as phenobarbital (Luminal, Solfoton), pentobarbital (Nembutal), secobarbital (Seconal), amobarbital (Amytal), and butabarbital (Butisol). Larger doses of Grisactin may be necessary if you are taking any of these drugs.

Drugs other than those listed here may also interact with Grisactin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

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Stop taking Grisactin and seek emergency medical attention if you experience an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives).

Other, less serious side effects may be more likely to occur. Continue to take Grisactin and notify your doctor if you experience

* white patches in your mouth (thrush/yeast infection);
* nausea, vomiting, or diarrhea;
* headache, dizziness, or tiredness;
* insomnia;
* confusion;
* numbness or tingling in your hands or feet; or
* menstrual irregularities.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

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