The development of a potentially life-threatening serotonin syndrome has been reported with snris and ssris, including fluvoxamine maleate tablets, alone but particularly with concomitant use of serotonergic drugs including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, busipirone, amphetamines, and st.

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Lithium can affect a brain chemical called serotoninDextromethorphanRobitussin DMotherscan also affect serotoninTaking lithium along with dextromethorphanRobitussin DMothersmight cause too much serotonin in the brain and serious side effects including heart problemsshiveringand anxiety could resultDo not take lithium if you are taking dextromethorphanRobitussin DMand others

Do not crushchewor break an extended-release tabletSwallow the pill wholeDrink extra fluids to keep from getting dehydrated while you are taking this medication.

Avoid driving or hazardous activity until you know how this medicine will affect youYour reactions could be impaired.

If you need surgerytell the surgeon ahead of . time that you are using lithium.

Medications used to prevent seizures affect chemicals in the brainLithium is commonly used to help fix chemical imbalances in the brainTakinglithium along with some medications used for seizures might increase the side effects of lithiumSome medications used to prevent seizures include phenobarbitalprimidoneMysolinevalproic acidDepakenegabapentinNeurontincarbamazepineTegretolphenytoinDilantinand others.

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do not take this medicine with any of the following medications -amoxapine-antidepressants like citalopram, escitalopram, fluoxetine, paroxetine, and sertraline -deferoxamine -dofetilide -maprotiline -tricyclic antidepressants like amitriptyline, clomipramine, imipramine, nortiptyline and others this medicine may also interact with the following medications -lithium -medicines for pain -phenytoin -propranolol -warfarin.