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Orlistat capsules 120 mg /day, 40 mg/day, or 20mg/day (all for 5 days), and no effects on cognition or mood [see Warnings and Precautions ( 5.3 ). In the placebo group, patients received 40 mg/day/day of the other 3 medications (10 mg/day/day of dexamethasone and 5 salmeterol) no effects on cognition or mood. Fluvoxamine, fluoxetine, and paroxetine, used alone or in combination with a serotonin-norepinephrine reuptake inhibitor, were well tolerated with dose increments of 1 mg/day as follows: Fluoxetine 1 mg/day, 5 and 10 mg/day Tramadol ohne rezept online paroxetine 1 mg/day, 3 and 10 mg/day were not associated with adverse effects when used concomitantly with sertraline in a double-blind, placebo controlled, parallel-group study in adults with treatment-resistant depression (see CLINICAL PHARMACOLOGY, Studies Section ). 4.3.2. Combination Therapy with Sertraline and an Atypical Antidepressant The combination of sertraline and an atypical Is xanax over the counter in europe antipsychotic, or antipsychotic plus sertraline, and the concomitant use of lithium for bipolar disorder, may lead to lithium-induced elevations in serum lithium levels. For these patients the combination of sertraline and lithium should ordinarily be avoided, except when the use of lithium is contraindicated (see ADVERSE REACTIONS). For these patients, lithium should be used with caution. Because of the concomitant use lithium and atypical antipsychotics, the dose of sertraline may need to be reduced or discontinued. 4.3.3. Combination Therapy with Benzodiazepines Benzodiazepines, including alprazolam and diazepam, may cause sedation impairment of executive functions, especially in patients with comorbid psychiatric disorders. Benzodiazepines may also cause cardiovascular impairment, which has been observed in patients receiving concomitant dosages of alprazolam and clonazepam higher doses of buy cheap bulk diazepam diazepam together with sertraline (see PRECAUTIONS: Use Precautions for Clinical Use). Concomitant use of benzodiazepines and sertraline has been associated with the metabolic syndrome, in particular with obesity. Sertraline is not recommended as Provigil generic when the first-line agent in patients with dementia-related psychosis, particularly because of the possibility additive risk (see WARNINGS, Dementia). Patients who are treated with both sertraline and benzodiazepines should be considered for discontinuation of treatment, and alternative treatment should be considered in appropriate cases (see CLINICAL PHARMACOLOGY, Use In Specific Populations and Dosage Adjustments). 4.3.4. Interactions Between Antidepressants and Other Drugs Sertraline is metabolized by two enzymes (SERT, N-des)

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