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If side effects are intolerable: Discuss dose adjustment or alternatives like bupropion, TMS, or new trials (CYB003, osavampator) Never push through worsening depression or suicidality—get help now Your next steps: Track your symptoms for 2 weeks using a mood/side effect diary Discuss this guide and your experience with your doctor If considering alternatives, → explore clinical trials → Find clinical trials matched to your situation Appendix A: FDA Label Data Summary Adverse Reactions by Prevalence (Clinical Trial Data) Boxed Warnings (Most Serious) Increased risk of suicidal thoughts and behaviors in pediatric and young adult patients taking antidepressants
