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[45] Gastrointestinal symptoms, including nausea, vomiting, and diarrhea, are the most commonly reported adverse effects

If nausea persists beyond seven days or causes inability to keep fluids down, contact your provider about dose reduction or anti-nausea medication like ondansetron

This is a must read for the physician and the patient

Not Medical Advice: This article provides general information only

Other more severe and rare side effects include: Fast heartbeat Increased blood pressure Chest pain Dizziness Fainting Pounding heart Shortness of breath Cold sweat Numbness in extremities Serotonin syndrome (a life-threatening condition caused by a buildup of excess serotonin in the body) Although rare, any of these side effects require emergency medical attention