This information is generalized and not intended as specific medical advice. Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment.
Serious. These medicines may interact and cause very harmful effects. Contact your healthcare professional (e.g. doctor or pharmacist) for more information.
How the interaction occurs:
Both of your medicines have a risk for abnormal muscle movements. Also, some antidepressants may slow down how quickly your liver processes metoclopramide.
What might happen:
Abnormal muscle movements may be sudden onset of severe muscle spasms, new or worsening tremors or shaking, or restlessness/continuing need to move.You could develop a muscle problem called tardive dyskinesia which may not go away after you stop treatment. These movements may include unusual movements (especially of the face, mouth, tongue arms or legs) that you cannot control.Though uncommon you could develop serotonin syndrome which may be associated with anxiety or agitation, heart palpitations, muscle twitching, or diarrhea.
What you should do about this interaction:
Let your healthcare professionals (e.g. doctor or pharmacist) know that you are taking these medicines together.Let your doctor know right away if you have any increase or sudden onset of severe muscle spasms; new or worsening tremors, muscle stiffness or shaking; restlessness/continuing need to move, new or worsening anxiety or agitation, heart palpitations, muscle twitching, and/or unexplained onset of diarrhea.Contact your doctor right away if you develop any movements you cannot stop or control such as: lip smacking, chewing, puckering of the mouth, frowning or scowling, sticking out the tongue, blinking and moving the eyes, and shaking of the arms and/or legsYour healthcare professionals may already be aware of this interaction and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first.
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