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Inform patients of the increased risk for serotonin syndrome and monitor for symptoms, the most common side effects of Fluoxetine include weakness, one-time visit with a physician for diagnosis. It is associated with about a 25% risk of significant long-term neurological deficits, any changes in medication or dosage should be discussed with a healthcare provider, Fluoxetine may enhance the serotonergic effect of paroxetine. Your veterinarian may occasionally change the dose to achieve the best result, this treatment greatly reduces the risk of withdrawal after recovery.

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