Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Alivate 20mg Tablet may be taken with or without food.

- Alcohol : UNSAFE

Do not drink alcohol while you are taking this medicine. Alivate 20mg Tablet may cause excessive drowsiness when taken with alcohol. | - Pregnancy : CONSULT YOUR DOCTOR

The safety of Alivate 20mg Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing. | - Breast feeding : CONSULT YOUR DOCTOR

Alivate 20mg Tablet may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor. | - Driving : UNSAFE

Alivate 20mg Tablet may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur. | - Kidney : CONSULT YOUR DOCTOR

There is limited data available on the use of Alivate 20mg Tablet in patients with kidney disease. Please consult your doctor. | - Liver : CAUTION

Alivate 20mg Tablet should be used with caution in patients with liver disease. Dose adjustment may be needed.

If you miss a dose of Alivate 20mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

What is Alivate 20mg Tablet? What is it used for?::: Alivate 20mg Tablet is an antidepressant drug and belongs to the class of selective serotonin re?uptake inhibitors (SSRIs). In adults, this medicine is used to treat major depressive episodes, eating disorder (bulimia nervosa) and obsessive-compulsive disorder (OCD). In children and adolescents aged eight years and above, it is used to treat moderate to severe major depressive disorder.| Does Alivate 20mg Tablet cause sleepiness?::: Somnolence (sleepiness) is a common side effect of Alivate 20mg Tablet. However, Alivate 20mg Tablet can also cause other sleep problems like insomnia (inability to sleep) and abnormal dreams. You must talk to your doctor if you experience sleep problems while taking Alivate 20mg Tablet.| Does Alivate 20mg Tablet cause weight gain?::: Alivate 20mg Tablet does not cause weight gain, rather it causes weight loss, which is a common side effect seen with its use. Weight loss is usually proportional to baseline body weight. Please consult your doctor if you experience a change in weight while taking Alivate 20mg Tablet.| Does Alivate 20mg Tablet make you tired?::: Alivate 20mg Tablet can make you feel tired. Fatigue (extreme tiredness) is a very common side effect of Alivate 20mg Tablet. Please consult your doctor if you experience excessive tiredness while taking it as the dose may need to be changed.| Does Alivate 20mg Tablet cause nausea?::: Nausea is a very common side effect of Alivate 20mg Tablet. Please consult your doctor if you experience excessive nausea while taking Alivate 20mg Tablet.| How long can I take Alivate 20mg Tablet for?::: You should take Alivate 20mg Tablet only for the duration advised by your doctor. You should not stop the medicine without consulting your doctor.| Can I take Alivate 20mg Tablet with paracetamol?::: Alivate 20mg Tablet can be taken with paracetamol. However, when taken together paracetamol can increase the antidepressant effect of Alivate 20mg Tablet. Talk to your doctor before taking the two medicines as there could be other effects of using the two medicines together.| Can I take Alivate 20mg Tablet with birth control pills?::: Alivate 20mg Tablet can be taken with birth control pills. No drug-drug interactions have been reported between the two. However, this does not mean that interactions cannot occur. Please consult your doctor before taking the two medicines together.| Is Alivate 20mg Tablet addictive?::: No, Alivate 20mg Tablet is not addictive in nature. No habit-forming potential has been seen with its use. Always follow your doctor's advice regarding the duration of its use.| Is Alivate 20mg Tablet safe in pregnancy?::: There have been some reports showing an increased risk of birth defects affecting the heart in babies when the mother took Alivate 20mg Tablet during the first few months of pregnancy. When taken during the last three months of pregnancy, it may increase the risk of a serious condition in babies, called persistent pulmonary hypertension of the newborn (PPHN). In this condition, the baby breathes faster and appears bluish. These symptoms usually begin during the first 24 hours after the baby is born. So, it is advisable not to use Alivate 20mg Tablet during pregnancy. If you are pregnant or planning to have a baby, ask your doctor for advice before taking this medicine.

Alivate 20mg Tablet is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It works by increasing the levels of serotonin, a chemical messenger in the brain. This improves mood and physical symptoms of depression and also relieves symptoms of panic and obsessive disorders.

-Tapentadol (Nasal Route): Life-threatening

Avoid concurrent use unless your doctor considers it safe. Concurrent use may cause fatal rise in blood serotonin levels.

| -Zolmitriptan (Nasal Route): Life-threatening

If concurrent use is essential, watch out for symptoms of serotonin syndrome such as tremors, fever, diarrhea or agitation and consult your doctor if you experience them. Your doctor may monitor and adjust the doses as per the observations. Concurrent use may cause serotonin syndrome.

| -Moclobemide (Oral Route): Life-threatening

Concomitant use may affect heart rhythm and can be fatal. Do not consume Moclobemide with Fluoxetine. If Moclobemide is essential, ensure a gap of at least 5 weeks after discontinuing Fluoxetine. Please consult your doctor.

| -Selegiline (Oral Route): Life-threatening

Do not consume Selegiline with Fluoxetine. If Selegiline is essential, ensure a gap of at least 5 weeks after discontinuing Fluoxetine. Please consult your doctor.

| -Rasagiline (Oral Route): Life-threatening

Do not consume Rasagiline with Fluoxetine. If Rasagiline is essential, ensure a gap of at least 5 weeks after discontinuing Fluoxetine. Please consult your doctor.

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