Depression Home > Oleptro Warnings and Precautions
Notify your healthcare provider immediately if you are taking Oleptro and experience symptoms such as hallucinations, seizures, or overactive reflexes. This medication may not be safe for people with certain medical conditions, such as heart disease, bipolar disorder, or low blood pressure. Other warnings and precautions with Oleptro apply to women who are pregnant or breastfeeding.
What Should I Tell My Healthcare Provider Before Taking Oleptro?You should talk with your healthcare provider prior to taking Oleptro™ (trazodone ER) if you have:
- Bipolar disorder or a family history of bipolar disorder (also known as manic depression)
- Heart disease
- Had a recent heart attack
- A history of suicide attempts or suicidal thoughts
- An irregular heart rhythm (arrhythmia)
- Low blood pressure (hypertension)
- Low electrolytes, especially low potassium or low magnesium
- Any allergies, including to foods, dyes, or preservatives.
- Pregnant or thinking of becoming pregnant
Specific Oleptro Warnings and PrecautionsSome warnings and precautions to be aware of prior to taking Oleptro include the following:
- Antidepressants may increase the risk of suicidal thoughts or behavior in children, teenagers, and young adults (see Antidepressants and Suicide for more information). Therefore, if you notice any worsening in depression symptoms or new symptoms, talk to your healthcare provider (or your child's healthcare provider) immediately. Some of these symptoms may include anxiety, hostility, agitation, panic, restlessness, hallucinations, extreme hyperactivity, and suicidal thoughts or behavior.
- Taking Oleptro with other medications that affect serotonin can increase your risk of a dangerous group of symptoms called serotonin syndrome. These other medications include other antidepressants, triptans (migraine medications), and several other medications (see Oleptro Drug Interactions for more information). Contact your healthcare provider immediately if you have any possible symptoms of serotonin syndrome, including:
- Oleptro can cause low blood pressure (hypotension). This may be more common if you are also taking other medications, especially high blood pressure medication. Tell your healthcare provider if you have symptoms of low blood pressure, including lightheadedness, dizziness, or fainting.
- Oleptro can cause priapism, a painful erection of the penis that does not go away. Even though it may seem embarrassing, seek medical attention right away if you experience priapism, as it can cause permanent damage to the penis.
- Oleptro should not be used right after a heart attack. Also, there is some evidence that this medication can cause irregular heart rhythms (arrhythmias) in people with heart disease.
- Oleptro can cause a change in the heart rhythm known as QT prolongation. This could potentially cause serious problems, especially for people who genetically already have a long QT interval (a condition known as long QT syndrome) or for people with electrolyte disturbances, especially low potassium or low magnesium levels in the blood.
- Oleptro can cause low salt levels in the blood (hyponatremia). This is most likely to occur in elderly people or people who are dehydrated. This generally returns to normal when Oleptro is discontinued, but it can be serious in severe cases. Signs of hyponatremia include:
- Oleptro can increase the risk of bleeding, including dangerous internal bleeding. Check with your healthcare provider before taking this medicine if you have a bleeding disorder or if you take an anticoagulant ("blood-thinning") medication (see Oleptro Drug Interactions for more information).
- Oleptro can increase the risk of mania (often noticed as an extreme increase in activity and talking), especially in people with a history of mood disorders such as bipolar disorder. Make sure your healthcare provider knows your full mental health history before you take this drug.
- Oleptro is considered a pregnancy Category C medication. This means that it may not be safe to use during pregnancy. Talk to your healthcare provider about the risks and benefits of using this medication during pregnancy (see Oleptro and Pregnancy for more information).
- Oleptro passes through breast milk. Therefore, if you are breastfeeding or plan to start breastfeeding, make sure to talk with your healthcare provider before taking this drug (see Oleptro and Breastfeeding).