Need to re-revise!!!!

Gastro-intestinal disturbances, headache, anxiety, dizziness, paraesthesia, electric shock sensation in the head, neck, and spine, tinnitus, sleep disturbances, fatigue, influenza-like symptoms, and sweating are the most common features of abrupt withdrawal of an SSRI or marked reduction of the dose; palpitation and visual disturbances can occur less commonly. Taper down over few weeks t May be necessary to withdraw over a longer period; . Withdrawal effects may occur within 5 days of stopping treatment with antidepressant drugs; they are usually mild and self-limiting, but in some cases may be severe. The risk of withdrawal symptoms is increased if the antidepressant is stopped suddenly after regular administration for 8 weeks or more.

Flatulence Abdo discomfort Nausea (Juice/water/meals) Cramps Vomiting

Abdo pain Constipation Diarrhoea Flatulence GI disturbances Headache Nausea and vomiting

3-4 days post GI surgery GI Obstruction/perforation/haemorrhage Phaeochromocytoma

Cardiac Disease Conditions where conduction is/will be impaired Where increased GI motility is harmful Prolactinoma

Bradycardia CNS depression Comatose States Hypokalaemia Hypomagnesaemia Phaeochromocytoma QT-Interval prolongation

Cold extremities Tiredness Slow/Irregular heartbeat Severely reduced blood flow to fingers and toes (Raynaud's) Nightmares/sleep disturbances Shortness of Breath

Slower pulse Cold Hands and feet Nausea Diarrhoea Tired or tired and aching muscles

Addison's disease Symptomatic Hyperuricaemia Hypercalcaemia Refractory Hypokalaemia Hyponatraemia

Altered Plasma Lipid Profile Gout Hypercalcaemia Hyperglycaemia Hyperuricaemia Hypochloraemic Alkalosis Hypokalaemia Hypomagnesaemia Hyponatraemia Metabolic and electrolyte imbalances Mild GI disturbances Postural Hypotension

Active peptic ulceration; bleeding disorders (antiplatelet dose); children under 16 years (risk of Reye’s syndrome); haemophilia; previous peptic ulceration (analgesic dose); severe cardiac failure (analgesic dose)

Cough/Asthma exacerbation GI bleeding Hypersensitivity Post-prandial pain or discomfort in stomach or lower chest Nausea and vomiting Tinnitus

unexplained nose bleeds black or red faeces which may be caused by internal bleeding - dark red or brown urine which may be caused by problems with your kidneys or bladder - fever - nausea and vomiting

Abdominal pain; Anorexia; diarrhoea (usually transient); nausea; taste disturbance; vomiting

Acute metabolic acidosis (including lactic acidosis and diabetic ketoacidosis)