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Because priapism has been reported to occur in patients receiving Desyrelpatients with prolonged or inappropriate penile erection should immediately discontinue the drug and consult with the physiciansee WARNINGS

A major depressive episode may be the initial presentation of bipolar disorderIt is generally believedthough not established in controlled trialsthat treating such an episode with an antidepressant alone may increase the likelihood of precipitation of a mixed/manic episode in patients at risk for bipolar disorderWhether any of the symptoms described above represent such a conversion is unknownHoweverprior to initiating treatment with an antidepressantpatients with depressive symptoms should be adequately screened to determine if they are at risk for bipolar disordersuch screening should include a detailed psychiatric historyincluding a family history of suicidebipolar disorderand depressionIt should be noted that Desyrel is not approved for use in treating bipolar depression.

Patients with major depressive disorderMDDboth adult and pediatricmay experience worsening of their depression and/or the emergence of suicidal ideation and behaviorsuicidalityor unusual changes in behaviorwhether or not they are taking antidepressant medicationsand this risk may persist until significant remission occursThere has been a long-standing concern that antidepressants may have a role in inducing worsening of depression and the emergence of suicidality in certain patientsAntidepressants increased the risk of suicidal thinking and behaviorsuicidalityin short-term studies in children and adolescents with Major Depressive DisorderMDDand other psychiatric disorders.

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it is not known whether interactions will occur between monoamine oxidase mao inhibitors and desyrel trazodone hydrochloride .

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