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They may include: Sleeping problems and abnormal dreams Headache, dizziness, and drowsiness Yawning and tiredness Upset stomach, loss of appetite, and diarrhea Decreased sex drive Other side effects, which are less common but might be more severe, could include: Blurred vision, tunnel vision, or eye pain Fast or pounding heartbeats Serotonin syndrome You should call your doctor if you notice any adverse effects, or if you develop any other new or worsening symptoms