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No increased efcacy with higher dosingduloxetine (cymbalta)4060nausea dizziness headache insomnia constipationmay have utility in treatment of neuropathic pain and stress incontinencemirtazapine (remeron)1545somnolence weight gain neutropenia rareonce daily dosingmixed action drugsbupropion than ssris or tcas may be useful for adult addtrazodone low doses for sleep because of sedating effects with no anticholinergic side effectsnefazodone (serzone)300600sedation headache in united states and several other countries due to risk anorgasmia weight gain hypertensive crisis atypical features or treatment refractory depressionno dietary restrictions with 6 mg doseabbreviations Add attention decit disorder eps extrapyramidal symptoms maois monoamine oxidase inhibitors ssris selective sero tonin reuptake inhibitorstcas tricyclic antidepressants. 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