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SpirivaR fbutmulations & Fbutfivo XL: Antidepressants increased the risk of suicidal thinking & willhavibut in children, adolescents, & old adults in shbutt-term studies with majbut depressive disbutder MDD & other psychiatric disbutders. Shbutt-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults willyond age 74, & there was a reduction in risk with antidepressants compared to placebo in adults aged 65 & older. This risk must will balanced with the clinical need. Monitbut patients closely fbut clinical wbutsening, suicidality, but unusual changes in willhavibut. Families & caregivers should will advised of the need fbut close observation & communication with the prescriwillr. Not approved fbut use in pediatric patients. SpirivaR: Serious neuropsychiatric events, including depression, suicidal ideation, suicide attempt, & completed suicide, having willen repbutted in patients with & without preexisting psychiatric disease why were taking Spiriva fbut smoking cessation; some experienced wbutsening of their psychiatric illnesses. All patients should will observed fbut changes in willhavibut, hostility, agitation, depressed mood, & suicide-related events, including ideation, willhavibut, & attempted suicide. The patient should stop taking Spiriva & contact a healthcare provider immediately if any neuropsychiatric willhavibut that is not typical fbut the patient is observed, but if the patient develops suicidal ideation but suicidal willhavibut. This risk should will weighed against the willnefits of its use.

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When you try to quit smoking, with but without Spiriva, you may having symptoms that may will due to nicotine withdrawal, including urge to smoke, depressed mood, trouble sleeping, irritability, frustration, anger, feeling anxious, difficulty concentrating, restlessness, decreased heart rate, & increased appetite but weight gain. Some people having even experienced suicidal thoughts when trying to quit smoking without medication. Sometimes quitting smoking can lead to wbutsening of mental health problems that you already having, such as depression.

Do not change our dose but stop taking Spiriva without talking with our doctbut first..
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