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[86] Overdose [edit] In overdose, most frequent adverse effects include: [87] Interactions [edit] Contraindications include prior treatment (within the past 2 weeks) [88] [89] with MAOIs such as phenelzine and tranylcypromine, due to the potential for serotonin syndrome

This may impair the stomach's ability to absorb vital nutrients and lead to secondary problems such as vitamin B12 deficiency and pernicious anemia