Adverse effects anavar reviews are transient and are mild. They are observed within the first one or two weeks of treatment and usually substantially diminish with improvement of the patients.
There may be dry mouth, nausea, drowsiness, weakness, sweating, tremor, agitation, insomnia, diarrhea, sexual disorders.
May be the cause a slight decrease in heart rate, which usually has no clinical significance. However, patients with an initially low heart rate it may cause bradycardia. In exceptional cases, the use of large doses of the drug may develop seizures. Very rarely can occur hyponatremia, symptoms of serotonin syndrome, withdrawal symptoms, extrapyramidal disorders, purpura.
When phase inversion and the development of mania  should be abolished.

Drug overdose . Symptoms of the following signs and symptoms may occur: drowsiness, coma, articulation disorders, episodes of large seizures (grand mal), sinus tachycardia, sometimes nodal rhythm, sweating, nausea, vomiting, cyanosis, hyperventilation. The clinical picture is not characteristic. Treatment. The specific antidote is available. Treatment is symptomatic and supportive. Following oral administration of  gastric lavage should be performed as soon as possible. Recommended medical surveillance.

INTERACTION WITH OTHER DRUGS
chemically incompatible combinations have not been established.
Concomitant use of anavar reviews inhibitors may cause hypertensive crises (serotonin syndrome).
May enhance the effects of sumatriptan and other serotonergic drugs.
With the simultaneous application of cimetidine causes a moderate increase tsipramil equilibrium concentration in the blood.  Caution is advised when assigning maximum doses tsipramil simultaneously with high doses of cimetidine.
There was no interaction with lithium tsipramil and alcohol. However, the simultaneous , and alcohol is not recommended.
Do not set anavar reviews a clinically significant pharmacokinetic interaction with phenothiazines and tricyclic antidepressants.
In clinical studies revealed no pharmacodynamic interaction tsipramil and benzodiazepines, neuroleptics, analgesics, lithium, antihistamine, antihypertensive agents, beta-blockers and other kardiotropnyh drugs .

Cautions
The risk of suicide is characteristic of depression and may persist until significant improvement, the come spontaneously or as a result of the therapy. Careful monitoring of patients being treated with antidepressants especially in early treatment because of the possibility of clinical deterioration and / or the emergence of suicidal events (thoughts and behavior). This precaution should be observed in the treatment of other psychiatric disorders because of the possibility of simultaneous depressive episode of the disease.
The use of anavar reviewsin the third trimester of pregnancy can have a negative impact on the psycho-physical development of the newborn. Registered by the following disorders in newborns whose mothers took an SSRI until delivery: irritability, tremor, hypertension, increased muscle tone, constant crying, difficulty sucking, poor sleep. Violations may indicate serotonergic effects or the occurrence of withdrawal syndrome. In the case of SSRI use during pregnancy should not be taking them abruptly interrupted.
Should be used with caution in patients whose activities are connected with machinery or a vehicle control. Does not diminish the intellectual capacity and speed of psychomotor reactions.However, it can be expected that the patients who received treatment , inherent in a decreased attention and concentration as a result of existing disease, the treatment, or both together