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When combined, the risk of serotonin syndrome, a potentially life-threatening condition, increases, as both medications can influence serotonin levels in the brain. Serotonin might be the bodys feel good chemical, but serotonin syndrome may cause nausea, vomiting, diarrhea, and tremors when its mild or high blood pressure, racing heart rate, seizures, and fainting when its more severe

Physiologic role for "inducible" nitric oxide synthase: a new form of astrocytic-neuronal interface