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 There is insufficient evidence to support its use in obsessive-compulsive disorder and treatment-resistant depression. Patients of all ages who are started on antidepressant therapy or when the dose is changed should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior such as becoming agitated, irritable, hostile, aggressive, impulsive, or restless. Data from a sentinel surveillance programme, which collected data on resistance from five laboratories from 1989 to 1998, were combined with data on prescription of fluoroquinolones in the community in order to investigate whether patterns of resistance correlate with trends in the prescription of these antibiotics. During long-term antibiotic administration, the risk for drug interaction with OCs is less clear, but alternative or additional contraception may be advisable in selected circumstances.
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