Do not take Serenace 0.25 Tablet 20's if you are allergic to Serenace 0.25 Tablet 20's or any other ingredients present in it. Tell your doctor if you or anyone in your family has ever had prolonged QT syndrome, breast cancer, bipolar disorder, citrullinemia (a condition that causes a build-up of ammonia in the blood), seizures, chest pain, thyroid disease. Serenace 0.25 Tablet 20's is not recommended during pregnancy as it may affect the unborn baby. Tell your doctor if you are breastfeeding before taking Serenace 0.25 Tablet 20's. It is not recommended for use in children under 1 year of age. Serenace 0.25 Tablet 20's is used with caution in neuroleptic malignant syndrome, tardive dyskinesia, dementia-related psychosis, Parkinson's disease, venous thromboembolism. Serenace 0.25 Tablet 20's is used with caution in the elderly population due to the increased risk of orthostatic hypotension and kidney injury. Do not abruptly stop taking the Serenace 0.25 Tablet 20's as it may cause withdrawal symptoms, especially suicidal thoughts in young adults. If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Serenace 0.25 Tablet 20's. You should know that this medication may make you drowsy and may affect your thinking and movements. Do not drive a car or operate machinery until you know how this medication affects you. Ask your doctor about the safe use of alcohol during your treatment with Serenace 0.25 Tablet 20's. Alcohol can make the side effects of Serenace 0.25 Tablet 20's worse. You should know that name may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position. To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up.

Drug-drug interactions: Serenace 0.25 Tablet 20's may interact with some medications, including antidepressants (citalopram, escitalopram, bupropion), medicines for Parkinson’s disease (levodopa), antiepileptic ( carbamazepine, phenobarbital), medicines control heartbeat ( amiodarone, disopyramide, quinidine), medicines used to calm emotion and mental disorder (olanzapine, prochlorperazine) antihypertensive (clonidine, guanethidine, propranolol), antibiotic (moxifloxacin), a medication used to treat mental illness (lithium), antifungals (pentamidine), antimalarials (halofantrine), gastrointestinal medicinal products (dolasetron), anti-cancer (toremifene, vandetanib), antipsychotic (thioridazine).

Drug-food interactions: Serenace 0.25 Tablet 20's may interact with grapefruit and alcohol and increase the risk of side-effects.

Drug-disease interactions: Serenace 0.25 Tablet 20's should be used with caution in patients with heart problems such as QT prolongation (heart rhythm problem), acute alcohol abuse, central nervous system (CNS) depression, dementia, stroke, seizures, diabetes, kidney and liver problems.

• Monitor your mood. Keep track of your mood regularly, including factors such as sleep, medicine, and activities that can impact your mood. 
• Exercise daily. Exercise is nice to relieve tension. 
• You may also practice calming techniques such as meditation and deep breathing exercises.
• Get some normal sleep. Having enough sleep will help to stabilize your mood.
• Eat a healthy diet. Certain foods may affect your mood more than others. Consider keeping a food log to track what you eat and how certain foods make you feel. Talk to your doctor or nutritionist about foods that may help stabilize your mood.
• Stay optimistic. It will take time for your symptoms to improve after you start bipolar therapy, but you will feel relaxed knowing that you will get better and that the worst is most definitely behind you.
• A person should take a healthy diet that includes lots of fruits and vegetables, lean meats, skinless poultry, nuts, fish, whole grains, plant-based oils, and low-fat dairy products will help to keep a person in good health and avoid chances of nausea and vomiting.
• One should avoid taking greasy or oily foods as this food triggers nausea and vomit.
• Eat cool foods instead of hot and spicy foods.
• Include clear broths, non-fat yogurt, fruit juice, sherbet, and sports drinks for fluid make up which has got lost due to vomiting.

• Geriatric patients with dementia-related psychosis treated with Serenace 0.25 Tablet 20's are at an increased risk of death, and please consult your doctor before taking Serenace 0.25 Tablet 20's.
• Maintaining a healthy lifestyle and sticking to your treatment plan will help you do that.