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When taking this medication, you may experience common side effects such as dizziness, dry mouth, difficulty sleeping, irritability, nausea, vomiting, diarrhea, or constipation. These are usually mild, but if they persist or worsen, it's important to contact your healthcare provider.

This medication can also lead to an increase in blood pressure, so regular monitoring is advisable. If you notice a significant rise, inform your healthcare provider promptly. While many individuals do not experience severe side effects, it is crucial to be aware of them. Serious side effects to watch for include a fast, irregular, or pounding heartbeat, mood changes (like agitation or hallucinations), uncontrolled muscle movements, and changes in sexual ability or interest.

In rare cases, very serious side effects may occur, such as severe headache, trouble speaking, seizures, weakness on one side of the body, or vision changes. If any of these arise, stop the medication and seek immediate medical assistance. Additionally, this drug may seldom cause serious lung or heart issues, particularly with prolonged use or when combined with other appetite suppressants. Symptoms like chest pain, difficulty breathing with activity, reduced exercise capacity, fainting, or swelling in the legs, ankles, or feet require urgent medical attention.

Although a severe allergic reaction is rare, seek immediate medical help if you experience symptoms like rash, itching, significant swelling (especially of the face, tongue, or throat), severe dizziness, or trouble breathing. If you notice any other unusual effects, reach out to your healthcare provider for guidance. Your safety and well-being are important, so staying informed and vigilant is key.

Do not combine this medication with certain drugs, as it may lead to severe interactions. Inform your doctor or pharmacist if you have taken appetite-suppressants in the past year, like diethylpropion or ephedra/ma huang, before starting this medication. Combining this drug with MAO inhibitors can result in a dangerous, potentially life-threatening interaction. Do not use MAO inhibitors (such as isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine) while on this medication. Most MAO inhibitors should also be avoided for two weeks before beginning this medication. Consult your doctor for guidance on when to begin or discontinue use.

Other medications that can interact with this drug include high blood pressure medicines (like guanethidine, methyldopa), phenothiazines (such as prochlorperazine, chlorpromazine), and other stimulants (including amphetamines, methylphenidate, or illicit drugs like cocaine or MDMA). Inform your doctor or pharmacist if you are using other products that may cause drowsiness, such as opioid pain or cough relievers (like codeine, hydrocodone), alcohol, marijuana, sleep or anxiety medications (such as alprazolam, lorazepam, zolpidem), muscle relaxants (like carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine).

Check the labels of all your medications, including allergy or cough-and-cold products, as they may contain ingredients that induce drowsiness. Consult your pharmacist about using these products safely. Some products might increase your heart rate or blood pressure, so inform your pharmacist about all the products you use and get advice on their safe use, especially regarding cough-and-cold products or diet aids.

Caffeine can heighten the side effects of this drug, so avoid consuming large amounts of caffeine-containing beverages (such as coffee, tea, colas) or chocolate. This medication may also affect certain medical or lab tests (like brain scans for Parkinson's disease), potentially causing inaccurate results. Ensure that lab personnel and all your healthcare providers are aware that you are taking this medication.