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This medication may cause some common side effects, such as drowsiness, dizziness, headache, blurred vision, upset stomach, nausea, constipation, or dryness in the mouth, nose, or throat. These effects are usually mild and often improve with time. To alleviate dry mouth, consider sucking on sugarless hard candy or ice chips, chewing sugarless gum, drinking water, or using a saliva substitute. Staying hydrated can also help prevent mucus from becoming too thick in the lungs, which could make breathing and clearing the lungs more difficult.

Be cautious when moving from a sitting or lying position to standing, as dizziness and lightheadedness can occur. While many people do not experience severe side effects, it is important to be aware of them. Contact your healthcare provider immediately if you experience any serious effects such as mental or mood changes, confusion, hallucinations, ringing in the ears, tremors, difficulty urinating, unusual weakness, easy bruising or bleeding, irregular heartbeat, or seizures.

Allergic reactions to this medication are rare but can be severe. Seek immediate medical attention if you experience symptoms of a serious allergic reaction, including rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing. Always report any unusual side effects to your healthcare provider for further guidance.

Avoid using this medication with certain MAO inhibitors as it may lead to a severe, potentially life-threatening interaction. Do not take isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine while on this medication. Additionally, most MAO inhibitors should be avoided for at least two weeks before and after your treatment with this drug. Consult your doctor regarding when to begin or discontinue this medication.

This drug may also interact with products like skin-applied antihistamines (e.g., diphenhydramine cream, ointment, spray) and rolapitant. Inform your doctor or pharmacist if you are using other substances that can cause drowsiness, including opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), sleep or anxiety medications (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or other antihistamines (such as cetirizine, diphenhydramine).

Check the labels on all your medications, including allergy or cough-and-cold products, as they may contain drowsiness-inducing components. Consult your pharmacist to ensure safe usage.

This medication could affect certain medical or laboratory tests, like brain scans for Parkinson's disease, urine drug screenings, and allergy skin tests, potentially leading to incorrect results. Inform lab personnel and all your healthcare providers that you are using this medication.