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The following information outlines critical safety considerations and warnings associated with the use of Alahist DM. It is vital to understand these details and consult with your healthcare professional if you have any questions or concerns.

• Serotonin Syndrome Risk: The dextromethorphan component in Alahist DM can increase the risk of serotonin syndrome, a potentially life-threatening condition. This risk is elevated if you are using other medications that influence serotonin levels, such as certain antidepressants, MAOIs, or migraine treatments. Avoid using Alahist DM if you have taken monoamine oxidase inhibitors (MAOIs) within the past 14 days.

• Accidental Overdose Caution: Alahist DM contains dextromethorphan (a cough suppressant), pheniramine (an antihistamine), and phenylephrine (a decongestant). Using more than one medication that includes any of these components can result in an accidental overdose, which is dangerous and potentially life-threatening.

• Pre-existing Conditions: Inform your healthcare provider and pharmacist of all your existing health conditions before using Alahist DM. This medication may not be suitable for individuals with:

  • Respiratory issues
  • Glaucoma
  • Urinary difficulties
  • Cough due to smoking, asthma, or emphysema
  • Cough that produces mucus
  • Heart disease or high blood pressure
  • Thyroid disorders
  • Diabetes (high blood sugar)

• Contraindications: Do not take Alahist DM if you are currently using, or have recently used, a monoamine oxidase inhibitor (MAOI) within the last two weeks, as this can pose serious health risks.

It is crucial to adhere to these guidelines to ensure safe and effective use of Alahist DM. Always follow the advice of your healthcare provider.

When taking this medication, you may experience some common side effects that are generally mild and tend to resolve on their own. These include drowsiness, dizziness, headache, blurred vision, upset stomach, nausea, constipation, and dry mouth or nose. If these effects persist or worsen, it's advisable to consult your healthcare provider for further guidance. Simple remedies such as drinking water or sucking on sugarless candy can help manage dry mouth.

Some individuals may also encounter sleep disturbances, restlessness, or trouble urinating. These side effects, while less common, should be monitored and discussed with your healthcare provider if they become bothersome. It's important to stay hydrated to avoid mucus thickening, which can make breathing more difficult.

There are more serious side effects, though rare, that require immediate medical attention. These include mental changes like confusion or hallucinations, ringing in the ears, tremors, weakness, easy bruising or bleeding, irregular heartbeat, and seizures. Additionally, serotonin syndrome, characterized by a fast heart rate, sweating, muscle stiffness, high fever, and confusion, is a critical condition that demands urgent care.

An allergic reaction to the medication is rare but serious. Symptoms such as rash, itching or swelling of the face, tongue, or throat, severe dizziness, or trouble breathing require prompt medical intervention. Always inform your healthcare provider if you experience any side effects not listed here, as this is not an exhaustive list.

When using this medication, it is crucial to avoid combining it with certain MAO inhibitors, as this can lead to a serious and potentially fatal interaction. Do not take drugs like isocarboxazid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, or Tranylcypromine during your treatment and for two weeks before and after. Consult your doctor for guidance on when to begin or discontinue this medication. Additionally, be cautious of interactions with products such as skin-applied antihistamines (e.g., diphenhydramine cream, ointment, or spray) and rolapitant.

Inform your healthcare provider if you are using other substances that promote drowsiness, including opioid pain or cough medications (e.g., codeine, hydrocodone), alcohol, marijuana, sleep or anxiety aids (e.g., Alprazolam, Lorazepam, Zolpidem), muscle relaxants (e.g., Carisoprodol, Cyclobenzaprine), or other antihistamines (e.g., Cetirizine, diphenhydramine). Always check the labels of all your medications, including those for allergies or coughs and colds, as they may contain ingredients that cause drowsiness. Consult your pharmacist for safe usage advice.

This medication may also affect certain medical or laboratory tests, like brain scans for Parkinson's disease, urine drug screenings, or allergy skin tests, possibly leading to inaccurate results. Ensure all healthcare providers and lab personnel are aware that you are using this medication.