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When taking this medication, you might experience mild side effects such as drowsiness, dizziness, headache, blurred vision, upset stomach, nausea, constipation, or dry mouth, nose, or throat. These are generally not serious and often manageable. For dry mouth, try sugarless candy, ice chips, or chewing gum, and remember to drink water regularly.

More serious side effects, although uncommon, require immediate medical attention. These include mental or mood changes like confusion or hallucinations, ringing in the ears, tremors, difficulty urinating, unusual weakness, easy bruising or bleeding, and changes in heartbeat. In rare cases, seizures could occur.

It's crucial to be aware of signs of a severe allergic reaction, which are rare but serious. Seek emergency help if you notice symptoms such as a rash, itching, swelling of the face, tongue, or throat, severe dizziness, or trouble breathing.

While these are the primary side effects, it's important to remain observant for any other unusual symptoms and consult your healthcare provider if you have any concerns.

Avoid taking MAO inhibitors like isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine with this medication, as it can lead to a severe and potentially life-threatening interaction. Most MAO inhibitors should not be used within two weeks before and after using this medication. Consult your doctor about the appropriate timing for starting or stopping 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 products that can cause drowsiness, such as opioid pain or cough relievers (e.g., codeine, hydrocodone), alcohol, marijuana (cannabis), medications for sleep or anxiety (e.g., alprazolam, lorazepam, zolpidem), muscle relaxants (e.g., carisoprodol, cyclobenzaprine), or other antihistamines (e.g., cetirizine, diphenhydramine).

Check all your medicines, including allergy or cough-and-cold products, for ingredients that may cause drowsiness. Consult your pharmacist for safe usage. This medication may affect certain medical or laboratory tests, such as brain scans for Parkinson's disease, urine drug screenings, or allergy skin tests, potentially leading to inaccurate results. Ensure that lab personnel and all your healthcare providers are aware that you are taking this medication.