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This safety information outlines key warnings and precautions for using Alahist CF. It is essential to read this carefully and discuss any concerns with your healthcare provider to ensure safe usage.

• Serotonin Syndrome Risk: Alahist CF contains dextromethorphan, which may increase the risk of serotonin syndrome—a rare but serious condition. This risk is elevated if you are taking other serotonin-affecting drugs such as certain antidepressants, MAOIs, or migraine medications. Avoid using Alahist CF if you have taken an MAOI in the past 14 days.

• Accidental Overdose: Alahist CF includes dexbrompheniramine, dextromethorphan, and phenylephrine, which are also components of many over-the-counter medications. Taking multiple products with these ingredients can result in a dangerous overdose. Always check labels to prevent this risk.

• Exacerbation of Existing Conditions: Inform your healthcare provider of all your medical conditions before starting Alahist CF. This medication may not be safe if you have:

  • Chronic cough from smoking, asthma, or emphysema
  • Mucus-producing cough
  • Breathing difficulties
  • Heart disease or hypertension
  • Thyroid disorders
  • Diabetes
  • Glaucoma
  • Urinary issues

• Contraindications: Do not use Alahist CF if you are currently taking or have recently stopped using an MAOI within the past two weeks, as this can lead to severe health complications.

For further guidance or in case of an overdose, seek immediate medical attention. Always follow your healthcare provider's instructions and use the medication as directed.

When taking this medication, you may experience some common side effects such as drowsiness, dizziness, headache, or blurred vision. These are generally mild, but if they persist or worsen, it's advisable to consult a healthcare professional. Additionally, dry mouth, nose, or throat may occur, which can be alleviated by drinking water, chewing sugarless gum, or using a saliva substitute. An upset stomach, nausea, and constipation might also be noted. Rest assured that these effects are usually not serious.

To mitigate dizziness and lightheadedness, rise slowly from sitting or lying positions. While this medication may thicken mucus in your lungs, increasing fluid intake can help manage this issue. Rarely, users experience more serious side effects, such as mental or mood changes, ringing in the ears, shaking, or difficulty urinating. If any of these occur, contact a healthcare provider promptly.

In rare instances, severe side effects like serotonin syndrome—characterized by a fast heart rate, sweating, muscle stiffness, high fever, and confusion—may develop. Immediate medical attention is crucial in such cases. Additionally, although uncommon, allergic reactions such as rash, swelling, or breathing difficulties require urgent care. Always be vigilant and report any unexpected effects to your healthcare provider.

It is important to be aware that taking certain MAO inhibitors with this medication can result in a serious and potentially life-threatening interaction. You should avoid using MAO inhibitors such as isocarboxazid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, or Tranylcypromine while on this medication. Most MAO inhibitors are not to be taken for at least two weeks before and after your treatment. It is crucial to consult your doctor about when to begin or discontinue this medication.

Additionally, this drug may interact with other products, including skin-applied antihistamines like diphenhydramine cream, ointment, or spray, and rolapitant. Inform your healthcare provider if you are using other substances that may cause drowsiness, such as opioid pain relievers or cough medications (e.g., codeine, hydrocodone), alcohol, marijuana (cannabis), sleep or anxiety medications (e.g., Alprazolam, Lorazepam, Zolpidem), muscle relaxants (e.g., Carisoprodol, Cyclobenzaprine), or other antihistamines (e.g., Cetirizine, diphenhydramine).

It's advisable to check the labels on all your medications, including those for allergies or cough-and-cold, as they might contain ingredients that induce drowsiness. Consult your pharmacist to ensure safe usage of these products.

Moreover, this medication can interfere with certain medical and laboratory tests, such as brain scans for Parkinson's disease, urine drug screening, and allergy skin tests, potentially leading to inaccurate results. Make sure that all laboratory personnel and your doctors are informed that you are using this medication.