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Below is the rephrased safety and warning information for Capron DM (dextromethorphan / pyrilamine). Please read carefully and consult your healthcare provider if you have any questions or concerns.

• Serotonin Syndrome: This medication may increase the risk of serotonin syndrome, a serious condition caused by high levels of serotonin in the brain. If you are using medications that affect serotonin, such as SSRIs, SNRIs, or MAOIs, your risk may increase. Inform your healthcare provider about all the medications you use before starting Capron DM, and avoid beginning new medications during treatment without consulting your provider. Symptoms to watch for include rapid heart rate, sweating, muscle stiffness or spasms, fever, and confusion. Immediate medical attention is required if you experience these symptoms.

• Drowsiness: Capron DM may cause significant drowsiness, impairing concentration, thinking, or reaction time. This effect may be intensified if you are over 65, consume alcohol, or take other sedative medications (e.g., opioids, benzodiazepines). Avoid driving or operating machinery until you understand how this medication affects you.

• Accidental Overdose: This medication contains dextromethorphan, a cough suppressant, and pyrilamine, an antihistamine, which are common in many over-the-counter products. Using multiple products containing these ingredients can lead to overdose, resulting in serious side effects like breathing difficulty, drowsiness, dizziness, and seizures.

• Exacerbation of Medical Conditions: Do not use Capron DM if you have conditions such as smoking-related cough, asthma, emphysema, mucus-producing cough, heart disease, thyroid issues, high blood sugar, or urinary problems without consulting your doctor. It may aggravate these conditions and cause adverse effects. Always inform your healthcare provider about your medical history before beginning treatment.

• Contraindications: Do not use Capron DM if you have taken a monoamine oxidase inhibitor (MAOI) within the past 14 days, as this may lead to severe health complications.

In case of an overdose, seek emergency medical attention immediately.

When taking this medication, some common side effects may include drowsiness, dizziness, blurred vision, dry mouth, constipation, nausea, vomiting, and headache. These effects are generally mild and often resolve on their own. However, if they persist or worsen, it's advisable to consult a healthcare professional for guidance.

In rare cases, more serious side effects can occur. These include a fast or irregular heartbeat, changes in mental state such as confusion or hallucinations, seizures, shaking, and trouble urinating. If any of these symptoms arise, it is crucial to seek medical attention immediately.

Additionally, although very uncommon, some individuals may experience a severe allergic reaction characterized by symptoms such as a rash, itching, swelling of the face, tongue, or throat, severe dizziness, and difficulty breathing. Immediate medical help should be sought if these symptoms are observed.

It is important to be aware of the signs of serotonin syndrome, a rare but serious condition, which may present as a rapid heart rate, sweating, muscle stiffness or spasms, fever, and confusion. Overdose symptoms such as seizures, heart rhythm problems, hallucinations, and loss of consciousness also require urgent medical care.

While the majority of individuals using this medication do not experience severe side effects, being informed and vigilant can help manage any potential risks effectively. If you notice any side effects not listed here, contacting a healthcare provider is recommended.

When using this medication, be aware that combining it with certain MAO inhibitors could lead to a severe and potentially life-threatening reaction. It is important to avoid taking MAO inhibitors such as isocarboxazid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, or Tranylcypromine while on this medication. Additionally, most MAO inhibitors should not be taken within two weeks before starting this treatment. Consult your healthcare provider for guidance on when to begin or discontinue use of this medication.

Inform your doctor or pharmacist if you're using other products that induce drowsiness, including opioid pain or cough relievers like codeine or hydrocodone, alcohol, cannabis, sleep or anxiety medications such as Alprazolam, Lorazepam, or Zolpidem, muscle relaxants such as Carisoprodol or Cyclobenzaprine, and other antihistamines, such as Cetirizine or diphenhydramine.

Be sure to check the labels on all your medications, including those for allergies or cold symptoms, as they might have similar ingredients that could cause drowsiness. Consult your pharmacist about the safe use of these products.

Please note that this medication may affect certain laboratory tests, including urine drug screenings and allergy skin tests, potentially leading to inaccurate results. Ensure that all laboratory personnel and your healthcare providers are aware of your medication use.