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This medication carries several important safety considerations and warnings that you should be aware of. It is crucial to discuss these with your healthcare provider to fully understand the potential risks and benefits for your specific situation.

• Increased Risk in Older Adults with Dementia: Individuals aged 65 and older with dementia who exhibit symptoms such as hallucinations and delusions (referred to as dementia-related psychosis) should not be treated with this medication, as it can increase the risk of serious, possibly fatal side effects, including heart failure, irregular heartbeat, and pneumonia. It is not approved for treating dementia-related behavior problems. Discuss alternative treatments with your healthcare provider.

• Movement Disorders: This medication may cause tardive dyskinesia (TD), a condition characterized by uncontrollable facial movements like blinking or tongue movements. Although it can affect anyone, older adults, especially women over 65, are at higher risk, particularly with prolonged use or high doses. Report any symptoms to your healthcare provider immediately.

• Neuroleptic Malignant Syndrome (NMS): A rare but life-threatening condition, NMS, can occur with this medication. Symptoms include high fever, rapid heartbeat, full body stiffness, and confusion. Seek medical attention immediately if these symptoms develop.

• Changes in Blood Cell Counts: This medication may reduce your white blood cell count, increasing the risk of infections. Notify your healthcare provider if you experience frequent illnesses or fevers.

• High Prolactin Levels: The medication can elevate prolactin hormone levels, potentially causing symptoms like nipple discharge, enlarged breasts, sexual dysfunction, irregular menstrual periods, and weakened bones. Regular blood tests may be necessary to monitor these levels.

Contraindications:

• Do not use this medication if you have a known allergy to phenothiazines.
• Avoid use if you are taking large doses of sedatives or substances that impair cognitive function, such as alcohol, barbiturates, or narcotics.
• This medication should not be used in cases of coma.

In case of overdose or if you experience severe side effects, seek emergency medical assistance immediately. Always consult your healthcare provider for guidance tailored to your health needs.

Common side effects:

• Drowsiness
• Dizziness
• Lightheadedness
• Dry mouth
• Blurred vision
• Tiredness
• Nausea
• Constipation
• Weight gain
• Trouble sleeping

Less common but important to monitor:

• Uncontrollable muscle movements
• Stuffy nose
• Bladder issues
• Sexual dysfunction
• Changes in skin and eye color
• Jaundice
• Breast growth
• Milk production
• Big appetite

Serious side effects:

• Neuroleptic malignant syndrome
• Very low blood pressure
• Seizures
• Signs of liver disease
• Allergic reactions
• Increased prolactin levels
• Painful or prolonged erection

Interactions with high risk of serious adverse effects and should be avoided:

• Amiodarone
• Dofetilide
• Pimozide
• Procainamide
• Quinidine
• Sotalol
• Erythromycin
• Lithium

Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:

• Tretinoin
• Codeine
• Hydrocodone
• Alcohol
• Marijuana (cannabis)
• Alprazolam
• Lorazepam
• Zolpidem
• Carisoprodol
• Cyclobenzaprine
• Cetirizine
• Diphenhydramine