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When considering the use of this medication, it's important to be aware of a slightly elevated risk of severe and potentially life-threatening side effects, such as heart failure, irregular or rapid heartbeat, and pneumonia, particularly in older adults with dementia. This medication has not been approved for managing behavior issues linked to dementia. It is crucial to have a discussion with the doctor about the potential risks and benefits of this medication and explore alternative treatments that may be more effective and safer for managing dementia-related behavior problems.

Key Points:

• Increased risk of serious side effects in older adults with dementia.
• Not approved for treating dementia-related behavior issues.
• Consultation with a doctor is essential to discuss risks, benefits, and safer alternatives.

Taking this medication might lead to some mild side effects like drowsiness, dizziness, lightheadedness, dry mouth, blurred vision, tiredness, nausea, constipation, weight gain, or trouble sleeping. These are generally not serious, but if they persist or worsen, you should inform your healthcare provider. To avoid dizziness and reduce the risk of falling, rise slowly from sitting or lying positions.

There are some side effects that require more immediate attention. Contact your healthcare provider if you experience muscle spasms, stiffness, tremors, restlessness, facial expression changes, drooling, trouble swallowing, or a shuffling walk. In some cases, an additional medication might be needed to manage these effects.

Serious side effects, although uncommon, need urgent attention. These include skin discoloration, vision changes, liver disease signs (persistent nausea, vomiting, loss of appetite, abdominal pain, yellowing of skin/eyes, dark urine), infection signs (persistent sore throat, chills, cough), easy bruising/bleeding, and mood changes. Rarely, involuntary movements such as lip smacking or unusual arm/leg movements may develop and could be permanent.

In rare instances, an increase in prolactin levels may occur, leading to symptoms such as unwanted breast milk or changes in menstrual periods for females, and decreased sexual ability or enlarged breasts for males. A prolonged erection in males requires immediate medical attention.

Seek immediate medical help if you encounter severe dizziness, fainting, slow or shallow breathing, or symptoms of neuroleptic malignant syndrome (NMS), which include fever, severe muscle stiffness, extreme tiredness, confusion, sweating, fast/irregular heartbeat, dark urine, or kidney problems. Allergic reactions are rare but serious, characterized by rash, itching/swelling, severe dizziness, or trouble breathing.

This overview does not cover all potential side effects. If you notice anything unusual, consult your healthcare provider.