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You might experience some common side effects such as feeling drowsy, dizzy, having a dry mouth, constipation, or feeling tired. These symptoms are generally mild, but if they persist or worsen, it’s important to consult with a healthcare professional.

While most individuals taking this medication do not encounter serious issues, be alert for severe side effects like a fast or irregular heartbeat, mental or mood changes including confusion or hallucinations, or difficulty urinating. These require prompt medical attention due to their seriousness.

A very serious allergic reaction to this medication is rare, but it is essential to seek immediate medical help if you notice symptoms such as a rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing.

This summary covers the main side effects, but if you experience any other unusual symptoms, contact your healthcare provider.

This medication can interact with certain other substances. Tricyclic antidepressants, like Amitriptyline and imipramine, are among those that may interact. Taking MAO inhibitors with this medication is particularly risky and can lead to a severe, possibly life-threatening reaction. You should avoid using MAO inhibitors such as isocarboxazid, Linezolid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, and Tranylcypromine while on this medication. Additionally, most MAO inhibitors should not be used for at least two weeks before starting treatment with this drug. Consult your doctor for guidance on when to begin or discontinue use of this medication.

Before starting this medication, inform your doctor of any drugs you take that increase serotonin levels, including recreational drugs like MDMA/"ecstasy," herbal supplements like St. John's wort, certain antidepressants such as SSRIs (e.g., Fluoxetine and paroxetine) and SNRIs (e.g., Duloxetine and Venlafaxine), as well as Tramadol.

Also, let your healthcare provider know if you're using other products that can cause drowsiness. This includes opioid painkillers or cough suppressants (e.g., codeine, hydrocodone), alcohol, marijuana (cannabis), sleep or anxiety medications (e.g., Alprazolam, Lorazepam, Zolpidem), other muscle relaxants (e.g., Carisoprodol, Methocarbamol), and antihistamines (e.g., Cetirizine, diphenhydramine).

Finally, always check the labels on all your medications, such as those for allergies or cough and cold, as they might contain ingredients that cause drowsiness. Speak with your pharmacist to ensure you use these products safely.