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When taking this medication, you might experience some mild side effects such as dizziness, headache, nausea, nervousness, or trouble sleeping. These are generally not a cause for concern, but if they persist or worsen, it is important to seek medical advice. Most individuals using this medication do not encounter serious side effects.

However, there are some serious side effects to be aware of. If you experience mental or mood changes like confusion or hallucinations, shaking or tremors, weakness, or any changes in your heartbeat such as it being fast, slow, or irregular, it is crucial to get in touch with your healthcare provider immediately.

Though very rare, a severe allergic reaction to this medication can occur. Seek immediate medical attention if you notice any signs of an allergic reaction, including a rash, itching or swelling particularly on the face, tongue, or throat, severe dizziness, or difficulty breathing.

It’s important to note that this is not an exhaustive list of side effects. If you experience any other unusual symptoms, consult your healthcare provider for further guidance.

Avoid taking this medication with certain MAO inhibitors, as it could result in a severe, potentially life-threatening reaction. Specifically, do not use isocarboxazid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, or Tranylcypromine while on this medication. Most MAO inhibitors should also be avoided for two weeks before beginning treatment with this medication. Consult your doctor for guidance on when to start or stop the medication. Additionally, rolapitant is another drug that may interact with this medication.

The active ingredients in this medication may be present in various prescription and over-the-counter products. It is important to read all medication labels carefully to ensure you are not consuming multiple products with the same ingredients. If you're unsure about the ingredients in any of your medications, consult your pharmacist.

Moreover, this medication might affect certain medical or laboratory tests, such as urine 5-HIAA/VMA levels or a brain scan for Parkinson's disease, potentially leading to incorrect test results. Make sure all healthcare providers and laboratory personnel are aware that you are using this medication.