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When taking this medication, you might experience mild side effects like dizziness, lightheadedness, nausea, vomiting, loss of appetite, trouble sleeping, unusual dreams, or headaches. These are generally manageable, but if they persist or worsen, consult a healthcare professional. Additionally, the medication might cause your saliva, urine, or sweat to turn a dark color, which is harmless but could stain clothing. To minimize dizziness or lightheadedness, rise slowly from sitting or lying positions.

More serious side effects include sudden sleep episodes during daily activities, potentially without prior drowsiness. This risk is heightened if consuming alcohol or other drowsiness-inducing substances. Avoid driving or engaging in potentially dangerous tasks if you become excessively sleepy during the day and discuss this with your healthcare provider.

Immediately report serious side effects like uncontrollable movements or spasms, excessive eye blinking, vision changes, severe abdominal pain, black or tarry stools, vomit resembling coffee grounds, mood changes, signs of infection, unusual bleeding or bruising, extreme fatigue, tingling of extremities, or unusual strong urges. These warrant prompt medical attention.

Seek urgent care for very serious side effects such as chest pain or fainting. Stopping or reducing the dose suddenly can cause neuroleptic malignant syndrome (NMS), characterized by fever, severe muscle stiffness, confusion, sweating, and irregular heartbeat. An allergic reaction is rare but serious; symptoms include rash, itching, swelling, severe dizziness, or breathing trouble. Always reach out to a healthcare professional if you notice any other unusual effects.