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When taking this medication, you might experience some mild side effects such as drowsiness, dizziness, dry mouth, nose, or throat, headache, upset stomach, constipation, or trouble sleeping. These are generally not serious and often improve as your body adjusts to the medication. However, if any of these persist or worsen, it is important to inform your healthcare provider.

In some cases, more serious side effects can occur. Contact your healthcare provider immediately if you experience mental or mood changes, such as confusion or hallucinations, ringing in the ears, difficulty urinating, or vision changes like blurred or double vision. These symptoms require prompt attention.

There are very serious side effects that, while rare, demand urgent medical attention. These include a fast or irregular heartbeat and seizures. Additionally, though uncommon, severe allergic reactions can occur. Seek immediate medical help if you notice symptoms like a rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, or trouble breathing.

This summary does not cover all possible side effects. If you notice any other unusual symptoms, it's crucial to consult with your healthcare provider for further advice.

Certain products can interact with this medication. These include skin-applied antihistamines like diphenhydramine cream, ointment, or spray. Using MAO inhibitors with this drug can lead to a serious, potentially life-threatening interaction. Therefore, avoid MAO inhibitors such as isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, and tranylcypromine while on this medication. Most MAO inhibitors should not be taken for at least two weeks before starting this treatment. Consult your doctor about when to begin or discontinue the medication.

Inform your doctor or pharmacist if you use other products that cause drowsiness, including opioid pain or cough medications (like codeine or hydrocodone), alcohol, cannabis, sleep or anxiety drugs (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or other antihistamines (like cetirizine or diphenhydramine). Check the labels on all your medications, particularly allergy or cough-and-cold products, as they may have ingredients that cause drowsiness. Consult your pharmacist to safely use these products.

This medication might impact certain medical or laboratory tests, like brain scans for Parkinson's disease, urine drug screenings, or allergy skin tests, potentially leading to false results. Ensure all lab personnel and your doctors are aware that you are using this medication.