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When taking this medication, you may experience mild side effects such as drowsiness, dizziness, blurred vision, nausea, vomiting, trouble sleeping, or headaches. These are generally not a cause for concern, but if they persist or worsen, it is advisable to consult your healthcare provider.

In some cases, more serious side effects can occur. You should seek immediate medical attention if you notice symptoms such as a fast, irregular, or pounding heartbeat, mental or mood changes including confusion, hallucinations, or nervousness, seizures, tremors, or difficulty urinating. These symptoms may indicate a more severe reaction to the medication.

A very serious allergic reaction to this medication is rare, but it requires prompt medical intervention. Be alert for any signs of a severe allergic reaction, such as a rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing. These require immediate medical attention.

While these are not all the possible side effects, they cover the more common and serious ones. If you experience any other unusual symptoms, it's important to consult your healthcare provider for advice and further evaluation.

Avoid using specific MAO inhibitors with this medication, as it can lead to a severe and potentially fatal interaction. Do not take isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine while on this medication. Additionally, most MAO inhibitors should be avoided for at least two weeks before starting this medication. Consult your healthcare provider for guidance on when to begin or stop this treatment.

Inform your doctor or pharmacist if you are using other substances that induce drowsiness, such as opioid pain or cough medications (like codeine, hydrocodone), alcohol, cannabis, sleep or anxiety drugs (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or other antihistamines (like cetirizine, diphenhydramine).

Be sure to check the labels of all your medicines, including those for allergies or cold symptoms, as they might have similar components (other antihistamines or cough suppressants) or ingredients that cause drowsiness. Consult your pharmacist about using these products safely.

This medication could affect certain lab tests, such as urine drug screenings or allergy skin tests, potentially leading to inaccurate results. Inform laboratory staff and all your healthcare providers about your use of this medication.