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You may experience common side effects such as drowsiness, dizziness, blurred vision, nausea, vomiting, difficulty sleeping, or headaches. These symptoms are usually mild, but if they persist or worsen, consult your healthcare provider.

Occasionally, more serious side effects can occur. Contact your healthcare provider immediately if you experience a rapid, irregular, or pounding heartbeat, changes in mood or mental state including confusion, hallucinations, or nervousness, seizures, shaking, or difficulty urinating.

Though very rare, this medication can cause a severe allergic reaction. Seek urgent medical attention 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 does not include all possible side effects. For any other unexpected reactions, reach out to your healthcare provider for advice.

Avoid using this medication with certain MAO inhibitors, as it can lead to a severe, potentially life-threatening interaction. Refrain from taking isocarboxazid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, or Tranylcypromine while on this medication. Most MAO inhibitors should not be used for two weeks prior to starting treatment. Consult your doctor on when it is safe to begin or stop this medication.

Inform your doctor or pharmacist if you are using other substances that cause drowsiness, including opioid painkillers or cough suppressants (like codeine, hydrocodone), alcohol, cannabis, sleep or anxiety medications (such as Alprazolam, Lorazepam, Zolpidem), muscle relaxants (like Carisoprodol, Cyclobenzaprine), or other antihistamines (such as Cetirizine, diphenhydramine).

Examine the labels of all your medications, especially those for allergies or cough-and-cold, as they might contain similar ingredients or ones that cause drowsiness. Consult with your pharmacist about the safe use of these products.

Additionally, this medication can affect certain lab tests, such as urine drug screenings and allergy skin tests, potentially leading to inaccurate results. Ensure that all lab personnel and your healthcare providers are aware of your medication use.