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This medication comes with important safety warnings that you should be aware of to minimize potential risks. Please review the following information carefully and consult with your healthcare provider if you have any questions or concerns:

• Risk of Accidental Overdose: Lohist D combines chlorpheniramine, an antihistamine, and pseudoephedrine, a decongestant. These ingredients might be present in other over-the-counter medications you are using. Concurrent use may result in an accidental overdose, leading to severe consequences such as seizures, hallucinations, or even death. It is crucial to inform your healthcare provider or pharmacist about all the medications you are currently taking before beginning Lohist D. Avoid starting any new medications without their advice.

• Sedation and Drowsiness: This medication can cause significant drowsiness, impacting your concentration and reaction times. The risk of sedation is heightened for individuals aged 65 or older, those consuming alcohol, or those taking other sedative medications like opioids or benzodiazepines. It is advisable not to drive or operate heavy machinery until you are certain of how Lohist D affects you.

• Exacerbation of Medical Conditions: Individuals with specific health conditions should use caution when taking Lohist D, as it may aggravate these conditions and lead to serious side effects. Notify your healthcare provider about any past or present medical conditions, especially if you have heart disease, high blood pressure, thyroid disorders, diabetes, glaucoma, respiratory conditions, or urinary issues.

• Contraindications: Do not use Lohist D if you are currently taking or have recently taken a monoamine oxidase inhibitor (MAOI) within the last two weeks, as this can result in dangerous health interactions.

By following these precautions and consulting with your healthcare provider, you can use Lohist D safely and effectively.

When taking this medication, some common side effects might include drowsiness, dizziness, and a dry mouth, nose, or throat. These are typically mild, but if they persist or worsen, it's advisable to seek guidance from your healthcare provider. Additionally, headaches, upset stomach, constipation, and trouble sleeping could occur, which are generally manageable but should be monitored if they become bothersome.

Other side effects that have been reported include restlessness, trouble urinating, and blurry vision. Although these are less common, they should not be ignored if they occur, and consulting with a healthcare professional is recommended to ensure your comfort and safety.

Serious side effects, although rare, demand immediate medical attention. These include mental or mood changes such as confusion or hallucinations, fast or irregular heartbeat, and seizures. Vision changes like blurred or double vision should also be promptly addressed.

A severe allergic reaction to this medication is extremely rare but serious. Symptoms such as a rash, itching or swelling, especially on the face, tongue, or throat, severe dizziness, and difficulty breathing require urgent medical care. Always be vigilant for any unusual symptoms and consult your healthcare provider to address any concerns about side effects.

When taking this medication, be aware of potential interactions with certain products and drugs. Avoid using skin-applied antihistamines like diphenhydramine cream, ointment, or spray. Combining this medication with MAO inhibitors (such as isocarboxazid, linezolid, and others listed) can lead to a dangerous, possibly fatal reaction. Do not use MAO inhibitors during your treatment and consult your doctor about when to begin or discontinue them, as most MAO inhibitors require a two-week gap before starting this medication.

Inform your doctor or pharmacist if you are consuming other substances that induce drowsiness, including opioid pain or cough medicines (like codeine or hydrocodone), alcohol, marijuana, sleep or anxiety drugs (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or other antihistamines (such as cetirizine, diphenhydramine). Check all your medications, including allergy or cough-and-cold products, as they may contain drowsiness-inducing ingredients. Consult your pharmacist on using these products safely.

This medication may affect the results of some medical or laboratory tests, including brain scans for Parkinson's disease, urine drug screening, and allergy skin tests, potentially leading to false results. Ensure that laboratory staff and all your healthcare providers are aware that you are using this medication.