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This medication carries a risk of misuse and dependency, potentially leading to overdose and fatal outcomes. It may also result in serious, potentially life-threatening, respiratory issues. To minimize risk, your healthcare provider should prescribe the lowest effective dose for the shortest duration. The likelihood of severe respiratory problems is elevated when beginning treatment, or if the dosage is incorrect or exceeded. Combining this medication with alcohol or other substances that induce drowsiness or respiratory issues can lead to severe, even deadly, side effects. Additionally, some drugs may interfere with how this medication is metabolized, impacting its effectiveness. Familiarize yourself with the correct usage instructions and substances to avoid while taking this medication.

• Seek immediate medical assistance if you experience: slow or shallow breathing, unusual lightheadedness, extreme drowsiness or dizziness, or difficulty waking.
• Store this medication securely to prevent theft, misuse, or abuse. In case of accidental ingestion, seek medical help immediately.
• Women of childbearing age should consult their doctor about the risks and benefits before using this medication. If you are pregnant or suspect you might be, inform your doctor. This medication is not advised during pregnancy as it might slightly increase the risk of birth defects, especially in the first two months. Prolonged use or high doses near delivery can harm the unborn child. To reduce risks, take the minimum effective dose for the shortest time possible. Newborns exposed to this medication for extended periods may suffer severe (possibly fatal) withdrawal symptoms. Contact a doctor immediately if your newborn shows symptoms such as persistent crying, slow or shallow breathing, irritability, trembling, vomiting, diarrhea, poor feeding, or difficulty gaining weight.

Taking this medication may cause drowsiness, dizziness, lightheadedness, facial flushing, nausea, vomiting, or constipation. These effects are generally mild, but if they persist or worsen, consult your healthcare provider. To minimize dizziness and lightheadedness, rise slowly from sitting or lying positions.

Although serious side effects are uncommon, it is important to be aware of them. Contact your healthcare provider immediately if you experience interrupted breathing during sleep, mental or mood changes such as hallucinations, a rapid or irregular heartbeat, or difficulty urinating. Seek urgent medical assistance if you encounter seizures.

In some individuals, this medication can be converted into a more potent opioid (morphine) more rapidly and completely than usual, leading to severe side effects. If you notice slow or shallow breathing, extreme drowsiness, difficulty waking, or confusion, seek medical help right away.

Allergic reactions are rare but can be serious. If you experience symptoms such as rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing, urgent medical attention is necessary.

This summary does not cover all possible side effects. If you encounter any unexpected reactions, consult your healthcare provider for guidance.