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When taking this medication, some people may experience mild side effects such as nausea, vomiting, dry mouth, dizziness, drowsiness, blurred vision, or constipation. These symptoms are generally manageable and often subside over time. For dry mouth, try using sugarless gum or candy, ice chips, or a saliva substitute to find relief. It's also common for this medication to change the color of urine and stools to blue-green, which is harmless and will cease once the medication is discontinued.

In some cases, more serious side effects can occur. If you notice hot, dry, or flushed skin, decreased sweating, eye pain, or difficulty urinating, it is important to seek medical advice. Signs of kidney issues, such as changes in urine output or painful urination, should also be reported. Extremely serious side effects are rare but require immediate medical attention. These include easy bruising or bleeding, black or tarry stools, severe stomach pain, or vomit resembling coffee grounds. Additionally, symptoms of liver problems, such as persistent nausea, unusual tiredness, dark urine, or yellowing of the eyes or skin, need urgent evaluation.

A hypertensive crisis, characterized by severe headache, irregular heartbeat, chest pain, or sudden vision changes, is a rare but life-threatening side effect. If you experience these symptoms, seek emergency help. Allergic reactions, though rare, can manifest as a rash, severe dizziness, or difficulty breathing, and require immediate medical attention. Always stay observant for any unusual symptoms and consult your healthcare provider if you have concerns.

This medication can interact with various other products. It is important to be aware of these interactions to avoid potential side effects or complications. Some medications that may interact include Apraclonidine, Atomoxetine, bupropion, Carbamazepine, dichlorphenamide, Methotrexate, Mifepristone, potassium supplements, pramlintide, Tetrabenazine, certain drugs for Parkinson's disease (such as Entacapone, Levodopa, Tolcapone), and some high blood pressure medications (like guanethidine, Methyldopa). Additionally, sulfonamide drugs, including certain antibiotics like Sulfamethoxazole, and sympathomimetic agents such as amphetamine and ephedrine, may also interact. Products that reduce urine acidity, like antacids and Sodium Bicarbonate, should be used cautiously.

This medication can increase the risk of bleeding if taken with other medications that also cause bleeding. Examples include anti-platelet drugs like Clopidogrel and anticoagulants such as Dabigatran, Enoxaparin, and Warfarin.

Using other MAO inhibitors alongside this medication can lead to severe, potentially fatal interactions. Avoid taking MAO inhibitors like isocarboxazid, linezolid, Metaxalone, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, and Tranylcypromine during and for two weeks before and after treatment. Consult your doctor for guidance on when to start or stop this medication.

Inform your healthcare provider if you use any drugs that could cause extremely high blood pressure when combined with this medication. These include herbal products like ephedra, nasal decongestants such as phenylephrine and pseudoephedrine, stimulants like amphetamines and Epinephrine, and diet aids.

If you're taking azole antifungal medications like Itraconazole or Ketoconazole, ensure this medication is taken at least two hours after the antifungal drug.

Check all medication labels, including over-the-counter products, for pain relievers/fever reducers like Aspirin and NSAIDs (Ibuprofen, Ketorolac, Naproxen), as combining these with this medication might increase side effects. If prescribed low-dose aspirin for heart attack or stroke prevention, continue taking it unless advised otherwise by your doctor.

Inform your doctor if you're using other products that cause drowsiness, such as alcohol, cannabis, antihistamines (e.g., Cetirizine, diphenhydramine), sleep or anxiety medications (e.g., Alprazolam, Diazepam, Zolpidem), muscle relaxants, or opioid pain relievers (e.g., codeine). Check labels on all medicines for drowsiness-causing ingredients and consult your pharmacist on safe usage.

This medication may affect certain lab tests, potentially leading to false results. Ensure all healthcare providers and lab personnel are informed that you are using this medication.