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You might experience some common side effects such as headache, dizziness, shaking, nausea, or abdominal cramps. These symptoms are generally mild, but if they persist or worsen, it's important to speak with your healthcare provider. Additionally, this medication can cause drowsiness or reduced alertness during the day. If you find daytime drowsiness bothersome, consult your healthcare provider for guidance.

Be vigilant for any severe side effects which require immediate medical attention. These include significant mental or mood changes like depression or confusion. Although rare, serious allergic reactions can occur. Seek immediate medical help if you experience symptoms such as a rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing.

While these are some of the potential side effects, it's not an exhaustive list. If you notice any other unusual symptoms, contact your healthcare provider. Your vigilance in monitoring side effects is important for your safety and well-being.

This medication may interact with several other drugs. These include blood thinners like warfarin and heparin, blood pressure medications, particularly nifedipine, and products containing caffeine, such as coffee, tea, and certain sodas. Additionally, medications that can impact your immune system, like azathioprine, cyclosporine, and prednisone, as well as fluvoxamine, might interact with this medication.

Make sure to inform your doctor or pharmacist if you are using other substances that can cause drowsiness. These substances include opioid pain or cough medicines like codeine and hydrocodone, alcohol, marijuana (cannabis), sleep or anxiety treatments like alprazolam, lorazepam, and zolpidem, muscle relaxants like carisoprodol and cyclobenzaprine, or antihistamines like cetirizine and diphenhydramine.

Always review the labels of all your medications, including those for allergies or colds, as they might contain ingredients that induce drowsiness. Consult your pharmacist for guidance on using these products safely.