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This medication contains acetaminophen, an ingredient that can lead to serious, potentially fatal liver damage if consumed in excessive amounts. Here are important safety guidelines to adhere to:

• Dosage Limits: Adults should not exceed a daily intake of 4000 milligrams (4 grams) of acetaminophen. Individuals with liver conditions and children must use a reduced dosage. Consult your healthcare provider to determine a safe amount for your specific situation.
• Drug Interactions: Avoid using any other medications that contain acetaminophen without first consulting your doctor or pharmacist. Acetaminophen is a common component in both prescription and non-prescription drugs, including those for pain, fever, or cold symptoms. Always review medication labels for acetaminophen content, and seek your pharmacist's advice if you are uncertain.
• Overdose Warning: In the event of an acetaminophen overdose, seek immediate medical attention, even if you do not exhibit symptoms. Symptoms of overdose can include nausea, vomiting, loss of appetite, sweating, abdominal pain, extreme fatigue, jaundice (yellowing of the eyes and skin), and dark urine.
• Alcohol Interaction: Regular alcohol consumption, especially when taken in conjunction with acetaminophen, can further harm your liver. It is advisable to avoid alcohol while using this medication.

Following these guidelines can help prevent serious health risks associated with acetaminophen.

When taking this medication, you may experience mild side effects such as dizziness, drowsiness, headache, nausea, nervousness, or trouble sleeping. These symptoms are generally not serious, but if they persist or worsen, it is important to seek medical advice. Most individuals using this medication do not encounter serious side effects.

However, some rare but serious side effects can occur and should be addressed immediately. These include mental or mood changes like confusion or hallucinations, shaking or tremors, muscle weakness, difficulty urinating, and irregular heartbeats, whether too fast, too slow, or erratic.

In extremely rare cases, a severe allergic reaction may occur. Symptoms of a serious allergic reaction include rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, and difficulty breathing. Immediate medical attention is necessary if these symptoms are observed.

Please be aware that this is not an exhaustive list of potential side effects. If you experience any symptoms not mentioned here, it is advisable to consult a healthcare professional for further guidance.

When using this medication, be aware of potential serious, and possibly life-threatening, interactions with specific MAO inhibitors. It is important to avoid taking isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine while on this medication. Generally, MAO inhibitors should not be used for two weeks prior to starting this treatment. Consult your doctor about the appropriate timing for starting or stopping this medication.

Additionally, certain drugs like ketoconazole, levoketoconazole, and rolapitant may interact with this medication. The components of this drug are found in various prescription and over-the-counter products, so it's crucial to review all medication labels to prevent taking multiple products with the same active ingredients. If unsure, seek guidance from your pharmacist.

Inform your doctor or pharmacist if you are taking any other substances that can induce drowsiness, such as opioid pain relievers or cough suppressants (e.g., codeine, hydrocodone), alcohol, marijuana, sleep or anxiety medications (e.g., alprazolam, lorazepam, zolpidem), muscle relaxants (e.g., carisoprodol, cyclobenzaprine), or antihistamines (e.g., cetirizine, diphenhydramine). Always check the labels on products like allergy or cough-and-cold medications for ingredients that may cause drowsiness and consult your pharmacist for safe use.

This medication can alter the results of certain urine lab tests, such as 5-HIAA and VMA levels, potentially leading to inaccurate results. Ensure that all healthcare providers and laboratory personnel are aware that you are taking this medication.