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When using this medication, it is important to be aware of potential drug interactions, particularly with MAO inhibitors. Taking this medication alongside MAO inhibitors may lead to a severe, potentially life-threatening interaction.

• Avoid concurrent use with MAO inhibitors such as isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, and tranylcypromine.
• It is generally advised that most MAO inhibitors should not be taken for at least two weeks prior to starting this medication.
• Consult with your healthcare provider for guidance on the timing of starting or discontinuing this medication to ensure safe use.

Common side effects:

• Burning sensation
• Stinging sensation
• Dryness in the nose
• Runny nose
• Sneezing

Less common but important to monitor:

• Slow, fast, or pounding heartbeat
• Dizziness
• Nausea
• Headaches
• Mood changes
• Difficulty sleeping
• Tremors
• Unusual sweating
• Unexpected weakness

Serious side effects:

• Severe allergic reaction
• Rash
• Itching
• Swelling of the face, tongue, or throat
• Severe dizziness
• Difficulty breathing

Interactions with high risk of serious adverse effects and should be avoided:

• MAO inhibitors (isocarboxazid, Linezolid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, Tranylcypromine)