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This medication contains acetaminophen, which can lead to severe, potentially life-threatening liver damage if consumed in excessive amounts. Please review the following important safety information:

• Adults should not exceed a daily intake of 4000 milligrams (4 grams) of acetaminophen. Individuals with liver conditions and children should adhere to lower dosages. Consult your healthcare provider or pharmacist to determine a safe dosage for your specific situation.
• Prior to using any other medications containing acetaminophen, consult with your doctor or pharmacist. Acetaminophen is a common ingredient in both over-the-counter and prescription medications, such as those for pain relief, fever, and cold symptoms. Always check medicine labels for acetaminophen content, and seek guidance from your pharmacist if uncertain.
• Immediate medical attention is crucial in the event of an acetaminophen overdose, even if no symptoms are present. Overdose signs include nausea, vomiting, loss of appetite, sweating, abdominal pain, extreme fatigue, yellowing of the eyes or skin, and dark urine.
• Regular alcohol consumption, particularly when combined with acetaminophen, can result in liver damage. It is advisable to avoid alcohol while taking this medication.

Ensure you follow these guidelines for safe and effective use of products containing acetaminophen.

You may experience some mild side effects with this medication, such as drowsiness, dizziness, blurred vision, an upset stomach, nausea, nervousness, or dryness in the mouth, nose, or throat. These effects are usually temporary, but if they persist or worsen, it's important to consult your healthcare provider.

While most people do not encounter serious side effects, be aware of potential severe reactions. Notify your healthcare provider immediately if you experience mental or mood changes like confusion or hallucinations, shaking, difficulty urinating, an irregular heartbeat, or seizures.

Though rare, a serious allergic reaction may occur. Seek urgent medical attention if you notice symptoms such as a rash, itching or swelling particularly of the face, tongue, or throat, severe dizziness, or difficulty breathing.

This list does not include all possible side effects. If you observe other unusual symptoms, contact your healthcare provider for guidance.

Certain medications can interact with this drug, including Ketoconazole and levoketoconazole. Additionally, taking this medication with MAO inhibitors can lead to a severe and potentially life-threatening reaction. Therefore, avoid using MAO inhibitors such as isocarboxazid, Linezolid, and others mentioned, while on this medication. It is also generally recommended to stop using MAO inhibitors two weeks before beginning treatment with this drug. Consult your doctor for guidance on when to start or stop these medications.

Inform your healthcare provider if you are using other substances that cause drowsiness. These include opioid pain medications or cough suppressants (like codeine, hydrocodone), alcohol, cannabis, sleep or anxiety drugs (such as Alprazolam, Lorazepam, Zolpidem), muscle relaxants (like Carisoprodol, Cyclobenzaprine), or other antihistamines (such as Cetirizine, diphenhydramine).

Many prescription and over-the-counter products contain ingredients similar to those in this medication. Check the labels of all your medications, including those for pain, fever, diet, or cold and allergy relief, to avoid increased side effects like rapid heartbeat, increased blood pressure, or drowsiness. Speak to your pharmacist to ensure safe use of these products.

Avoid using other antihistamines on the skin, such as diphenhydramine creams, ointments, or sprays, to prevent increased side effects.

Finally, this medication may affect certain laboratory tests, leading to inaccurate results. Ensure that lab technicians and all your healthcare providers are aware that you are taking this drug.