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When taking this medication, some common side effects may include drowsiness, dizziness, flushing, headache, nausea, nervousness, blurred vision, and dryness in the mouth, nose, or throat. These effects are often mild, and there are simple ways to alleviate them, such as rising slowly from sitting or lying positions to prevent dizziness, and using sugarless candy or ice chips to relieve dry mouth.

While many people experience no serious side effects, it is important to be aware of potential severe reactions. Contact your healthcare provider immediately if you experience mental or mood changes like hallucinations or confusion, shaking, difficulty urinating, or weakness. Additionally, seek urgent medical attention for very serious side effects such as an irregular heartbeat or seizures.

Allergic reactions to this drug are very rare but can occur. Be vigilant for symptoms like rash, itching, severe dizziness, swelling of the face, tongue, or throat, and difficulty breathing, and seek emergency medical help if they occur. Remember, this list does not cover all possible side effects, so consult your healthcare provider if you notice any unusual symptoms.

Certain products may interact with this medication, including skin-applied antihistamines like diphenhydramine creams, ointments, or sprays. Taking this medication alongside MAO inhibitors can lead to a severe, potentially fatal reaction. It is crucial to avoid MAO inhibitors, such as isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, and tranylcypromine, while being treated with this medication. Additionally, most MAO inhibitors should not be used for two weeks before starting this treatment. Consult your doctor for guidance on when to begin or discontinue this medication.

This product's ingredients can be found in several prescription and over-the-counter medications. It is important to read the labels of all your medications to ensure you are not consuming multiple products with the same ingredients. If you're uncertain about the ingredients in any of your medications, seek advice from your pharmacist.

Inform your doctor or pharmacist if you are using other products that cause drowsiness, such as opioid pain or cough medications (e.g., codeine, hydrocodone), alcohol, cannabis, sleep or anxiety medications (e.g., alprazolam, lorazepam, zolpidem), muscle relaxants (e.g., carisoprodol, cyclobenzaprine), or other antihistamines (e.g., cetirizine, diphenhydramine). Additionally, check the labels of all your medicines, such as allergy or cough-and-cold products, as they may contain ingredients that contribute to drowsiness. Consult your pharmacist for advice on safely using these products.

Be aware that this medication might affect certain lab tests, such as allergy skin tests, potentially leading to inaccurate results. Ensure all lab personnel and your healthcare providers are informed that you are taking this medication.