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When taking this medication, you might experience some common side effects such as drowsiness, dizziness, headache, blurred vision, upset stomach, nausea, constipation, or a dry mouth, nose, or throat. These effects are generally mild and should ease as your body adjusts to the medication. To manage dry mouth, consider sucking on sugarless hard candy or ice chips, chewing sugarless gum, drinking water, or using a saliva substitute. Staying hydrated can also help prevent thickened mucus in the lungs, which can cause breathing difficulties.

It's important to rise slowly from sitting or lying positions to minimize dizziness and lightheadedness. While many people do not experience serious side effects, it's crucial to remain vigilant. Contact a healthcare professional if you encounter mental or mood changes like confusion or hallucinations, ringing in the ears, shaking, trouble urinating, weakness, easy bruising or bleeding, or an irregular heartbeat. Seizures are also a serious concern that requires immediate attention.

Allergic reactions to this medication are extremely rare but can be severe. Seek emergency medical help if you notice symptoms such as a rash, itching or swelling, especially around the face, tongue, or throat, severe dizziness, or difficulty breathing. This summary does not include all possible side effects, so if you experience any unusual symptoms, reach out to a healthcare provider for guidance.

When using this medication, it's important to avoid certain MAO inhibitors as they can lead to a severe, potentially life-threatening interaction. Do not take isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine during your treatment. Additionally, most MAO inhibitors should be avoided for two weeks before and after your treatment. Consult your doctor for specific guidance on when to begin or discontinue this medication.

Be aware that some products, including skin-applied antihistamines like diphenhydramine cream, ointment, or spray, and rolapitant, may interact with this drug. Inform your healthcare provider if you are using other medications that can cause drowsiness, such as opioid pain or cough medications (e.g., codeine, hydrocodone), alcohol, marijuana (cannabis), sleep aids or anxiety treatments (e.g., alprazolam, lorazepam, zolpidem), muscle relaxants (e.g., carisoprodol, cyclobenzaprine), or other antihistamines (e.g., cetirizine, diphenhydramine).

Check the labels of all your medications, including those for allergies or cough and cold, as they may contain ingredients that cause drowsiness. Consult your pharmacist to ensure safe use of these products.

Moreover, this medication might interfere with certain medical or laboratory tests, such as brain scans for Parkinson's disease, urine drug screenings, or allergy skin tests, potentially leading to inaccurate results. Ensure that all healthcare professionals and laboratory personnel are aware that you are taking this medication.