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When taking this medication, you might experience mild side effects such as drowsiness, dizziness, dry mouth, nose, or throat, headache, upset stomach, constipation, or difficulty sleeping. These are generally not serious and often improve as your body adjusts to the medication. However, if they persist or worsen, consult your healthcare provider for advice.

In rare instances, more serious side effects can occur, such as changes in mood or mental state, like confusion or hallucinations, ringing in the ears, difficulty urinating, or vision changes like blurred or double vision. It is important to contact your doctor promptly if you experience any of these symptoms.

Seek immediate medical attention if you experience very serious side effects such as a fast or irregular heartbeat or seizures. Additionally, although a severe allergic reaction is rare, it requires urgent care. Symptoms may include a rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, or difficulty breathing.

While this guide covers several potential side effects, it does not include every possibility. If you notice any other unusual reactions, it is crucial to discuss them with your healthcare provider.

Some products that might interact with this medication include skin-applied antihistamines like diphenhydramine cream, ointment, or spray. Combining this drug with MAO inhibitors can lead to a serious and potentially fatal interaction. Therefore, do not take MAO inhibitors (such as isocarboxazid, Linezolid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, Tranylcypromine) while using this medication. Most MAO inhibitors should also be avoided for two weeks before starting treatment with this drug. Consult your doctor about when to begin or discontinue this medication.

Inform your doctor or pharmacist if you are using any other products that cause drowsiness, including opioid pain or cough relievers (like codeine or hydrocodone), alcohol, cannabis (marijuana), sleep or anxiety medications (such as Alprazolam, Lorazepam, Zolpidem), muscle relaxants (such as Carisoprodol, Cyclobenzaprine), or other antihistamines (like Cetirizine or diphenhydramine).

Check the labels of all your medications, including those for allergies or coughs and colds, as they may contain ingredients that induce drowsiness. Your pharmacist can advise you on the safe use of these products.

This drug may affect certain medical or laboratory tests, such as brain scans for Parkinson's disease, urine drug screenings, and allergy skin tests, potentially causing inaccurate results. Ensure that all lab personnel and your healthcare providers are aware of your use of this medication.