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When taking this medication, you might experience dizziness, headache, nausea, nervousness, or trouble sleeping. These are common side effects and usually not severe, but if they persist or worsen, it's important to consult with a healthcare professional. While many individuals do not experience serious side effects, it's crucial to be aware of them. Serious side effects may include mental or mood changes such as confusion or hallucinations, shaking or tremors, weakness, or any changes in your heartbeat, whether fast, slow, or irregular.

In rare instances, a severe allergic reaction might occur. This is a serious concern, so seek immediate medical attention if you experience symptoms such as a rash, itching or swelling, particularly on the face, tongue, or throat, severe dizziness, or trouble breathing. If you notice any other unusual effects not mentioned here, it's advisable to reach out to a healthcare provider. Your safety and well-being are the priority, and monitoring any side effects is an important part of managing your health while on this medication.

Using certain MAO inhibitors alongside this medication can lead to a severe, potentially fatal interaction. It is important to avoid using isocarboxazid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, or Tranylcypromine while on this medication. Additionally, most MAO inhibitors should not be used for at least two weeks before starting treatment with this medication. Consult your doctor about the appropriate timing for starting or stopping this medication.

Rolapitant is another drug that may interact with this medication.

Be aware that the ingredients in this medication might also be present in other prescription or over-the-counter products. Carefully check all medication labels to ensure you do not consume more than one product containing the same ingredient(s). If you are unsure about the ingredients in any of your medications, consult your pharmacist.

Furthermore, this medication may affect the results of certain medical or laboratory tests, such as urine 5-HIAA/VMA levels or brain scans for Parkinson's disease, potentially leading to inaccurate results. Inform all healthcare professionals and laboratory personnel that you are using this medication.