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When taking this medication, some common side effects may occur, but they are generally mild and manageable. These include dizziness, drowsiness, blurred vision, dry mouth, headache, trouble sleeping, constipation, flushing, dry skin, decreased sweating, and in some cases, trouble urinating. Techniques such as sucking on sugarless candy or chewing gum can help alleviate dry mouth. Additionally, an empty medication shell might appear in your stool, but this is harmless.

More moderate effects, which should be reported if persistent or worsening, include dry eyes, short-term memory loss, and a fast heart rate. In rare instances, severe side effects can occur that require immediate medical attention. These include significant changes in mood or behavior, such as confusion, agitation, or hallucinations, and irregular heartbeat symptoms like fainting, dizziness, or chest discomfort.

A very serious allergic reaction is rare but possible, with symptoms like rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, and difficulty breathing. If you notice any severe effects or symptoms not listed, it's crucial to seek medical advice promptly. Remember, this summary doesn't cover all potential side effects, so keep communication open with your healthcare provider.

When taking this medication, be aware of potential interactions with other drugs. It may interact with certain azole antifungal medications, such as Ketoconazole and Itraconazole, as well as bisphosphonates like Alendronate and Risedronate. Corticosteroids, including Prednisone, and slow-dissolving Digoxin tablets could also interact. Additionally, potassium supplements and pramlintide may have interactions.

It's important to inform your doctor or pharmacist if you're using other products that might cause drowsiness. These include opioid pain or cough medications like codeine and hydrocodone, alcohol, marijuana, sleep aids or anxiety medications such as Alprazolam, Lorazepam, and Zolpidem, muscle relaxants like Carisoprodol and Cyclobenzaprine, and antihistamines such as Cetirizine and diphenhydramine.

Always check the labels of all your medications, including those for allergies or cough-and-cold, as they may contain ingredients that can cause drowsiness. Consult your pharmacist for safe usage instructions. Additionally, this medication could affect certain lab tests, potentially leading to incorrect results. Ensure that your healthcare providers and lab technicians are aware that you are using this medication.