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You may experience tiredness, drowsiness, dizziness, loss of coordination, nervousness, tingling in the hands or feet, loss of appetite, changes in taste, diarrhea, or weight loss while taking this medication. These effects are generally mild but should be reported to your healthcare provider if they persist or worsen. Most individuals using this medication do not encounter serious side effects.

However, it is crucial to be aware of potential severe side effects. Contact your healthcare provider immediately if you experience bone pain, symptoms of kidney stones (such as severe back, side, abdominal, or groin pain, fever, chills, painful or frequent urination, or blood in the urine), unusual bleeding or bruising, confusion, difficulty concentrating, memory loss, or difficulty speaking.

Seek urgent medical attention if you experience rapid breathing or an irregular heartbeat. A small number of people taking anticonvulsants might experience mood changes, including depression or suicidal thoughts. If you notice significant mood changes, seek medical advice promptly.

Rarely, this medication may cause a serious eye problem that could lead to permanent blindness. If you experience sudden vision changes or eye pain/redness, seek immediate medical help. Additionally, this drug can cause a rare metabolic issue, particularly if taken with valproic acid. Alert your doctor if you experience sudden tiredness, vomiting, or mental changes.

Serious allergic reactions to this medication are rare but require immediate medical attention if you experience symptoms such as rash, swelling, severe dizziness, or breathing difficulties. This summary does not include all possible side effects. If you notice unusual effects, consult your healthcare provider.

A product that interacts with this drug is Orlistat. This medication might reduce the effectiveness of hormonal birth control methods like pills, patches, or rings, which could result in pregnancy. It's important to talk to your doctor or pharmacist about whether you should use additional reliable birth control methods while taking this medication. Inform your doctor if you experience any new spotting or breakthrough bleeding, as these could indicate that your birth control is not functioning properly.

Additionally, let your doctor or pharmacist know if you are using other substances that can cause drowsiness, such as alcohol, marijuana (cannabis), antihistamines (like Cetirizine, diphenhydramine), medications for sleep or anxiety (such as Alprazolam, Diazepam, Zolpidem), muscle relaxants, and opioid pain relievers (including codeine). Check the labels of all your medications, including allergy or cough-and-cold products, as they might contain ingredients that cause drowsiness. Consult your pharmacist for advice on using these products safely.