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You might experience some common side effects such as drowsiness, dizziness, flushing, headache, nausea, nervousness, blurred vision, or a dry sensation in your mouth, nose, or throat. These effects are generally mild, but if they persist or worsen, it's important to consult your healthcare provider. To minimize dizziness and lightheadedness, rise slowly from sitting or lying down positions. For dry mouth relief, consider using sugarless candy, ice chips, or gum, and stay hydrated.

In rare cases, more serious side effects can occur. Be vigilant for any signs of mental or mood changes, such as hallucinations or confusion, as well as shaking, trouble urinating, or unusual weakness. Should these symptoms arise, contact your healthcare professional immediately.

In very rare instances, this medication may cause severe adverse effects, such as an irregular heartbeat or seizures, which require urgent medical attention. Although a severe allergic reaction is uncommon, seek immediate help if you notice symptoms like a rash, swelling, or difficulty breathing.

This summary does not include all possible side effects. If you experience any other unusual symptoms, please reach out to your healthcare provider.

Some medications and products may interact with this drug. For instance, avoid using skin-applied antihistamines like diphenhydramine cream, ointment, or spray. Mixing MAO inhibitors with this medication can lead to a severe or even life-threatening reaction. Do not take MAO inhibitors such as isocarboxazid, Linezolid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, or Tranylcypromine while using this drug. Additionally, most MAO inhibitors should not be used for two weeks before starting treatment with this medication. Consult your doctor for guidance on when to begin or discontinue use.

The components of this product are found in many over-the-counter and prescription medications. Carefully read labels to ensure you are not using multiple products with the same ingredients. If you are unsure, ask your pharmacist for assistance.

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

Be sure to check the labels on all your medications, such as those for allergies or cold and cough, as they might have ingredients that cause drowsiness. Your pharmacist can help you use these products safely.

This medication may affect the results of certain laboratory tests, like allergy skin tests, potentially leading to false results. Make sure all laboratory staff and your healthcare providers are aware that you are taking this medication.