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When taking this medication, it is crucial to be aware of potential interactions and precautions to ensure your safety. Here are some important points to consider:

• Drug Interactions: There is a potential for a serious, possibly fatal interaction if this medication is used with certain MAO inhibitors. Avoid using isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine during your treatment. Most MAO inhibitors should also be avoided for at least two weeks before starting this medication. Consult your doctor for specific guidance on when to begin or discontinue this medication.

• Substances Causing Drowsiness: Inform your healthcare provider if you are taking other substances that may cause drowsiness. This includes opioid pain or cough medications (such as codeine or hydrocodone), alcohol, marijuana (cannabis), medications for sleep or anxiety (like alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or other antihistamines (such as cetirizine, diphenhydramine).

• Medication Labels: Carefully review the labels of all your medications, including those for allergies or cough-and-cold, as they may contain ingredients that could cause drowsiness or overlap with this medication. Consult your pharmacist to ensure safe use.

• Lab Tests: This medication may affect certain laboratory tests, such as urine drug screenings or allergy skin tests, potentially leading to false results. It is important to inform lab personnel and all your healthcare providers that you are using this medication.

Please follow these guidelines to minimize risks and ensure effective treatment. If you have any questions or concerns, do not hesitate to contact your healthcare professional.

To prevent potentially severe or even fatal drug interactions, avoid using specific MAO inhibitors such as isocarboxazid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, or Tranylcypromine while taking this medication. You should also refrain from using most MAO inhibitors for two weeks prior to starting this treatment. Consult your doctor about the appropriate timing for starting or stopping this medication.

Inform your healthcare provider if you are using other substances that can cause drowsiness, including opioid painkillers or cough suppressants like codeine and Hydrocodone, alcohol, cannabis, sleep or anxiety medications such as Alprazolam, Lorazepam, and Zolpidem, muscle relaxants like Carisoprodol and Cyclobenzaprine, or antihistamines like Cetirizine and diphenhydramine.

It's important to check the labels on all your medications, including those for allergies or cold symptoms, as they might contain similar ingredients that can increase drowsiness. Your pharmacist can offer guidance on the safe use of these products.

Additionally, this medication may affect the results of certain lab tests, such as urine drug screenings and allergy skin tests, leading to inaccurate results. Ensure that all healthcare professionals involved in your care are aware that you are using this medication.