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When taking this medication, you may experience some common side effects such as drowsiness, dizziness, dry mouth, nose, or throat, headaches, upset stomach, constipation, or trouble sleeping. These are generally mild and often resolve on their own. However, if these persist or worsen, it is important to consult with a healthcare professional.

There are some more serious side effects that require prompt attention. If you experience mental or mood changes like confusion or hallucinations, ringing in the ears, difficulty urinating, or any changes in vision such as blurred or double vision, contact your healthcare provider immediately. In rare cases, very serious side effects like a fast or irregular heartbeat or seizures can occur, which warrant immediate medical assistance.

Although a severe allergic reaction to this medication is rare, it is critical to seek medical help right away if you notice symptoms such as a rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing. Remember, this is not an exhaustive list of side effects. If you experience any other unusual symptoms, it is advisable to speak to your doctor or pharmacist for guidance.

Certain products could interact with this medication, including skin-applied antihistamines like diphenhydramine cream, ointment, or spray. Taking this medication with MAO inhibitors can lead to a severe, potentially life-threatening reaction. You should avoid using MAO inhibitors (such as isocarboxazid, linezolid, Metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, Rasagiline, safinamide, Selegiline, Tranylcypromine) while on this medication. It is also recommended to not take most MAO inhibitors for two weeks before starting this treatment. Consult your doctor for guidance on when to begin or cease taking this medicine.

Inform your doctor or pharmacist if you're using other products that cause drowsiness, including opioid pain or cough medications (like codeine or Hydrocodone), alcohol, cannabis, sleep or anxiety medications (such as Alprazolam, Lorazepam, or Zolpidem), muscle relaxants (such as Carisoprodol or Cyclobenzaprine), or additional antihistamines (like Cetirizine or diphenhydramine). Always check the labels on all your medications, such as those for allergies or cough-and-cold, since they may contain ingredients that cause drowsiness. Ask your pharmacist how to use these products safely.

This medication may affect certain medical or lab tests, like brain scans for Parkinson's disease, urine drug screenings, or allergy skin tests, possibly resulting in inaccurate results. Ensure that all your healthcare providers and lab personnel are aware that you are using this medication.