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This medication requires careful consideration of its interactions with other substances, as they may impact its effectiveness or increase the risk of adverse effects. Below are some important points to consider:

• Drug Interactions: This product may interact with certain medications, including:

  • Blood thinners like warfarin and heparin.
  • Blood pressure medications, particularly nifedipine.
  • Drugs that influence the immune system, such as azathioprine, cyclosporine, and prednisone.
  • Fluvoxamine and products containing caffeine (e.g., coffee, tea, some sodas).

• Substances Causing Drowsiness: Inform your healthcare provider if you are using any other substances that can cause drowsiness. These include:

  • Opioid pain or cough medications (e.g., codeine, hydrocodone).
  • Alcohol or marijuana (cannabis).
  • Sleep or anxiety medications (e.g., alprazolam, lorazepam, zolpidem).
  • Muscle relaxants such as carisoprodol and cyclobenzaprine.
  • Antihistamines like cetirizine and diphenhydramine.

• Product Labels: Always check the labels of all your medications, particularly allergy or cough-and-cold products, as they may contain ingredients that could induce drowsiness. Consult with your pharmacist to ensure safe use of these products.

These precautions are essential to prevent unintended effects and ensure the safe use of this medication. Always communicate with your healthcare provider about any other drugs or substances you are taking.