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What are the precautions when taking this medicine?
• You may have certain heart tests before starting this medicine. Talk with healthcare provider.
• If you have a fast heartbeat, talk with healthcare provider.
• If you have heart disease, talk with healthcare provider.
• If you have high blood pressure, talk with healthcare provider.
• If you have liver disease, talk with healthcare provider.
• If you have mental illness, talk with healthcare provider.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• If you are taking this medicine and have high blood pressure, talk with healthcare provider before using over-the-counter products that may increase blood pressure. These include cough or cold remedies, diet pills, stimulants, ibuprofen or like products, and certain natural products or supplements.
• Avoid caffeine (for example, tea, coffee, cola) and chocolate intake. Use with this medicine may cause nervousness, shakiness, and fast heartbeat.
• Tell healthcare provider if you are pregnant or plan on getting pregnant.
What are some possible side effects of this medicine?
• Feeling dizzy. Rise slowly over several minutes from sitting or lying position. Be careful climbing.
• High blood pressure.
• Belly pain.
• Inability to sleep.
• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Not hungry.
• Nasal congestion.
• Dry mouth. Frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Constipation. More liquids, regular exercise, or a fiber-containing diet may help. Talk with healthcare provider about a stool softener or laxative.
• Change in sexual ability or desire. This is usually reversible.
• Liver damage can rarely occur.
Reasons to call healthcare provider immediately
• If you suspect an overdose, call your local poison control center or emergency department immediately.
• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
• Signs or symptoms of depression, suicidal thoughts, nervousness, emotional ups and downs, abnormal thinking, anxiety, or lack of interest in life.
• Chest pain or pressure, fast heartbeat, or passing out.
• Severe behavioral problems.
• Flu-like symptoms.
• Severe belly pain.
• Severe headache.
• Severe itching.
• Significant weight loss.
• Not able to eat.
• Dark urine or yellow skin or eyes.
• Unable to pass urine.
• Very nervous and excitable.
• Any rash.
• No improvement in condition or feeling worse.