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What are the precautions when taking this medicine?
• Wear disease medical alert identification.
• If you have a weakened heart, talk with healthcare provider.
• Tell dentists, surgeons, and other healthcare providers that you use this medicine.
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Do not take with other medicines for depression, diet pills, stimulants like amphetamines, reserpine, or pain medicines. There should be 2 weeks between stopping one medicine and starting another.
• Do not use over-the-counter medicines containing dextromethorphan or pseudoephedrine. Can cause life-threatening high blood pressure.
• 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.
• You may not be alert. Avoid driving, doing other tasks or activities until you see how this medicine affects you.
• Avoid alcohol (includes wine, beer, and liquor). Can cause life-threatening high blood pressure even 2 weeks after medicine is stopped.
• Avoid caffeine (for example, tea, coffee, cola) and chocolate intake. Use with this medicine may cause high blood pressure, nervousness, shakiness, fast heartbeats, and anxiety.
• Tell healthcare provider if you are pregnant or plan on getting pregnant.
• Tell healthcare provider if you are breast-feeding.
What are some possible side effects of this medicine?
• Feeling lightheaded, sleepy, having blurred vision, or a change in thinking clearly. Avoid driving, doing other tasks or activities that require you to be alert or have clear vision until you see how this medicine affects you.
• Feeling dizzy. Rise slowly over several minutes from sitting or lying position. Be careful climbing.
• Constipation. More liquids, regular exercise, or a fiber-containing diet may help. Talk with healthcare provider about a stool softener or laxative.
• Inability to sleep.
• High blood pressure 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.
• If you are planning to harm yourself or the desire to harm yourself increases.
• Chest pain or pressure, fast heartbeat, or passing out.
• Confusion; very nervous; anger with sweating, shivering, stiffness, or shaking.
• Severe nausea or vomiting.
• Any rash.
• No improvement in condition or feeling worse.