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What are the precautions when taking this medicine?
• If you have been taking this medicine for several weeks, talk with healthcare provider before stopping. You may want to gradually withdraw this medicine.
• If you are taking a high dose (more than 10 mg per day of the capsule or tablet, more than 2.5 mg per day of the oral disintegrating tablet, or more than 6 mg per day of the skin patch) of this medicine, avoid aged meats and cheeses, soy sauce, certain beans, sauerkraut, beer, concentrated yeast extracts, and others. Talk with healthcare provider.
• If you have PKU, talk with healthcare provider. Some products do contain phenylalanine.
• 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 alcohol (includes wine, beer, and liquor).
• You may not be alert. Avoid driving, doing other tasks or activities until you see how this medicine affects you.
• Tell healthcare provider if you are pregnant or plan on getting pregnant.
• Tell healthcare provider if you are breast-feeding.
• Avoid products containing caffeine, phenylalanine, St John's wort, tryptophan, or tyrosine.
• Avoid use of heat sources (such as sunlamps, tanning beds, heating pads, electric blankets, heat lamps, saunas, hot tubs, heated waterbeds). Avoid long, hot baths or sunbathing. Your temperature may rise and cause too much medicine to be released at once.
• The patch may contain conducting metal. Remove patch before MRI.
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.
• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Inability to sleep.
• Skin irritation.
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.
• Fast heartbeat.
• Severe dizziness or passing out.
• Significant change in thinking clearly and logically.
• Significant change in balance.
• Very nervous and excitable.
• Severe flushing.
• Severe headache.
• Severe nausea or vomiting.
• Severe skin irritation.
• Any rash.
• No improvement in condition or feeling worse.