Side
Effects
Headache, drowsiness, nausea or stomach upset may occur. If any of these effects
persist or worsen, notify your doctor promptly. Tell your doctor immediately
if you have any of these serious side effects: dizziness, weakness, loss of
coordination, muscle joint pain. Tell your doctor immediately if you have any
of these unlikely but serious side effects: mental/mood changes, persistent
trouble sleeping, memory problems, loss of appetite, tingling of the hands
or feet, rash, itching, tremors, eye/ear problems. Tell your doctor immediately
if you have any of these very unlikely but serious side effects: fast/slow/irregular
pulse, chest pain, trouble breathing, blood in the stool, unusual thirst, change
in amount of urine. If you notice other effects not listed above, contact your
doctor or pharmacist.
Precautions
Tell your doctor your medical history, including: allergies, liver disease,
lung/breathing problems, mental/mood problems (e.g., depression), alcohol
use or drug dependence. Avoid alcohol, as it may aggravate certain side effects
of this drug (e.g., dizziness, drowsiness). Use caution when performing tasks
requiring alertness (e.g., driving). You may have trouble sleeping the first
few nights after you stop using this medication. This problem usually goes
away after one or two nights. If sleep problems persist, consult with your
doctor. Use with caution in the elderly, as they may be more sensitive to
the effects of this medication. This medication should be used only when
clearly needed during pregnancy. Discuss the risks and benefits with your
doctor. This medication passes into breast milk. Because of the potential
risk to the infant, breast-feeding while using this medication is not recommended.
Consult your doctor before breast- feeding.
Drug Interactions
Tell your doctor of all prescription and nonprescription medication you may
use, especially of: rifamycin antibiotics (e.g., rifampin, rifabutin), antidepressants
(e.g., imipramine, amitriptyline), ulcer medication (e.g., cimetidine). Also
report any drugs causing drowsiness such as: other medicines for sleep, sedatives,
tranquilizers, anti-anxiety drugs, narcotic pain relievers (e.g., codeine),
psychiatric medications (e.g., thioridazine), anti-seizure medications (e.g.,
phenytoin, phenobarbital, carbamazepine), muscle relaxants, antihistamines
that cause drowsiness (e.g., diphenhydramine). Check all medicine labels
carefully, especially cough-and-cold preparations, since many contain antihistamines
(e.g., diphenhydramine). Consult your pharmacist regarding safe use of these
products. Do not start or stop any medicine without doctor or pharmacist
approval.
Overdose
If overdose is suspected, contact your local poison control center or emergency
room immediately. Symptoms of overdose may include drowsiness; confusion;
sluggishness; loss of coordination; slow, shallow breathing; and loss of
consciousness.
Notes
Do not share this medication with others.
Missed Dose
Not applicable.
Storage
Store at room temperature between 68 and 77 degrees F (20 to 25 degrees C)
away from light and moisture.
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