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What may interact with this medicine?

Do not take this medicine with any of the following medications:
  • amoxapine
  • disopyramide
  • MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
  • maprotiline
  • procarbazine
  • risperidone
  • ritonavir
  • trimethobenzamide

This medicine may also interact with the following medications:

  • alcohol or medicines that contain alcohol
  • antihistamines
  • barbiturates like phenobarbital
  • general anesthetics
  • medicines for depression, anxiety, or psychotic disturbances
  • medicines for pain
  • medicines for sleep
  • muscle relaxants
  • naltrexone
  • phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine

What should I watch for while using this medicine?

Tell your doctor or health care professional if your pain does not go away, if it gets worse, or if you have new or a different type of pain. You may develop tolerance to the medicine. Tolerance means that you will need a higher dose of the medicine for pain relief. Tolerance is normal and is expected if you take the medicine for a long time.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/ booths.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

This medicine may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your eye doctor if the problem does not go away or is severe.

The medicine will cause constipation. Try to have a bowel movement at least every 2 to 3 days. If you do not have a bowel movement for 3 days, call your doctor or health care professional.

               
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