SIDE EFFECTS: Dizziness, drowsiness, headache, loss of appetite, nausea or irritability may occur the first several days as your body adjusts to the medication. If any of these effects continue or become bothersome, inform your doctor. To avoid dizziness when rising from a seated or lying position, get up slowly. Also limit your intake of alcoholic beverages which will aggravate these effects. Notify your doctor if you develop: chest pain, a rapid pulse, skin rash, high blood pressure, tremors, breathing trouble, mental confusion, nervousness, hallucinations. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor if you have: kidney disease, heart disease, lung disease, asthma/emphysema, high blood pressure, an overactive thyroid, diabetes, glaucoma, prostate trouble, depression, a history of drug dependency, allergies. This medication should be used only if clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Since small amounts of this medication are found in breast milk, consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of any over-the-counter or prescription medication you may take including: blood pressure drugs, other narcotic pain/cough relievers, antidepressants, sedatives, tranquilizers, sleeping pills, cimetidine. Limit your intake of alcoholic beverages while taking this medication. 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. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include nausea, vomiting, irregular heartbeat, numbness or tingling in arms or legs, seizures, slowed breathing, cold and clammy skin, and sleepiness or loss of consciousness.

Report Problems to the Food and Drug Administration You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088. Need help identifying pills and medications? Use the pill identifier tool on RxList.