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Before using this medicationtell your doctor or pharmacist your medical historyespecially ofbleeding problemsbreathing problemsliver problemsrecent heart attackproblems urinatingsuch as due to enlarged prostateoveractive thyroidhyperthyroidismpersonal or family history of glaucomaangle-closure typepersonal or family history of mental/mood conditionssuch as bipolar disorderpsychosisfamily history of suicideseizuresconditions that may increase your risk of seizuressuch as other brain diseasealcohol withdrawal
Clumsiness drowsiness low body temperature muscle aches muscle weakness sleepiness tiredness weak or feeble pulse.
Older adults may be more sensitive to the side effects of this drugespecially dry mouthdizzinessdrowsinessconfusionconstipationdifficulty urinatingand QT prolongationsee aboveDizzinessdrowsinessand confusion can increase the risk of falling.
Dosage should be initiated at a low level and increased graduallynoting carefully the clinical response and any evidence of intolerance.
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