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Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

restlessness, overactive reflexes, hallucinations, loss of coordination, fainting, coma; or

nausea, vomiting, diarrhea, fever, and fast heartbeat.

Other less serious side effects are more likely to occur, such as:

constipation;

drowsiness, dizziness, headache;

sleep problems (insomnia);

weight changes;

feeling anxious or nervous, increased sweating;

sore throat; or

decreased sex drive, impotence, or difficulty having an orgasm.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

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