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Call your doctor or get medical help right away if you notice any of these more serious side effects:

  • decreased awareness or responsiveness
  • breathing interruption during sleep
  • shallow, irregular breathing
  • hallucinations (unusual thoughts, seeing or hearing things that are not real)
  • symptoms of liver damage (such as yellowing of skin or eyes, dark urine, unusual tiredness or weakness; severe stomach or back pain)
  • seizures
  • shortness of breath
  • unusual or unexplained tiredness or weakness
  • difficulty or discomfort urinating
  • severe or persistent vomiting
  • weight loss

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.