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The following safety information is crucial for anyone considering the use of Ninjacof (chlophedianol / pyrilamine). Thoroughly review the potential risks and consult your healthcare provider if you have any concerns.

• Drowsiness: Ninjacof may cause significant drowsiness, impacting your ability to concentrate, think clearly, or react quickly. This side effect is particularly pronounced in individuals over 65, those consuming alcohol, or taking other sedatives such as opioids, benzodiazepines, or sleep aids. Avoid driving or operating heavy machinery until you know how the medication affects you. Increased risk factors include exceeding the recommended dose, using other sedatives, and alcohol consumption.

• Exacerbation of Existing Conditions: Use of Ninjacof can worsen certain medical conditions, potentially leading to severe side effects. It is important to inform your healthcare provider of any current or previous health issues before starting this medication. Conditions of concern include coughing due to smoking, asthma, or emphysema, coughs that produce mucus, breathing difficulties such as emphysema or chronic bronchitis, glaucoma, and urinary problems.

• Risk of Accidental Overdose: Ninjacof contains a cough suppressant and an antihistamine, which are common in many over-the-counter products. Using multiple products containing these ingredients can lead to an accidental overdose, resulting in grave side effects like daytime drowsiness, dizziness, seizures, hallucinations, or even death.

Contraindications:

• Do not use Ninjacof if you are currently taking monoamine oxidase inhibitors (MAOIs) or have used them in the past two weeks, as this can pose serious health risks.

Always ensure that your healthcare provider is aware of your complete medical history and current medication use to prevent potential interactions and complications.

When taking this medication, you may experience some common side effects such as drowsiness, dizziness, blurred vision, nausea, and headache. These are usually mild, but if they persist or worsen, it's important to consult your healthcare provider. Other possible effects include sleepiness, dry mouth, constipation, and stomach upset.

In some cases, you may encounter trouble sleeping or urinating, and feelings of nervousness. It's reassuring to know that many people do not experience serious side effects from this medication. However, if you notice any fast, irregular, or pounding heartbeat, mental or mood changes like confusion or hallucinations, or tremors, you should seek medical advice promptly.

Severe side effects, although rare, demand immediate medical attention. These include seizures, hallucinations, loss of consciousness, or excessive dizziness. Additionally, any signs of an allergic reaction, such as rash, swelling, especially around the face or throat, or difficulty breathing, should be addressed urgently. While this summary covers most side effects, contact your healthcare provider if you experience any other unusual symptoms.

When using this medication, it's crucial to avoid certain MAO inhibitors, as combining them can lead to a severe or even life-threatening reaction. Do not use isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine while on this medication. It's also recommended to stop most MAO inhibitors two weeks prior to starting this treatment. Consult with your doctor for precise guidance on when to begin or discontinue this medication.

Additionally, inform your doctor or pharmacist if you're taking substances that may cause drowsiness. This includes opioid painkillers or cough syrups like codeine and hydrocodone, alcohol, cannabis, sleep aids or anxiety medications such as alprazolam, lorazepam, or zolpidem, muscle relaxants like carisoprodol or cyclobenzaprine, and other antihistamines like cetirizine or diphenhydramine.

Always check the labels on your medications, including those for allergies or cold symptoms, as they might contain similar ingredients or those that induce drowsiness. For safe usage, discuss these with your pharmacist.

Be aware that this medication can affect certain laboratory tests, potentially leading to inaccurate results, particularly in urine drug screenings or allergy skin tests. Ensure that all healthcare providers and lab personnel are informed that you are taking this medication.