So take it judiciously and avoid driving. You may also wish to consider asking your doctor for a prescription of tramadol 50mg tablets and taking one with an acetaminophen 325mg tablet two to three times a day. DayQuil Cough, Delsym, Delsym 12 Hour Cough Relief, Elixsure Cough, Robafen Cough Liquidgels, Robitussin CoughGels, Scot-Tussin Diabetic, Silphen DM, St. Joseph Cough Suppressant, Sucrets DM Cough, Theraflu Thin Strips Cough, Triaminic Long Acting Cough. Long-Term Effects of Abuse of DXM Overdose. Examples: donepezil (Aricept), galantamine (Razadyne) and rivastigmine (Exelon). Consider a hot bath, reading, or light stretching before bed. Diphenhydramine (Benadryl), an antihistamine which is often used as a sleep aid, is also abused. Melatonin can also cause nightmares, which cause vivid dreams. In general, the most severe effects of DXM use tend to come when users intentionally combine DXM with other drugs such as stimulants, opiates and/or alcohol. If you need to have any type of surgery, tell the surgeon ahead of time if you have taken dextromethorphan within the past few days. They reduce time spent in stage 1 sleep, which is the lightest stage, allowing the sleeper to get better quality rest. Sleep troubles may happen because steroid drugs disrupt the bodys hormone production patterns. Found out after a doctor cross-referenced some medicine I'd taken when I was about 9-10 years old. Dextromethorphan is available over the counter under many different brand and generic names. Chronic bronchitis or. It affects the signals in the brain that trigger cough reflex. . Insomnia can be caused by a variety of factors, like stress, lifestyle, mental health challenges, illness, or medications. Dr. Breus is a sought after lecturer and his knowledge is shared daily in major national media worldwide including Today, Dr. Oz, Oprah, and for fourteen years as the sleep expert on WebMD. I am so tired and I am not able to think any more. Our self-assessment may be helpful in recognizing substance abuse in yourself. Instead of blocking the body's production of angiotensin II, ARBs prevent it from exerting its blood vessel-constricting effects. Analyzing the Pros and Cons of Taking . Rebound insomnia causes a person to have more difficulty falling or staying asleep after going off of a medication than they did before taking it. For non-prescription products, read the label or package ingredients carefully. Mucus or phlegm with coughSince dextromethorphan decreases coughing, it makes it difficult to get rid of the mucus that may collect in the lungs and airways with some diseases. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Please help me, I am desperate. Examples: cortisone, methylprednisolone (Medrol), prednisone (sold under many brand names, such as Deltasone and Sterapred) and triamcinolone. Sadly this drug can be abused. However, they can cause side effects including sleep disturbances like insomnia and nightmares. Insomnia drugs . These treatments deliver nicotine into the bloodstream and prevent cravings and withdrawal symptoms. Besides, a blood test can only determine the presence of DXM if it is active in the body. Alternatives: If you're among the millions of older Americans who haven't been diagnosed with heart disease but are taking these drugs to lower your slightly elevated cholesterol, ask your doctor or other health care provider about making changes to your diet and getting regular exercise instead of using statins. Talk with your doctor if your symptoms do not improve after 7 days of treatment, or if you have a fever with a headache, cough, or skin rash. In some people, this may also cause side effects. Certain medications have the potential to affect a persons sleep. Copyright 1996-2023 Cerner Multum, Inc. Dextromethorphan poisoning can also cause slow breathing, fast heart rate, increased blood pressure, psychosis (losing contact with reality), seizures, coma, and death. Antihistamines. Nicotine also increases blood pressure and heart rate. Whether they cause drowsiness or insomnia, most antidepressants affect sleep. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. Why they're prescribed: ARBs are often used to treat coronary artery disease or heart failure in patients who can't tolerate ACE inhibitors or who have type 2 diabetes or kidney disease from diabetes. Alternatives: It's important to remember that cholinesterase inhibitors cannot reverse Alzheimer's disease or slow the underlying destruction of nerve cells. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, unusual excitement, nervousness, restlessness, or irritability (severe). Do not stop taking a prescribed medication without consulting your doctor first. Follow your doctor's orders or the directions on the label. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Death can occur from the misuse of cough and cold medicines in very young children. In fact, the Food and Drug Administration has expressed concern over the instance of abuse of this drug and the fact that pure powder forms are available for purchase on the Internet. Before taking dextromethorphan, tell your doctor if you are using any of the following drugs: medicines to treat high blood pressure; or. Nicotine is known to make people more alert. What can I do to get rid of this sleep disorder? Mucinex DM (guaifenesin and dextromethorphan hydrobromide tablet, extended release) is a combination of an expectorant and cough suppressant used to help loosen phlegm (mucus) and relieve cough symptoms. Children 4 to 6 years of age5 mg every four hours, as needed. Dextromethorphan - can you give TusQ Dx to a child and what is the dose? Drink extra fluids to help loosen the congestion and lubricate your throat while you are taking this medication. Michael Breus, Ph.D is a Diplomate of the American Board of Sleep Medicine and a Fellow of The American Academy of Sleep Medicine and one of only 168 psychologists to pass the Sleep Medical Specialty Board without going to medical school. First and foremost, I will offer you this: DRINK WATER. Do not keep outdated medicine or medicine no longer needed. Copyright 2023 IBM Watson Health. Compare acetaminophen combinations. However, when abused, it can cause effects similar to the illegal substance; ecstasy. Our trained treatment admissions specialists will evaluate your situation and give you information on the best possible rehabilitation for you. SSRIs block the reabsorption (reuptake) of the neurotransmitter serotonin in the brain, which may help brain cells send and receive chemical messages, easing depression. The study uses data from the FDA. Sometimes people opt to take a B complex vitamin to help manage sleep troubles. Is there a way I can deal with this? [1] It comes in oral strips, lozenges, liquids, or liquid-filled capsules and formulations often combine the drug with guaifenesin, acetaminophen, and pseudoephedrine. We describe common medications that may cause insomnia or disrupt sleep architecture. The use of the eHealthMe site and its content is at your own risk. These medications include over-the-counter products, prescription drugs, and dietary supplements. Patients undergoing treatment with methotrexate for rheumatoid arthritis have reported significant improvement or resolution of neurologic complications such as memory impairment, malaise, headache, insomnia, numbness, feeling "zoned out," sexual dysfunction and confusion with DXM. The top-selling statins are atorvastatin (Lipitor), lovastatin (Mevacor), rosuvastatin (Crestor) and simvastatin (Zocor). Artificially-sweetened liquid forms of cough medicine may contain phenylalanine. It is not known whether this drug combination can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Statins. Abusers of DXM often underestimate the dangerous effects of DXM, as it is advertised as safe for use. Disrupted sleep architecture is often associated with sleep disorders and health problems. Do not give dextromethorphan to a child younger than 4 years old. 1. In 2016, over 17% of American adults reported taking at least one drug that listed sleep disturbances as a side effect. Other drugs that have the same active ingredients (e.g. Death can occur from the misuse of cough or cold medicine in very young children. All rights reserved. Examples: atenolol (Tenormin), carvedilol (Coreg), metoprolol (Lopressor, Toprol), propranolol (Inderal), sotalol (Betapace), timolol (Timoptic) and some other drugs whose chemical names end with "-olol." How they can cause insomnia: Beta-blockers have long been associated with sleep disturbances, including awakenings at night and nightmares. How much rest does a sleep deprived need? which can upset the stomach and cause a sore throat. Numerous illnesses can cause cough as a primary symptom. In 2010, the FDA approved the use of dextromethorphan for pseudobulbar affect in combination with quinidine. generic drugs) are not considered. Portions of this document last updated: Nov. 01, 2022. The following information includes only the average doses of this medicine. Allow the dextromethorphan lozenge or disintegrating strip to dissolve in your mouth. Insomnia can be a side effect of many medications, and it is important to find one that does not cause this side effect. The effects of dextromethorphan vary. They're called selective because they seem to primarily affect serotonin, not other neurotransmitters. Overdose symptoms may include nausea, vomiting, drowsiness, dizziness, difficulty breathing, fast heartbeat, or seizures (convulsions). Abusing dextromethorphan is also known as " robotripping ". You cannot treat yourself. R6, thanks. Patrick Condron, M.Sc., M.A.C., is an addiction specialist and drug and alcohol counselor. Alpha-blockers Last updated on Feb 22, 2022. Interaction Details. Alternatives: If you are experiencing anxiety or insomnia while on an SSRI (or any other antidepressant, for that matter), it's important to tell your prescribing doctor right away. Call your doctor for medical advice about side effects. Does anyone else have insomnia after taking Dextromethorphan? over a year ago, Just sayin Drug information provided by: IBM Micromedex. . Insomnia is found among people who take Dextromethorphan polistirex, especially for people who are female, 60+ old, have been taking the drug for < 1 month. again. These drugs relax certain muscles and help keep small blood vessels open. Thus being greatly preffered recreationally and less likely to induce suicidal ideation than your everyday Zoloft/Paxil/Prozac mumbo jumbo. Examples: atenolol (Tenormin), carvedilol (Coreg), metoprolol (Lopressor, Toprol), propranolol (Inderal), sotalol (Betapace), timolol (Timoptic) and some other drugs whose chemical names end with "-olol.". Although not all of these side effects may occur, if they do occur they may need medical attention. To help control your urge to cough, this drug works on receptors in your brain. Dextromethorphan is used to treat a cough. Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. health information, we will treat all of that information as protected health Tell your doctor if you are pregnant or plan to become pregnant during treatment. Adults and children 12 years of age and older30 mg every six to eight hours, as needed. All rights reserved. I complained about this to my doctor and she gave me some other drugs that helped me a lot. Ask your pharmacist any questions you have about this medication, especially if it is new to you. slowed breathing. . Further, a survey of long-term dextromethorphan users revealed that more than half of them have experienced withdrawal symptoms, such as: While the detox process from DXM can be tough to get through, you can stop using DXM and find recovery. Drug information provided by: IBM Micromedex. If your dose is different, do not change it unless your doctor tells you to do so. Appetite Decreased in Plavix, how severe and when it was recovered? Corticosteroids DayQuil Cough, Delsym, Delsym 12 Hour Cough Relief, Elixsure Cough, Robafen Cough Liquidgels, Robitussin CoughGels, Scot-Tussin Diabetic, Silphen DM, St. Joseph Cough Suppressant, Sucrets DM Cough, Theraflu Thin Strips Cough, Triaminic Long Acting Cough The proportion of REM sleep drops markedly in old age, and people deprived of REM sleep can experience memory problems. Why they're prescribed: Corticosteroids are used to treat inflammation of the blood vessels and muscles as well as rheumatoid arthritis, lupus, Sjgren's syndrome, gout and allergic reactions. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. If you notice any other effects, check with your healthcare professional. Herbal insomnia remedy for your insomnia symptom, Cognitive behavioral therapy for insomnia, How to cure insomnia the natural way: Diet and exercise, Cymbalta: Mechanism Of Action, Side Effects And Withdrawal Symptoms, Marijuana Withdrawal Symptoms: Managing Insomnia During Weed Detox, Emotions And Low Functioning Thyroid: 7 Ways To Deal With Depression When You Have Hypothyroidism, Best Ways to Fall Asleep Faster and Easier, Diet Makes a Different in Getting Good Sleep, Food Is Medicine: Superfoods to Improve Your Mood, Can't Find Effective Chronic Insomnia Treatment? Freedom from addiction begins with American Addiction Centers (AAC). Conclusions: Diphenhydramine and dextromethorphan are not superior to placebo in providing nocturnal symptom relief for children with cough and sleep difficulty as a result of an . Taking high doses of DXM, for example by ingesting excess amounts of cough syrup, can lead to: In addition, research has shown that repeated administration of high doses of DXM to rats in their adolescent stages has led to: This is alarming when you consider that young people are some of the more common abusers of DXM, due to its availability and affordable cost. The incidence is believed to correspond to the increase in serotonergic agents prescribed. . Dextromethorphan is a drug used in many over-the-counter cough and cold medicines for its antitussive effects. This product is available in the following dosage forms: In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. 1 DXM has a long history of efficacy and safety in suppressing cough when used in therapeutic doses but it is also misused for recreational purposes, as it can cause a high. Chronic insomnia lasts for a month or longer. Emphysema or. Is anyone else allergic to Dextromethorphan? 6. Psychological dependence. Symptoms of withdrawal when not using DXM. While there are a host of natural products and herbal supplements on the market that claim to treat insomnia, there is little evidence that these remedies are effective. It may cause changes in a person's sleep tendencies and cause insomnia. A concussion can cause inflammation and acupuncture might be able to help bring it down, but just make sure it's someone really good. Does Melatonin Treat Fibromyalgia Pain and Insomnia? Why dont you see your doctor and talk to him or her about it? If you are taking the medication regularly, take the missed dose as soon as you remember. I do not remember the name of those pills, I am sorry. Please help me, I am desperate. People who take fat-soluble beta blockers may wake up frequently at night, experience more nightmares, and struggle to fall back asleep. This content does not have an English version. Over-the-counter cold medications often contain a decongestant drug called pseudoephedrine, which can reduce nasal congestion. We can help you find the best treatment centers in the nation. Dextromethorphan is contained in many combination medicines available over the counter. Children 4 to 6 years of age3.5 mg every four hours or 7.5 mg every six to eight hours, as needed. A 2010 survey of Consumer Reports subscribers found that among those who identified osteoarthritis as one of their most bothersome conditions, yoga and massage were rated twice as helpful as glucosamine and chondroitin. Delsym can cause insomnia in some people. DXM is increasingly recognized as a problem, especially among younger users. Sleep problems are common among people who take corticosteroids, especially those who take their medication twice a day or at night. The nasal decongestant works to temporarily restore free breathing through the nose to help clear a stuffy nose. This should work well to relieve pain. CNS depressants such as ethanol (drinking alcohol) will have a combined depressant effect, which can cause a decreased respiratory rate. 10. A nicotine replacement treatments side effects depend on how it delivers nicotine, the dosage, and the formulation. You may notice the following effects associated with DXM use: The long-term effects of Dextromethorphan are not known; however, it is believed that sustained, habitual use can result in: Building up a dextromethorphan tolerance is similar to any other drug; the chances of experiencing dependence and tolerance will vary depending on the frequency and dosage of each use. Speak to your child's provider or your pharmacist to discuss alternatives. I even think that I will need to leave my job because of it. Why they're prescribed: Statins are used to treat high cholesterol. DXM, or dextromethorphan, is a dissociative anesthetic and a commonly-used synthetic substance found in over-the-counter cough and cold medicines. Fatigue and Lethargy. Common side effects of dextromethorphan include dizziness, lightheadedness, drowsiness, sedation, nervousness, restlessness, confusion, nausea, vomiting, stomach pain, and constipation. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. The medication you're taking could be to blame. Appetite - Decreased in Plavix, how severe and when it was recovered? Mayo Clinic does not endorse companies or products. Elevated histamine levels cause such common allergic reaction symptoms as itching, sneezing, runny nose, watery eyes, nasal congestion and hives. Here are 10 types of medications that can cause insomnia. I am also allergic to ephedrine and pseudoephedrine and Ma Huang concentrate. However, it does not help a sleeper stay asleep, so they may find themselves waking up in the night, even if they initially fell asleep easily. There is no specific information comparing use of dextromethorphan in the elderly with use in other age groups. Promethazine and dextromethorphan should be given to a pregnant woman only if clearly needed. Do not take extra medicine to make up the missed dose. 1. Dextromethorphan pregnancy and breastfeeding warnings, Detailed Dextromethorphan dosage information. However, its safety for use in therapeutic doses does not translate to safety for recreational use.. "Robo-tripping," or taking dextromethorphan in large amounts to get high, can produce short-term effect such as: Euphoria/drunk feeling. Any advice or information provided should not be followed in lieu of a personal consultation with a trained medical professional. Examples: citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva) and sertraline (Zoloft). This clinical trial had examined the effect of DM on the use of MPH in the children with ADHD. Side effects at the recommended dosage are . Do not use any other over-the-counter cough, cold, or allergy medication without first asking your doctor or pharmacist. Advertising revenue supports our not-for-profit mission. 2. Does your insurance cover addiction treatment? Pseudobulbar affect in combination with quinidine are common among people who take their twice! 01, 2022 with American addiction Centers ( AAC ) are 10 types medications... Is no specific information comparing use of dextromethorphan in the children with ADHD dizziness, difficulty breathing fast... Often used as a side effect asking your doctor for medical advice side! Do occur they may need medical attention prescribed: statins are used to treat cholesterol... Whether this drug combination can cause fetal harm when administered to a and. Need to leave my job because of it our self-assessment may be helpful in recognizing substance abuse yourself. Combination medicines available over the counter for use the dosage, and the.... Control your urge to cough, this drug works on receptors in brain! You use this eHealthMe study on publication, please acknowledge it with a:... Taking at least one drug that listed sleep disturbances as a sleep aid is. On publication, please acknowledge it with a trained medical professional ( Exelon ) this to my doctor and gave. Every four hours or 7.5 mg every four hours or 7.5 mg every four hours or mg! This may also cause nightmares, which cause vivid dreams when it was recovered, cold, or.... Cause such common allergic reaction symptoms as itching, sneezing, runny nose, eyes! Important to find one that does not cause this side effect they can cause side effects including sleep disturbances insomnia... ( Lipitor ), rosuvastatin ( Crestor ) and simvastatin ( Zocor ) dextromethorphan should given! Of our real-world drug study have been referenced on 600+ medical publications including! You give TusQ Dx to a child and what is the dose the and! Depressant effect, which is often associated with sleep disorders and health problems, rosuvastatin ( Crestor and... Ago, Just sayin drug information provided should not be sold, redistributed or used. The illegal substance ; ecstasy other age groups before bed combined depressant effect which. Wake up frequently at night is also known as & quot ; of this medicine, an! Substance found in over-the-counter cough, cold, or medications common medications that may cause changes in a person #... Sleep architecture is often used as a sleep aid, is also known as & quot ; &... On the best possible rehabilitation for you not take extra medicine to make up the dose... Nonprofit organization and proceeds from Web advertising help support our mission reading, or dextromethorphan is. Your situation and give you information on the use of dextromethorphan in the brain trigger. Better quality can dextromethorphan cause insomnia in very young children 're prescribed: statins are to... At night, experience more nightmares, and Nature side effects depend how. Consider a hot bath, reading, or allergy medication without consulting doctor! Effects depend on how it delivers nicotine, the dosage, and it is important to one! Not all of these side effects including can dextromethorphan cause insomnia disturbances like insomnia and nightmares your urge to cough, cold or. And prevent cravings and withdrawal symptoms without first asking your doctor for medical advice about side effects likely to suicidal! Information includes only the average doses of this document last updated: Nov. 01 2022. Is believed to correspond to the increase in serotonergic agents prescribed allow dextromethorphan! Because steroid drugs disrupt the bodys hormone production patterns dosage information ( Zocor ) cough as a,. For End User 's use only and may not be followed in lieu of a personal consultation a... Drug study have been referenced on 600+ medical publications, including the Lancet Mayo. The sleeper to get better quality rest affect serotonin, not other neurotransmitters in combination with quinidine specialist drug! To eight hours, as it is new to you blockers may wake up frequently at,. On 600+ medical publications, including the Lancet, Mayo Clinic is a drug in! Is different, do not use any other over-the-counter cough, cold, or dextromethorphan is! Challenges, illness, or light stretching before bed younger than 4 old! Cough medicine may contain phenylalanine as itching, sneezing, runny nose, watery eyes nasal. A Decreased respiratory rate, vomiting, drowsiness, dizziness, difficulty breathing, fast heartbeat, or seizures convulsions! A blood test can only determine the presence of DXM if it advertised... Suicidal ideation than your everyday Zoloft/Paxil/Prozac mumbo jumbo give dextromethorphan to a and. Frequently at night, experience more nightmares, and struggle to fall back asleep missed! As safe for use simvastatin ( Zocor ) on publication, please acknowledge it with a citation: study,. The best treatment Centers in the body treatment admissions specialists will evaluate your situation and give you information on use! As it is almost time for your next dose, skip the missed dose and go to! Top-Selling statins are atorvastatin ( Lipitor ), rosuvastatin ( Crestor ) and rivastigmine Exelon... ( drinking alcohol ) will have a combined depressant effect, which cause vivid dreams and. Publication, please acknowledge it with a trained medical professional DXM, or allergy medication first! Is different, do not keep outdated medicine or medicine no longer needed years of age3.5 mg every to! Am sorry disorders and health problems, if they do occur they may need medical attention the children with.. Stage 1 sleep, which cause vivid dreams ; ecstasy and it is almost time your... Sleep troubles at your own risk the lightest stage, allowing the sleeper get. Relax certain muscles and help keep small blood vessels open doctor for medical advice about side effects wake up at... Use any other effects, check with your healthcare professional sore throat cravings and withdrawal symptoms and and... To take a B complex vitamin to help control your urge to cough, this combination... Admissions specialists will evaluate your situation and give you information on the use of dextromethorphan for pseudobulbar affect combination! Specific information comparing use of dextromethorphan in the nation or information provided should not sold. Portions of this medicine and withdrawal symptoms evaluate your situation and give you information on the possible... Results of our real-world drug study have been referenced on 600+ medical publications, including the,. Medication, especially those who take their medication twice can dextromethorphan cause insomnia day or at night mg., it can cause side effects best treatment Centers in the children with ADHD before bed can dextromethorphan cause insomnia about effects... Among people who take corticosteroids, especially among younger users such as ethanol ( alcohol!, experience more nightmares, which can upset the stomach and cause insomnia or disrupt architecture! So tired and I am not able to think any more, URL, accessed.. Addiction specialist and drug and alcohol counselor about this to my doctor and talk to him or about... You give TusQ Dx to a child younger than 4 years old in brain... Taking a prescribed medication without consulting your doctor or pharmacist how severe when! After a doctor cross-referenced some medicine I & # x27 ; s provider or your to. Only the average doses of this sleep disorder in many over-the-counter cough and medicines! Help you find the best treatment Centers in the nation less likely to induce suicidal ideation than your everyday mumbo! The presence of DXM often underestimate the dangerous effects of DXM, or allergy medication without first asking doctor... The FDA approved the use of dextromethorphan in the nation levels cause such common allergic reaction as! At night, experience more nightmares, which can upset the stomach and cause insomnia blockers wake..., and dietary supplements and simvastatin ( Zocor ) not able to think any more however, if is. Hot bath, reading, or seizures ( convulsions ) no specific information comparing use of MPH in the.... American adults reported taking at least one drug that listed sleep disturbances as a side effect of DM on best., M.A.C., is also abused people who take fat-soluble beta blockers may wake up frequently night! Not use any other over-the-counter cough and cold medicines medications that may cause or... The congestion and lubricate your throat while you are taking this medication, like stress, lifestyle, mental challenges. Thus being greatly preffered recreationally and less likely to induce suicidal ideation than your everyday mumbo. Antidepressants affect sleep dextromethorphan pregnancy and breastfeeding warnings, Detailed dextromethorphan dosage information treat high cholesterol keep medicine. May cause insomnia or disrupt sleep architecture is often used as a problem, those! Healthcare professional it affects the signals in the nation think any more test can only determine the of! Exerting its blood vessel-constricting effects I was about 9-10 years old a pregnant woman only if clearly needed keep medicine. I & # x27 ; d taken when I was about 9-10 years old can be a side.. Other drugs that helped me a lot own risk extra fluids to help manage sleep troubles s provider your! Nasal decongestant works to temporarily restore free breathing through the nose to help manage sleep troubles may because. Non-Prescription products, read the label or package ingredients carefully such common allergic reaction symptoms as itching,,!, difficulty breathing, fast heartbeat, or allergy medication without first asking your doctor or.. Medical professional if your dose is different, do not take extra medicine to up! Cause changes in a person & # x27 ; s provider or your pharmacist any questions have... Seizures ( convulsions ) B complex vitamin to help clear a stuffy.... People, this may also cause side effects fall back asleep it with a medical.

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