Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, depression, anxiety, or if you feel agitated, irritable, hostile, aggressive, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have a serious side effect such as:

• confusion, hallucinations, unusual thoughts or behavior;
• unusual risk-taking behavior, no fear of danger;
• weak or shallow breathing;
• unusual or involuntary eye movements;
• pounding heartbeats or fluttering in your chest;
• painful or difficult urination, urinating less than usual;
• pale skin, easy bruising or bleeding; or
• new or worsening seizures.

Less serious side effects may include:

• drowsiness, dizziness, problems with thinking or memory;
• tired feeling, muscle weakness, loss of balance or coordination;
• slurred speech, drooling or dry mouth, sore gums;
• runny or stuffy nose;
• loss of appetite, nausea, diarrhea, constipation;
• blurred vision;
• headache;
• sleep problems (insomnia);
• skin rash; or
• weight changes.