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If it is almost time for your next dose, take only that dose. Do not take double or extra doses.</p> <h2>What may interact with this medicine?</h2> <p>Do not take this medicine with any of the following:</p> amoxapine arsenic trioxide certain medicines used to regulate abnormal heartbeat or to treat other heart conditions cisapride cocaine grepafloxacin halofantrine levomethadyl MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate other medicines for mental depression phenothiazines like perphenazine, thioridazine and chlorpromazine pimozide procarbazine sparfloxacin St. John's Wort ziprasidone <p>This medicine may also interact with the following:</p> atropine and related drugs like hyoscyamine, scopolamine, tolterodine and others barbiturate medicines for inducing sleep or treating seizures like phenobarbital cimetidine clonidine local anesthetics medicines for high blood pressure prescription pain medications seizure or epilepsy medicine such as carbamazepine or phenytoin stimulants like dexmethylphenidate or methylphenidate thyroid hormones <p>This list may not describe all possible interactions. 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