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Tell your doctor about all prescription, nonprescription, illegal, recreational, herbal, nutritional, or dietary drugs you re taking, especially anticoagulants blood thinners , such as warfarin coumadin penicillin isotretinoin accutane tretinoin retin-a cholesterol-lowering drugs, such as cholestyramine prevalite, questran or colestipol colestid any product that contains bismuth subsalicylate, such as pepto-bismol phenytoin dilantin carbamazepine tegretol barbiturates, such as phenobarbital.

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Baseline and periodic eye examinationsincluding slit-lampfunduscopyand tonometryare recommended since many phenothiazines and related drugs have been shown to cause eye changes.

Dialysis is indicated only in severe poisoning associated with renal failureReplacement transfusion is indicated in severe poisoning in small children.

The most frequently observed adverse reactionsparticularly during the initial phases of therapyare dizzinessdrowsinessunsteadinessnauseaand vomitingTo minimize the possibility of such reactionstherapy should be initiated at the lowest dosage recommended.

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