 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  effect is increased by using alcohol or other medications that can make you drowsy. See also Precautions section. Tell your doctor right away if you have any serious side effects, including: fainting, mental/mood changes (such as confusion, agitation, hallucinations), unusual strong urges (such as increased gambling, increased sexual urges), new/worsening movements you can't control/spasms, greatly increased eye blinking/twitching, easy bruising/bleeding, signs of infection (such as sore throat that doesn't go away, fever), unusual tiredness, tingling of the hands/feet, vision changes (such as blurred/double/decreased vision), eye pain, severe stomach/abdominal pain, vomit that looks like coffee grounds, black/tarry stools, problems with urination. Get medical help right away if you have any very serious side effects, including: chest pain. Suddenly stopping or reducing the dose of this medication may rarely cause a very serious condition called neuroleptic malignant syndrome (NMS). Get medical help right away if you have any of the following symptoms: fever, unusual muscle stiffness, severe confusion, sweating, fast/irregular heartbeat, rapid breathing. A very serious allergic reaction to </s>