 <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]  dangerous activities until you have discussed this effect with your doctor. Your risk of this sleep 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, unusual tiredness, tingling/numbness/weakness of the hands/feet, vision changes (such as blurred/double/decreased vision), eye pain. This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the results are high. Get medical help right away if you have any very serious side effects, including: constipation that doesn't go away, nausea/vomiting that doesn't stop, vomit that looks like coffee grounds, bloody/black/tarry stools, stomach/abdominal pain, signs of infection (such as fever, chills), redness/swelling/pain/oozing around the tube </s>