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•It may affect your blood sugar.‍​‍‍‍​‍‍‍‍‍‍‍‍​‍ Check blood sugar levels closely. It may make you drowsy. Do not drive a car or operate machinery while taking this medication. Do not drink alcohol while taking this medication. Ensure an interval of at least 24 hr after stopping an ergotamine compound and starting a serotonin (5-HT1) agonist. Caution needed for patients with history of mild to moderate liver or kidney impairment; coronary artery disease; pregnancy, breastfeeding, seizures, elderly. • Patient may develop with increased risk of Serotonin Syndrome with the following symptoms: increased heart rate, shivering, sweating, dilated pupils,etc . If it is so consult with your healthcare provider.