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You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how Pamelor affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may increase dizziness and drowsiness. Avoid alcoholic drinks.

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If you are diabetic, check your blood sugar more often than usual, especially during the first few weeks of treatment with Pamelor. Pamelor can affect blood sugar levels. Call your doctor or health care professional for advice if you notice a change in the results of blood or urine glucose tests.

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