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Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using rasagiline and call your doctor at once if you have:

  • extreme drowsiness, falling asleep suddenly, even after feeling alert;

  • unusual changes in mood or behavior;

  • a light-headed feeling, like you might pass out;

  • worsening symptoms of Parkinson's disease (especially uncontrolled muscle movements); or

  • dangerously high blood pressure--severe headache, blurred vision, pounding in your neck or ears, nosebleed, anxiety, confusion, severe chest pain, shortness of breath, irregular heartbeats, seizure.

Some people taking rasagiline with levodopa have fallen asleep during normal daytime activities such as working, talking, eating, or driving. Tell your doctor if you have any problems with daytime sleepiness or drowsiness.

You may have increased sexual urges, unusual urges to gamble, or other intense urges while taking Azilect. Talk with your doctor if this occurs.

Common side effects may include:

  • dizziness, drowsiness;

  • sleep problems (insomnia), strange dreams;

  • depressed mood;

  • upset stomach, nausea, vomiting, stomach pain;

  • loss of appetite, weight loss;

  • constipation;

  • joint pain or stiffness;

  • swelling in your hands or feet;

  • dry mouth, cough; or

  • flu symptoms (fever, chills, body aches).

This is not a complete list of side effects and others may occur.

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