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Recommended dosing is 2 to 4 mg every 6 to 8 hours not to exceed three doses per day. The maxium is 36 mg per day.
If you experience any of these common or severe adverse side-effects you should seek medical attention:
Cardiovascular: Hypotension; Gastrointestinal: Xerostomia; Neurologic: Asthenia, Dizziness, Somnolence
Hepatic: Hepatotoxicity, Liver function tests abnormal
Let me qualify, if you experience any of these side-effects that you have not commonly experienced previoulsy taking this medication.
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If you experience and of the following common (any which you do not routinely already experience with this medication) or severe side-effects, you should seek medical attention.
Common side-effects include: (1) Cardiovascular: Hypotension (low blood pressure); (2) Gastrointestinal: Xerostomia (dry mouth); and (3) Neurologic: Asthenia (muscle weakness), Dizziness, and Somnolence (sleepiness).
Serious side-effects include: (1) Hepatic: Hepatoxicity, liver function tests abnormal. An indication of this, other than having laboratory work performed, could be yellowing of the whites in your eyes.
With the hypotension there may be accompanying bradycardia (slow heart rate).
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Respiratory depression is not an adverse effect associated with this medication. Bradycardia associated with hypotension being dangerous is a possibility.