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These side effects include headache, fast heart rate, and drowsiness. If you use more than one inhalation at a time, wait at least 1 minute before using the second inhalation and shake the inhaler again. Closed Captioning and Described Video is available for many CBC-TV shows offered on CBC Watch. Antagonized by pro-kinetic drugs. CYP2C19 ultrarapid metabolizers should avoid the use of this drug due to reduced effectiveness. Never cut down or pull up living Tulasi plants.