Consuming alcohol while taking D Metro may cause symptoms such as flushing, increased heart beat, nausea, thirst, chest pain and low blood pressure (Disulfiram reaction).

D Metro is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.

D Metro should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from her body. If a single dose of D Metro is used, it is recommended to hold breastfeeding for 12-24 hours to allow the removal of the drug.

D Metro may cause side effects which could affect your ability to drive. D Metro may make you feel sleepy, dizzy, confused. You may have hallucinations, fits (convulsions) or temporary eyesight problems (such as blurred or double vision) affecting your ability to drive.

D Metro is safe to use in patients with kidney disease. No dose adjustment of D Metro is recommended. Patients undergoing kidney dialysis should take this medicine after the dialysis treatment.

D Metro should be used with caution in patients with liver disease. Dose adjustment of D Metro may be needed. Please consult your doctor.