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You may experience tiredness, dizziness, lightheadedness, nausea, an upset stomach, a slow heartbeat, or trouble sleeping while on this medication. Typically, these side effects are mild and manageable, but if they persist or worsen, it's important to reach out to your healthcare provider. To help minimize dizziness and lightheadedness, try standing up slowly from sitting or lying positions. This medication might also reduce blood flow to your hands and feet, causing a sensation of coldness. To mitigate this, dress warmly and avoid smoking, as it can exacerbate the cold feeling.

While serious side effects are uncommon, they should be promptly addressed if they occur. Contact your healthcare provider immediately if you experience symptoms such as asthma-like issues (tightness in the chest, shortness of breath, cough, wheezing), bluish fingers or toes, fainting, an unusually slow heartbeat, or new or worsening heart failure symptoms (such as shortness of breath, swollen ankles/feet, unusual tiredness, or sudden weight gain). Additionally, be vigilant for mental or mood changes like confusion, depression, or memory problems, as well as vision changes or signs of liver disease (persistent nausea, dark urine, vomiting, stomach pain, yellowing of the eyes or skin).

Though rare, a serious allergic reaction may occur. Seek immediate medical attention if you notice symptoms such as a rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or trouble breathing. This summary does not include all possible side effects, so if you observe any other unusual symptoms, contact your healthcare provider for advice.