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Almotriptan may cause some mild side effects such as drowsiness, dizziness, nausea, tingling or numbness sensations, or dry mouth. These are generally not serious, but if they persist or worsen, consult your healthcare provider. It's important to monitor your blood pressure regularly, as this medication can cause an increase.

Commonly, patients may experience chest, jaw, or neck tightness, pain, or pressure. While usually not serious, these can resemble heart attack symptoms, so seek immediate medical attention if you experience chest or jaw pain, left arm pain, shortness of breath, or unusual sweating.

Serious side effects include blue fingers, toes, or nails, cold sensations in the hands or feet, changes in hearing or mental state, fast or irregular heartbeat, fainting, severe abdominal pain, bloody diarrhea, and signs of a stroke, such as weakness on one side of the body, trouble speaking, sudden vision changes, or confusion. If any of these occur, contact your healthcare provider immediately.

Almotriptan may also increase serotonin levels, potentially leading to serotonin syndrome, a rare but serious condition. Symptoms include fast heartbeat, hallucinations, loss of coordination, severe dizziness, nausea, vomiting, diarrhea, twitching muscles, unexplained fever, and unusual agitation. If you experience any of these, seek medical help right away.

Although very rare, serious allergic reactions can occur. Look out for rash, itching or swelling, especially on the face, tongue, or throat, severe dizziness, and difficulty breathing. Prompt medical attention is crucial if these symptoms arise. If you notice any other side effects not mentioned here, contact your healthcare provider for guidance.