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When taking this medication, you might experience frequent urination, dizziness, or lightheadedness. These are generally mild, but if they persist or worsen, consult your healthcare provider. To minimize dizziness, rise slowly from sitting or lying down. Serious side effects are less common, but should you notice signs of a urinary tract infection, such as burning or painful urination, or symptoms of kidney issues like changes in urination or swelling in the legs, contact your healthcare provider immediately.

Seek urgent medical attention if you experience unusual fatigue, nausea, stomach pain, or difficulty breathing. There's a possibility of developing a yeast infection, with symptoms like unusual discharge or itching. In rare cases, a serious bacterial infection in the genital area could occur, requiring immediate medical help if accompanied by fever or discomfort.

An increased risk of lower limb amputation is noted, especially if you have existing foot problems or poor circulation. Regular foot checks and reporting any new pain or sores to your healthcare provider is advised. While low blood sugar is unlikely with this medication alone, combining it with other diabetes drugs or insufficient calorie intake might cause it. Keep glucose tablets handy and consult your healthcare provider if symptoms like sudden sweating or dizziness arise.

High blood sugar might present as increased thirst or urination, prompting a review of your treatment plan. Dehydration can occur, risking kidney health, so stay hydrated and alert your healthcare provider if you're unable to drink fluids normally or notice symptoms like dry mouth or fast heartbeat. Though rare, severe allergic reactions can happen; immediate medical assistance is essential if you experience symptoms such as rash or difficulty breathing. This summary doesn't cover all side effects, so report any unusual reactions to your healthcare provider.