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Headaches, dizziness, lightheadedness, tiredness, nausea, a slow heartbeat, or trouble sleeping are some side effects you might notice. These are generally mild, but if they persist or worsen, consult your healthcare provider. To minimize dizziness and lightheadedness, rise slowly from sitting or lying down. This medication might decrease blood flow to your hands and feet, making them feel cold; avoid smoking and dress warmly to counteract this effect.

While most individuals do not experience serious side effects, stay alert for any severe symptoms. Contact your healthcare provider immediately if you notice blue fingers or toes, fainting, an unusually slow heartbeat, or new or worsening heart failure symptoms like shortness of breath, swelling of the ankles or feet, unusual tiredness, or sudden weight gain. Mental or mood changes such as confusion, mood swings, or depression also warrant prompt attention.

Though very rare, serious allergic reactions can occur. Seek emergency medical assistance if you experience a rash, itching or swelling particularly on the face, tongue, or throat, severe dizziness, or trouble breathing. This summary does not cover all possible side effects. If you encounter other unexpected symptoms, reach out to your healthcare provider for guidance.