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Common side effects of this medication include frequent urination, dry mouth, dizziness, and lightheadedness. These are generally mild, but if they persist or worsen, it is important to inform your healthcare provider. To minimize dizziness and lightheadedness, rise slowly from sitting or lying positions.

Serious side effects require immediate medical attention. These include signs of a bladder infection, such as fever and painful urination, kidney issues like altered urine output and swelling in the legs or feet, and high potassium levels indicated by muscle weakness and irregular heartbeat. Severe symptoms like unusual tiredness, nausea, stomach pain, or difficulty breathing necessitate urgent care.

This medication may cause yeast infections or, rarely, a serious bacterial infection called Fournier's gangrene. Symptoms of yeast infections include unusual discharge and itching, while symptoms of Fournier's gangrene include pain and swelling in the genital area with fever.

Although this medication typically doesn't cause low blood sugar, it may occur if taken with other diabetes drugs, insufficient food intake, or heavy exercise. Symptoms of low blood sugar include shaking, fast heartbeat, and dizziness. Carry glucose tablets or consume a quick sugar source if necessary.

Signs of high blood sugar include increased thirst and urination. Consult your healthcare provider if these occur, as medication, diet, or exercise adjustments may be needed. Rarely, this medication can increase the risk of lower limb loss, especially in individuals with certain health conditions. Monitor for any pain or sores on your legs and feet.

Dehydration is a possible risk, leading to severe kidney damage. Ensure adequate fluid intake and seek medical advice if you experience symptoms like reduced urination or a rapid heartbeat. Additionally, the medication may cause bone loss, so maintain a lifestyle that supports bone health, including exercise and adequate calcium and vitamin D intake.

Although rare, serious allergic reactions can occur. Seek immediate medical help if you experience symptoms such as rash, severe dizziness, or difficulty breathing. This summary does not include all possible side effects. If you notice other unusual effects, contact your healthcare provider.