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This medication can cause some common side effects, including drowsiness, dizziness, tiredness, diarrhea, and a slow heartbeat. These effects are generally mild, but it's important to inform your healthcare provider if they persist or worsen. Occasionally, users may experience a decrease in sexual ability, though this is rare. To minimize dizziness and lightheadedness, it's advisable to rise slowly from a sitting or lying position.

In some cases, you might notice an empty tablet shell in your stool, which is harmless. The medication may also reduce blood flow to your hands and feet, making them feel cold. To alleviate this, dress warmly and avoid smoking, as it can exacerbate the effect.

While serious side effects are uncommon, you should seek medical attention if you experience very slow heartbeat, fainting, bluish fingers or toes, new or worsening symptoms of heart failure such as shortness of breath, swollen ankles or feet, unusual tiredness, or sudden weight gain. Mental or mood changes like confusion, mood swings, or depression should also be reported immediately.

Though rare, a severe allergic reaction may occur. Signs to watch for include rash, itching or swelling of the face, tongue, or throat, severe dizziness, and difficulty breathing. Any new or unexpected side effects should be discussed with your healthcare provider promptly.