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When taking this medication, you may experience some common side effects such as dizziness, lightheadedness, drowsiness, headache, a slow heartbeat, tiredness, or diarrhea. These are usually mild and manageable. If these effects persist or become bothersome, it’s important to inform your healthcare provider. To help reduce dizziness and lightheadedness, try rising slowly from sitting or lying positions.

It's possible for this medication to reduce blood flow to your hands and feet, causing them to feel cold. Smoking can intensify this sensation, so it’s advisable to dress warmly and avoid tobacco. In some instances, the medication may also lead to decreased sexual ability.

More serious side effects, although less common, include dehydration and electrolyte imbalances. Be alert for dry mouth, extreme thirst, muscle cramps or weakness, irregular heartbeat, and confusion, and contact your healthcare provider if these occur. Additionally, serious effects like very slow or irregular heartbeat, fainting, mood changes, joint pain, blue fingers or toes, vision changes, or signs of kidney problems need immediate medical attention.

Some individuals might rarely experience worsening symptoms of heart failure, such as shortness of breath, ankle or foot swelling, unusual tiredness, or sudden weight gain, and should seek medical advice right away. Severe allergic reactions to this drug are rare, but symptoms like rash, swelling, severe dizziness, or trouble breathing require urgent medical care. Always consult your healthcare provider if you notice any side effects not listed here.