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When taking this medication, you might experience mild side effects such as headaches, nausea, vomiting, constipation, dizziness, a sensation of spinning, drowsiness, sleep difficulties, or nervousness. These are generally not serious, but if they persist or worsen, consult a healthcare professional. Additionally, phenytoin can cause your gums to swell and bleed. Regular dental hygiene, like brushing, flossing, and gum massages, can help reduce this issue. It’s also beneficial to visit your dentist regularly for check-ups.

Be vigilant for more serious side effects that require prompt medical attention, such as a slow heartbeat, unusual eye movements, loss of coordination, speech difficulties, confusion, muscle twitching, blurred or double vision, tingling in the hands or feet, facial changes, excessive hair growth, increased thirst or urination, unusual tiredness, or bone pain. Additionally, some people taking anticonvulsants may experience mental health changes, including depression or suicidal thoughts. If you notice any sudden shifts in mood or behavior, seek medical advice immediately.

In rare cases, men may experience a painful or prolonged erection lasting over four hours. This requires urgent medical attention to prevent long-term complications. Serious side effects also include uncontrolled muscle movements, symptoms of liver problems, easy bruising or bleeding, and signs of a severe allergic reaction such as fever, swollen lymph nodes, rash, or difficulty breathing. If you experience any of these, seek emergency medical help. Remember, this is not a comprehensive list of side effects, so if you notice any unusual symptoms, contact a healthcare provider for guidance.