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It is important not to discontinue this medication without consulting your healthcare provider. Abrupt cessation can exacerbate your condition, particularly if you experience chest pain (angina) or have heart-related issues such as coronary artery disease, ischemic heart disease, or hypertension. If it is necessary for you to stop taking this medication, your doctor will guide you on how to gradually reduce your dosage.

When tapering off the medication, it is advisable to temporarily reduce physical exertion to minimize cardiac strain. Seek immediate medical attention if you experience symptoms such as intensified chest pain, a sensation of chest tightness or pressure, chest pain that radiates to the jaw, neck, or arm, excessive sweating, difficulty breathing, or a rapid or irregular heartbeat.

As your body adapts to the medication, you might experience dizziness, lightheadedness, or tiredness. These are common and generally mild side effects. Nausea, vomiting, stomach pain, vision changes, trouble sleeping, and unusual dreams may also occur but typically resolve on their own. To minimize dizziness or lightheadedness, rise slowly from sitting or lying down. This medication might decrease blood flow to your hands and feet, possibly making them feel cold; avoid smoking and dress warmly to help with this.

While serious side effects are uncommon, be alert to certain signs. Contact your healthcare provider immediately if you experience blue fingers or toes, changes in mood or mental state such as depression, numbness or tingling in your arms or legs, or any new or worsening symptoms of heart failure like shortness of breath or swelling in ankles/feet. Other serious symptoms include a very slow heartbeat, fainting, decreased sexual ability, increased thirst or urination, easy bruising or bleeding, signs of infection like persistent sore throat or fever, and aching or swollen joints.

Although rare, a severe allergic reaction is possible. Seek urgent medical attention if you notice a rash, itching, swelling particularly of the face, tongue, or throat, severe dizziness, or trouble breathing. This list doesn’t cover all potential side effects, so if you experience anything unusual, consult your healthcare provider for advice.