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Experiencing nausea, vomiting, diarrhea, or a loss of appetite is common, and these effects typically resolve on their own. If they persist or worsen, it's important to inform your healthcare provider. Most people using this medication do not encounter serious side effects, so there is generally no need for concern.

However, be vigilant about serious side effects such as muscle weakness, mood changes, kidney issues (evidenced by changes in urination or blood in urine), extreme drowsiness, and symptoms of low blood sugar like sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, or tingling in the hands or feet. If you experience any of these, contact your healthcare provider immediately.

Seek emergency medical attention for very serious side effects, which include persistent headaches, neck stiffness, seizures, or irregular heartbeat. Rarely, this medication may cause a severe intestinal condition linked to C. difficile bacteria. Symptoms include persistent diarrhea, abdominal pain, or blood/mucus in stool. Avoid using anti-diarrhea or opioid products if these symptoms occur.

Long-term use might lead to oral thrush or yeast infections. Look out for white patches in the mouth or changes in vaginal discharge. Rarely, severe allergic reactions, skin rashes like Stevens-Johnson syndrome, blood disorders, liver damage, or lung injury may occur. Get immediate help if you notice symptoms like a persistent sore throat, cough, unrelenting nausea/vomiting, skin rash/blisters, itching/swelling, lymph node swelling, severe dizziness, paleness, chest pain, joint aches, breathing difficulties, easy bleeding/bruising, yellowing of the eyes or skin, unusual tiredness, or dark urine.

This summary does not cover all possible side effects. If you notice any other unusual symptoms, consult your healthcare provider.