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Experiencing tiredness, a slow heartbeat, or dizziness is common with this medication, but usually not concerning. If these symptoms persist or worsen, consult a healthcare professional. To help prevent dizziness or lightheadedness, rise slowly from sitting or lying positions. It's also possible for the drug to reduce blood flow to your hands and feet, making them feel cold. Avoid smoking and dress warmly to manage this effect.

Rarely, decreased sexual ability has been reported. However, if you notice severe symptoms such as a very slow heartbeat, fainting, blue fingers or toes, worsening heart failure signs like shortness of breath, swelling of ankles or feet, unusual tiredness, unexpected weight gain, or mental changes like confusion or depression, seek medical attention immediately.

Although a very serious allergic reaction to this medication is rare, it requires immediate medical help if symptoms like rash, swelling, severe dizziness, or difficulty breathing occur. This summary doesn't cover all possible side effects. If you experience any side effects not mentioned, contact your healthcare provider for guidance.