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When taking this medication, you might experience some mild side effects such as back pain, dizziness, or lightheadedness. These are generally not serious, but if they persist or worsen, it's important to discuss them with your healthcare provider. To minimize dizziness and lightheadedness, try to stand up slowly after sitting or lying down. Additionally, this medication may cause a slow heartbeat when you first start using it.

Regular monitoring of your blood pressure is advised as this medication can potentially raise it. Notify your healthcare provider if you consistently get high blood pressure readings. While many people do not experience serious side effects, be vigilant for any signs of liver issues, like persistent nausea, loss of appetite, abdominal pain, yellowing of the skin or eyes, or dark urine.

This medication can temporarily weaken your immune system, increasing your risk of infections for up to three months after the last dose. Watch for symptoms like a persistent sore throat, cough, fever, or flu-like symptoms, and report them to your healthcare provider immediately. Avoid starting this medication if you have an existing infection.

There is also a risk of a rare but severe brain infection known as progressive multifocal leukoencephalopathy (PML). Symptoms mimic a worsening of multiple sclerosis, including clumsiness, loss of coordination, memory issues, and difficulty with speech or movement. Seek immediate medical attention if these occur.

Severe side effects requiring urgent medical help include very slow or irregular heartbeat, severe dizziness, fainting, changes in vision, or sudden severe headaches. Though rare, a serious allergic reaction may occur, characterized by rash, swelling of the face or throat, or difficulty breathing. Any new or unexplained symptoms should prompt a discussion with your healthcare provider.