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You may experience some mild side effects with this medication, such as dizziness, drowsiness, trouble sleeping, lack of coordination, lightheadedness, loss of appetite, diarrhea, or double vision. These are generally not serious, but if they persist or worsen, it is important to consult with a healthcare professional.

In some cases, more serious side effects may occur. Be vigilant for mental or mood changes, which might include confusion, difficulty concentrating, memory issues, agitation, or irritability. Speech problems, decreased sweating, sudden back, side, or abdominal pain, and painful urination are also concerns that warrant immediate medical attention.

A very small number of individuals may experience depression, suicidal thoughts, or other mood changes. Notify a healthcare provider promptly if you or someone close notices any significant changes in mood or behavior, especially if they involve thoughts of self-harm.

This medication can lead to a serious condition known as metabolic acidosis. Seek urgent medical care if you experience symptoms such as bone pain, rapid breathing, an irregular heartbeat, unexplained fatigue, or severe drowsiness.

Rarely, the medication may cause severe side effects like easy bruising or bleeding, eye pain or redness, vision changes, or signs of kidney or liver issues, such as changes in urine color, persistent nausea, abdominal pain, yellowing eyes or skin, and dark urine.

Although a serious allergic reaction is rare, seek immediate help if you notice symptoms like fever, swollen lymph nodes, rash, itching or swelling, particularly of the face, tongue, or throat, severe dizziness, or breathing difficulties. If you encounter any other unusual effects, contacting a healthcare provider is advisable.