Side Effects

Drug information provided by: Merative, Micromedex®

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Less common

  1. Fear, nervousness

Incidence not known

  1. Absence of or decrease in body movement
  2. attack, assault, force
  3. bigger, dilated, or enlarged pupils (black part of the eye)
  4. bleeding gums
  5. blistering, peeling, or loosening of the skin
  6. bloating
  7. bloody, black, tarry stools
  8. bloody or cloudy urine
  9. bluish color
  10. blurred vision
  11. burning, tingling, numbness or pain in the hands, arms, feet, or legs
  12. change in vision
  13. changes in patterns and rhythms of speech
  14. changes in skin color
  15. chest pain or tightness
  16. chills
  17. cold sweats
  18. coma
  19. confusion
  20. confusion as to time, place, or person
  21. cool, pale skin
  22. cough
  23. cracks in the skin
  24. dark urine
  25. deafness
  26. decrease in frequency of urination
  27. decreased urine output
  28. depression
  29. diarrhea
  30. difficult, burning, or painful urination
  31. difficulty in passing urine (dribbling)
  32. difficulty in swallowing
  33. dizziness
  34. dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  35. drowsiness
  36. dry mouth
  37. extra heartbeats
  38. eye pain
  39. fainting
  40. false or unusual sense of well-being
  41. feeling, seeing, or hearing things that are not there
  42. feeling that others can hear your thoughts
  43. feeling that others are watching you or controlling your behavior
  44. fever
  45. flushed, dry skin
  46. frequent urge to urinate
  47. fruit-like breath odor
  48. hallucinations
  49. headache
  50. heartburn
  51. holding false beliefs that cannot be changed by fact
  52. inability to move the eyes
  53. increased blinking or spasms of the eyelid
  54. increased hunger
  55. increased in sexual ability, desire, drive, or performance
  56. increased interest in sexual intercourse
  57. increased sensitivity of the eyes to light
  58. increased thirst
  59. increased urination
  60. indigestion
  61. irritability
  62. itching
  63. itching of the vagina or genital area
  64. joint or muscle pain
  65. large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  66. lip smacking or puckering
  67. loss of appetite
  68. loss of bladder control
  69. loss of heat from the body
  70. loss of vision
  71. muscle cramps, spasms, pain, stiffness, tightness, or weakness
  72. nausea
  73. nerve pain
  74. nightmares
  75. pain during sexual intercourse
  76. pain or burning in the throat
  77. pains in the stomach, side, or abdomen, possibly radiating to the back
  78. pounding, slow heartbeat
  79. pounding in the ears
  80. problems with speech or speaking
  81. puffing of cheeks
  82. rapid or worm-like movements of tongue
  83. red, swollen, or scaly skin
  84. red irritated eyes
  85. red skin lesions, often with a purple center
  86. restlessness
  87. seizures
  88. sensation of pins and needles
  89. severe mood or mental changes
  90. shakiness
  91. slurred speech
  92. sore throat
  93. sores, ulcers, or white spots on the lips or tongue or inside the mouth
  94. stabbing pain
  95. sticking out of the tongue
  96. stomach cramps, tenderness, pain, or burning
  97. sugar in the urine
  98. sweating
  99. swelling of the breasts or breast soreness in both females and males
  100. swelling of the face, ankles, or hands
  101. swelling of the foot or leg
  102. swollen, painful, or tender lymph glands in the neck, armpit, or groin
  103. swollen glands
  104. tenderness
  105. tenderness, pain, swelling, warmth, skin discoloration, and prominent superficial veins over the affected area
  106. thick, white vaginal discharge with no odor or with a mild odor
  107. thoughts of killing oneself changes in behavior
  108. trouble breathing
  109. trouble sleeping
  110. trouble speaking
  111. twitching, twisting, uncontrolled repetitive movements of the tongue, lips, face, arms, or legs
  112. uncontrolled chewing movements
  113. uncontrolled twisting movements of the neck, trunk, arms, or legs
  114. unexplained weight loss
  115. unusual behavior
  116. unusual bleeding or bruising
  117. unusual excitement, nervousness, or restlessness
  118. unusual facial expressions
  119. unusual tiredness or weakness
  120. upper right abdominal or stomach pain
  121. vomiting
  122. vomiting of blood or material that looks like coffee grounds
  123. watery or bloody diarrhea
  124. yellow eyes and skin

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

  1. Agitation
  2. blurred vision
  3. coma
  4. confusion
  5. dark-colored urine
  6. decreased awareness or responsiveness
  7. diarrhea
  8. difficult or trouble breathing
  9. dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  10. fast, pounding, or irregular heartbeat or pulse
  11. fever
  12. hyperexcitability
  13. inability to move the eyes
  14. increased blinking or spasms of the eyelid
  15. irregular, fast or slow, or shallow breathing
  16. loss of consciousness
  17. mental depression or anxiety
  18. muscle cramps, spasms, pain, stiffness, or tightness
  19. nausea
  20. nightmares or unusually vivid dreams
  21. overactive reflexes
  22. pale or blue lips, fingernails, or skin
  23. poor coordination
  24. seeing, hearing, or feeling things that are not there
  25. seizures
  26. severe sleepiness
  27. shakiness and unsteady walk
  28. shivering
  29. sticking out of the tongue
  30. sweating
  31. talking or acting with excitement you cannot control
  32. trembling or shaking
  33. twitching
  34. uncontrolled twisting movements of the neck, trunk, arms, or legs
  35. unsteadiness, trembling, or other problems with muscle control or coordination
  36. unusual facial expressions
  37. unusual tiredness or weakness
  38. vomiting

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  1. Increased sweating

Less common

  1. Burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
  2. constipation

Incidence not known

  1. Feeling of discomfort
  2. inflammation of the joints
  3. loss or thinning of the hair
  4. muscle aches

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.