+2
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Tiredness or fatigue due to slower heart rate and reduced cardiac output
Dizziness or lightheadedness, especially when standing up suddenly, linked to lowered blood pressure
Diarrhea or mild gastrointestinal disturbances
Skin reactions including rash or itchiness
Headache and shortness of breath
Mood changes such as mild depression
Less Common Side Effects
Slow or irregular heartbeat (bradycardia)
Low blood pressure (hypotension)
Cold extremities or Raynaud’s phenomenon
Worsening of existing heart failure or fluid retention
Disturbed vision or double vision
Muscle cramps and joint pain
Sexual dysfunction (impotence or decreased libido)
Rare but Serious Side Effects
These require urgent medical attention
Drugs.com
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Severe allergic reactions: swelling of the face, lips, tongue, or throat; difficulty breathing
Severe bradycardia or heart block
Worsening heart failure: sudden weight gain, swelling of legs, fatigue, shortness of breath
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