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• change in emotion or behavior such as feeling depressed, angry, or anxious
• chest pain
• difficulty breathing
• difficulty swallowing
• excessive thirst and/or hunger
• fast or irregular heartbeat or palpitations
• fever
• frequently needing to urinate
• inability to control muscle movements in the face, hands, arms, or legs
• loss of balance or difficulty walking
• prolonged erection
• seizures
• skin rash or hives
• stiff muscles or jaw
• tremor
• uncontrollable movements or spasms of the face, tongue or mouth
• weakness or loss of strength

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• constipation
• drowsiness
• headache
• nausea or vomiting
• upset stomach

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