Rare reports include hair thinning, dry or itchy skin, or unusual rashes. These aren’t everyday complaints but show up in post-marketing data and user forums.
Things like nausea, stomach discomfort, or even changes in taste (dysgeusia) pop up occasionally. One study noted altered taste as very rare but frustrating when it happens.
Some mention abnormal dreams, mild anxiety-like feelings, or sleepiness that’s hard to shake. These psychological or neurological tweaks are uncommon but noted in pharmacovigilance reviews.
But that’s not all… the real eye-opener comes next.

Signs People Often Miss (And Why They Matter)
Many overlook these because they develop gradually:
- Swelling that starts in ankles but spreads subtly to hands or face.
- Gum issues dismissed as poor brushing habits.
- Fatigue blamed on age, work, or poor sleep.
- Minor skin changes ignored until they persist.
Here’s a quick comparison of common vs. lesser-known effects:
- Common (Often Mentioned): Ankle/foot swelling, headache, flushing, dizziness.
- Lesser-Known (Under-Discussed): Gum overgrowth/tenderness, persistent unusual fatigue, hair thinning, altered taste, mild mood/sleep changes.
If any resonate, tracking when they started relative to your dose can help discussions with your healthcare provider.