This medication may cause lactic acidosis (a build-up of lactic acid in the body, which can be fatal). Lactic acidosis can start slowly and get worse over time. Get emergency medical help if you have even mild symptoms of lactic acidosis, such as: muscle pain click the following article or weakness, numb or cold feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, fast or uneven heart rate, dizziness. Or feeling very weak or tired. Call your doctor at once if you have any of these other serious side effects:. Signs of a new infection such as fever. Chills, body aches, flu symptoms, sores in your mouth and throat; Pale skin, feeling light-headed, rapid heart rate, trouble concentrating; Easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin; Increased sweating, tremors in your hands, anxiety.
 
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