Other issues that appear in post-marketing surveillance and patient forums include:
- Trouble falling asleep or staying asleep
- Digestive changes (bloating, constipation, loose stools)
- Mild tingling or “pins and needles” in hands/feet
- Headaches or mild joint aches
- Skin sensitivity or itching (uncommon)
Most of these are transient or mild when addressed promptly.
Smart, Doctor-Guided Strategies That Help Many People
You never want to stop or alter a prescribed medication without medical supervision. That said, here are practical steps patients and clinicians frequently discuss:
- Start or return to the lowest effective dose
