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In women, virilization (development of male features) can occur and may be irreversible if the drug is not discontinued promptly.Other Side Effects: Other potential side effects include nausea, vomiting, insomnia, headache, rapid weight gain (swelling), and changes in skin color

Even mild nocturnal hypoglycemia may fragment sleep without causing full awakening or obvious symptoms

The absence of human teratogenicity data means risk cannot be quantified, but early first-trimester exposure (gestational weeks 38) coincides with organogenesis when developmental signaling is most vulnerable to external modulators