What side effects may I notice from receiving Synarel?

Side effects that you should report to your doctor or health care professional as soon as possible:

-breathing problems
-changes in vision
-chest pain
-depression
-seizures
-suicidal thoughts or other mood changes
-sudden headache
-swelling of hands, feet
-vaginal bleeding, discharge
-vomiting

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

-acne
-body odor
-change in sex drive or performance
-hot flashes
-increase in breast size at start of therapy
-runny nose
-trouble sleeping
-vaginal dryness

This list may not describe all possible side effects for Synarel. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.