Why side effects happen

Medicines work by affecting processes in the body. The same mechanisms that improve symptoms can also cause unwanted effects, particularly when treatment is first started or doses are changed.

Side effects vary between individuals. What one person tolerates well may be problematic for another. This is why follow-up and review are important parts of prescribing.

Many medicines cause mild side effects that are expected and often settle within days or weeks. Examples include:

  • nausea or stomach upset
  • headache
  • dizziness or lightheadedness
  • mild drowsiness
  • changes in bowel habit

A GP will usually explain what side effects to expect and how long they may last.

Some side effects do not require emergency care but should be discussed with a GP, particularly if they persist or worsen.

These may include:

  • ongoing gastrointestinal symptoms
  • sleep disturbance or fatigue
  • mood changes
  • skin reactions that are mild but persistent
  • symptoms that interfere with daily activities

In these situations, a medication may need adjusting, changing, or stopping.

Certain symptoms suggest a higher risk of harm and need prompt assessment. These may include:

  • severe or worsening symptoms
  • new neurological symptoms such as confusion or weakness
  • unexplained bleeding or bruising
  • chest pain or significant breathlessness

A GP can advise whether symptoms are likely to be medication-related and what action to take.

Allergic reactions and severe side effects

True medication allergies are uncommon but can be serious. Symptoms such as swelling of the lips or tongue, difficulty breathing, collapse, or a rapidly spreading rash require urgent medical attention.

If you have previously experienced a drug allergy, this should always be shared with your GP before starting new medication.

What to do if you are worried about side effects

Do not stop prescribed medication abruptly unless advised, as this can sometimes cause harm. If you are concerned about side effects, a GP can help assess:

  • whether symptoms are likely medication-related
  • whether they are expected or concerning
  • whether treatment should continue, change, or stop

Clear advice can help avoid unnecessary worry while keeping you safe.

Side effects in remote GP care

Many side effects can be safely assessed during a remote GP consultation. However, some symptoms require physical examination, observations, or urgent assessment.

If remote assessment is not appropriate, this will be explained and next steps advised.


Further Reading and Hub Links

Visit our Medication and Prescribing hub or browse more health topics in the AccessGP Knowledge Base.

If you are worried about side effects or unsure whether a medication is right for you, a GP can help guide you on the safest next step.

Last reviewed by Dr Zamiel Hussain, GMC registered GP
Updated: 8 February 2026