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I rated this at 50% because I'm not quite sure what's going on and how I feel about it. I have Raynaud's syndrome and my hands and feet are constantly cold, blue, white, etc. If I'm in the heat or long showers, my feet turn bright red and get painful. If I'm doing physical activties my hands get red and swollen. Anyway, I took this medicine for the first time at about 8:30 last night. It's now 4am and my feet are bright red, swollen, and painful, and my only minor relief is to keep my feet elevated (which can get tricky at work). They are warm, and my hands are warm, which is much different than usual, but this swelling is very bothersome. I'm not sure which is worse- before the meds or now. Right now, I think I'd rather take the cold.