Currently on Biaxin XL on a 14-day regimen for a sinus infection. Experiencing piercing headaches on the top of my head, increased heart rate, diarrhea, insomnia, tongue discoloration, and horrible metallic taste in my mouth. I can't imagine finishing out this 14-day regimen the bad taste in my mouth is enough to gag me. Call into my doctor today for something else as I have never had a problem with side effects in the past on cephalexin or z-pak.