First of all, this spell is much more useful with Tongues.
Groove.
Jazzercize!
To monks with vows of silence, "Shout."
"Eat" works wonders with numerous items. Like mirrors.
If your foe is in a stinking cloud, and you're not, shout, "Breathe!"
Does "gimme!" work?
Sometimes useful against bad guy spellcasters who fail their saves, "Teleport."
Toss a baby bottle full of acid at them and shout, "Suckle!" Also works wonders in temples to love goddesses, if there are lots of statues. "Nurse," can also be useful in rare circumstances, like if you toss a woman a badger.