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When taking this medication, you might experience mild side effects such as an upset stomach or heartburn. These are common and often manageable, but if they persist or worsen, it is important to communicate with your healthcare provider promptly. While many individuals do not encounter serious side effects, it is crucial to be aware of them. Serious side effects can include persistent nausea or vomiting, easy bruising or bleeding, hearing difficulties, ringing in the ears, changes in urine output, unexplained fatigue, dizziness, dark urine, and yellowing of the eyes or skin.

In rare cases, this medication can lead to severe bleeding in the stomach or intestines. If you detect severe or persistent stomach pain, black or tarry stools, vomit resembling coffee grounds, difficulty speaking, weakness on one side of the body, sudden vision changes, or a severe headache, seek medical attention immediately.

Although uncommon, a serious allergic reaction to this drug can occur. Signs such as fever, swollen lymph nodes, rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing require urgent medical care. While this summary includes the primary side effects, it is not exhaustive. If you notice any other unusual symptoms, contact your healthcare provider for guidance.

Some medications that may interact with this drug include Mifepristone, Acetazolamide, blood thinners like Warfarin and heparin, corticosteroids such as Prednisone, dichlorphenamide, Methotrexate, Valproic Acid, and herbal supplements like Ginkgo Biloba. It's important to consult your doctor if you have recently received live vaccines, such as the varicella vaccine or the live flu vaccine.

Be sure to carefully check the labels of all your prescription and over-the-counter medications, as many contain pain relievers or fever reducers such as Aspirin and NSAIDs like Ibuprofen, Ketorolac, or Naproxen. These are similar to this medication and could increase the chance of side effects when used together. Regular use of NSAIDs can also reduce the effectiveness of aspirin in preventing heart attacks or strokes. If you are on low-dose aspirin for heart attack or stroke prevention, talk to your doctor or pharmacist about alternative options, such as Acetaminophen, for managing pain or fever.

Additionally, this medication might affect certain laboratory tests, including some urine sugar tests, potentially leading to incorrect results. Ensure that all healthcare professionals and lab staff are aware that you are taking this medication.