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While side effects from this medication are uncommon, some individuals might experience changes such as darkening of the stools or tongue. These are harmless and typically resolve once the medication is discontinued. It's reassuring to know that many users do not experience serious side effects. However, if you experience persistent vomiting or diarrhea, it could lead to dehydration. Be alert for symptoms like reduced urination, an unusually dry mouth or thirst, a rapid heartbeat, or dizziness, and seek medical attention promptly if these occur.

Serious side effects, although rare, require immediate medical consultation. These include ringing in the ears, hearing loss, and signs of stomach or intestinal bleeding, such as persistent abdominal pain, vomit resembling coffee grounds, or black, tarry, or bloody stools. There is also a very low risk of a severe allergic reaction. If you notice symptoms such as a rash, swelling, especially of the face, tongue, or throat, severe dizziness, or difficulty breathing, seek emergency medical help immediately.

This summary does not cover all potential side effects. If you notice any other unusual changes or reactions, it is important to contact your healthcare provider for advice.

Certain medications can interact with this drug, including valproic acid, carbonic anhydrase inhibitors like acetazolamide, corticosteroids such as prednisone, dichlorphenamide, and methotrexate. Taking this medication may heighten the risk of bleeding if used with other drugs that also cause bleeding, such as anti-platelet medications like clopidogrel and blood thinners like dabigatran, enoxaparin, or warfarin.

Be sure to review the labels of all your prescription and over-the-counter medications, as many contain pain relievers or fever reducers (NSAIDs like aspirin, ibuprofen, or naproxen) similar to this drug, which could increase the likelihood of side effects. If your doctor has advised you to take low-dose aspirin (81-162 milligrams daily) to help prevent heart attacks or strokes, continue taking it unless instructed otherwise by your doctor. For more information, consult your doctor or pharmacist.

This medication might interfere with specific medical or laboratory tests, such as intestinal x-rays using contrast dye, potentially leading to inaccurate results. Ensure all your healthcare providers and lab personnel are aware you are using this medication.