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When using this medication, some common side effects such as diarrhea, abdominal pain, or headaches may occur. These effects are generally mild, but if they persist or worsen, it's important to consult with your healthcare provider. While most individuals do not experience serious side effects, it's crucial to be aware of more severe reactions. Serious side effects that require immediate medical attention include symptoms of low magnesium levels like muscle spasms, irregular heartbeat, or seizures; signs of lupus such as a rash on the nose and cheeks or new joint pain; and indications of kidney problems, like changes in urine output or the presence of blood in the urine. This medication may also rarely lead to a severe intestinal condition caused by the C. difficile bacteria, which can manifest during or after treatment. Symptoms include persistent diarrhea, abdominal pain, and blood or mucus in the stool. Avoid using anti-diarrhea or opioid medications if these symptoms occur, as they can worsen the condition. Additionally, long-term use of proton pump inhibitors, such as this medication, may lead to vitamin B-12 deficiency. Symptoms to watch for include unusual weakness, a sore tongue, or numbness and tingling in the hands or feet. Though rare, a serious allergic reaction may occur. Seek immediate medical help if you experience fever, swollen lymph nodes, rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing. If you notice any other side effects not listed here, it is advisable to contact your healthcare provider for advice.