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It is important to continue taking dabigatran as prescribed by your healthcare provider. Discontinuing this medication without guidance can significantly increase your risk of developing serious blood clots, such as a stroke or clots in the legs or lungs. Your doctor may recommend an alternative anticoagulant or antiplatelet therapy to help mitigate these risks. Seek immediate medical attention if you experience symptoms like unilateral body weakness, difficulty speaking, sudden changes in vision, confusion, chest pain, breathing difficulties, or pain, warmth, or swelling in the legs.

There is a potential risk of bleeding near the spinal cord for individuals undergoing certain spinal procedures while on this medication. This bleeding can result in long-term or even permanent paralysis. Prior to any spinal procedure, discuss the associated risks and benefits with your doctor. Your risk of bleeding may be elevated if you have a spinal deformity, have previously undergone spinal procedures or surgeries (such as epidural catheter placement or complex epidural/spinal puncture), or are using other medications that may cause bleeding or bruising. These medications include antiplatelet drugs like clopidogrel, anticoagulants such as warfarin or enoxaparin, and NSAIDs like ibuprofen. Promptly inform your doctor if you experience back pain, leg numbness, tingling, weakness, or loss of bowel or bladder control.

While taking this medication, you might experience some minor side effects, such as easy bruising, minor bleeding like nosebleeds or from small cuts, upset stomach, or heartburn. These are generally mild and should not be a cause for concern. However, if these symptoms persist or worsen, it is advisable to inform your healthcare provider.

This medication can, in rare cases, lead to serious bleeding if it significantly impacts your blood clotting proteins. Be vigilant for symptoms of serious bleeding, which can include frequent or persistent nosebleeds, unusual fatigue or weakness, unexpected pain or swelling, prolonged bleeding from cuts or gums, heavy or extended menstrual periods, pink or dark urine, coughing up blood, vomit that resembles coffee grounds, severe headaches, dizziness or fainting, and bloody or black stools. Immediate medical attention is necessary if you notice these symptoms.

In extremely rare cases, the drug may cause a severe allergic reaction. Seek urgent medical help if you experience symptoms such as rash, swelling (particularly of the face, tongue, or throat), severe dizziness, or difficulty breathing. If you observe any other unusual effects, reach out to your healthcare provider for advice.