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You might experience some mild side effects such as upset stomach, heartburn, headache, tiredness, drowsiness, or dizziness. These are generally manageable, but if they persist or worsen, consult your healthcare provider. Serious side effects are less common but can occur. Be vigilant for any changes in vision or hearing, mental or mood alterations like confusion or hallucinations, a rapid or pounding heartbeat, fainting, difficulty or pain when swallowing, signs of kidney problems such as changes in urine output, easy bruising or bleeding, or symptoms of heart failure like swelling in the ankles or feet, unusual fatigue, or sudden weight gain.

In rare instances, this medication could lead to severe liver disease. Seek immediate medical attention if you experience persistent nausea or vomiting, yellowing of the skin or eyes, dark urine, extreme tiredness, or abdominal pain, as these could indicate liver damage. Although a serious allergic reaction is uncommon, it requires immediate medical help if symptoms such as fever, swollen lymph nodes, rash, itching or swelling particularly of the face, tongue, or throat, severe dizziness, or trouble breathing occur. Always stay cautious and inform your healthcare provider if you experience any other unusual effects.

This medication can interact with several other products, including Aliskiren, ACE inhibitors like Captopril and Lisinopril, angiotensin II receptor blockers such as Losartan and Valsartan, and antacids if used regularly. Other possible interactions include Cidofovir, corticosteroids like Prednisone, Digoxin, live influenza vaccines, Lithium, Methotrexate, pemetrexed, Probenecid, and diuretics (often called "water pills") such as Furosemide, Hydrochlorothiazide, and Triamterene. Taking this medication alongside other drugs that increase bleeding risk, such as anti-platelet medications like Clopidogrel or blood thinners including Dabigatran, Enoxaparin, and Warfarin, may heighten the risk of bleeding.

It's important to check both prescription and over-the-counter medicine labels, as many contain NSAIDs (pain relievers or fever reducers) like Aspirin, Ibuprofen, Indomethacin, Ketorolac, or Naproxen, which can increase the likelihood of side effects when used with this drug. However, if your healthcare provider has recommended low-dose aspirin (81-162 milligrams daily) to prevent heart attacks or strokes, continue to take it unless instructed otherwise by your doctor. Consult your doctor or pharmacist for more guidance.

Additionally, this medication may affect certain laboratory tests, potentially leading to incorrect results. Ensure that all lab technicians and your healthcare providers are aware that you are using this medication.