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When using this medication, there is a potential risk of bleeding near the spinal cord following certain spinal procedures. This type of bleeding could lead to paralysis, which may be long-lasting or become permanent. It is important to discuss the benefits and risks with your doctor prior to any spinal procedures. Your doctor might advise you to discontinue the medication for a specific period before and after the procedure; ensure you adhere to these instructions carefully.

Consider the following precautions:

• The likelihood of bleeding may increase if you have a spinal deformity, a history of spinal surgeries or procedures (such as epidural catheter placement or complex epidural/spinal puncture), or are using other medications that can cause bleeding or bruising. These include antiplatelet drugs like clopidogrel, anticoagulants such as warfarin or rivaroxaban, and nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen.
• Be vigilant for any symptoms that could indicate a problem, including back pain, numbness, tingling or weakness in the legs, or loss of bowel or bladder control (incontinence). Should any of these symptoms arise, contact your doctor immediately.

Adhering to these precautions will help manage the risks associated with this medication effectively.

When using this medication, some individuals may experience mild irritation, pain, bruising, redness, or swelling at the injection site. These effects are generally not severe and tend to resolve on their own. Additionally, tiredness or fever might occur, but these symptoms are typically manageable and temporary.

However, it's important to be vigilant for any signs of serious side effects, particularly those related to bleeding. This medication can affect blood clotting, leading to symptoms such as unusual pain, swelling, discomfort, prolonged or unusual bleeding, or easy bruising. More serious signs include dark urine, black stools, severe headaches, confusion, vision changes, dizziness, fainting, seizures, weakness, or numbness. If you encounter any of these symptoms, seek medical attention promptly.

Although rare, severe allergic reactions can occur. Watch for symptoms like rash, itching or swelling, particularly of the face, tongue, or throat, severe dizziness, and trouble breathing. Immediate medical help is crucial if these symptoms develop.

While these are the primary side effects associated with the medication, it is possible to experience others. Always consult your healthcare provider if you have concerns or notice any unlisted side effects.

One medication that can interact with this drug is mifepristone. Additionally, this drug is often used with other medications that have blood-thinning or anti-platelet properties, such as aspirin, clopidogrel, or warfarin. If your healthcare provider prescribes these combinations, you will need careful monitoring to reduce the risk of bleeding. It's important to attend all scheduled medical and laboratory appointments.

When taking this medication, review all labels on your prescription and over-the-counter medications. Many contain pain relievers or fever reducers, like NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen, naproxen, or aspirin, which can heighten the risk of bleeding or enhance anti-platelet effects when used with this drug. However, if your doctor has advised you to take low-dose aspirin (81-162 milligrams daily) to prevent heart attack or stroke, continue taking it unless otherwise directed. For more information, consult your doctor or pharmacist.