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When taking this medication, you might encounter mild side effects such as an upset stomach or heartburn. These effects usually resolve on their own, but if they persist or worsen, it is important to consult a healthcare professional. Many individuals taking this medication do not experience serious side effects, which can be reassuring.

However, there are some serious side effects to be aware of that require immediate medical attention. These include persistent severe nausea or vomiting, unusual bruising or bleeding, hearing difficulties, ringing in the ears, and signs of kidney issues like changes in urine output. Additionally, symptoms such as unexplained fatigue, dizziness, dark urine, or yellowing of the skin and eyes should be promptly addressed.

Rare but critical side effects include severe bleeding in the stomach or intestines. Look out for intense abdominal pain, black or tarry stools, or vomit resembling coffee grounds. Symptoms like difficulty speaking, weakness on one side of the body, sudden changes in vision, or severe headaches also warrant urgent medical evaluation.

Allergic reactions to this drug, although rare, can be very serious. Seek immediate medical care if you experience symptoms such as fever, swollen lymph nodes, rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing. Always contact a healthcare provider if you notice any side effects not mentioned here.

Certain medications can interact with this drug, including mifepristone, acetazolamide, blood thinners like warfarin and heparin, corticosteroids such as prednisone, dichlorphenamide, methotrexate, and valproic acid. Some herbal supplements, like ginkgo biloba, may also interact. Before starting this medication, inform your doctor if you have recently had any live vaccines, such as the varicella or live flu vaccine.

Be sure to check the labels of all your prescription and over-the-counter medications, as many contain pain relievers or fever reducers like aspirin and NSAIDs (e.g., ibuprofen, ketorolac, naproxen). These are similar to this drug and could increase the risk of side effects when used together. Regular use of NSAIDs might reduce aspirin's effectiveness in preventing heart attacks or strokes. If you use low-dose aspirin for this purpose, talk to your doctor or pharmacist about alternative treatments, such as acetaminophen, for managing pain or fever.

This medication might also affect the results of certain lab tests, such as urine sugar tests, leading to inaccurate results. Ensure that your healthcare providers and lab technicians are aware that you are taking this medication.