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When taking this medication, you may experience mild side effects like an upset stomach or heartburn, which are generally manageable. Should these symptoms persist or worsen, it is advisable to consult a healthcare professional. While many individuals taking this medication do not encounter severe side effects, it is important to be aware of certain serious reactions.

Severe side effects that require immediate medical attention include persistent or severe nausea and vomiting, unexplained bruising or bleeding, difficulty hearing, ringing in the ears, and signs of kidney issues such as changes in urine output. Additionally, fatigue, dizziness, dark urine, and yellowing of the eyes or skin should be promptly reported to a healthcare provider.

In rare instances, this medication can cause significant bleeding in the stomach or intestines, or other parts of the body. Indicators of such conditions include severe and persistent abdominal pain, black or tarry stools, or vomit resembling coffee grounds. Other critical symptoms to watch for are trouble speaking, sudden vision changes, weakness on one side of the body, or a sudden severe headache.

Although a very serious allergic reaction to this drug is uncommon, it is crucial to seek immediate medical help if symptoms occur. These symptoms may include fever, swollen lymph nodes, rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, and trouble breathing.

This is not an exhaustive list of side effects. If you experience any other unusual symptoms, contacting a healthcare provider is recommended.

Certain medications and products can interact with this drug. These include acetazolamide, blood thinners like warfarin and heparin, corticosteroids such as prednisone, dichlorphenamide, herbal supplements like ginkgo biloba, methotrexate, mifepristone, and valproic acid. If you've recently received any live vaccines, such as the varicella or live flu vaccines, discuss this with your doctor before using this medication.

It's important to review all your medications, both prescription and over-the-counter, as many contain pain relievers or fever reducers like aspirin and NSAIDs (including ibuprofen, ketorolac, and naproxen). These are similar to this drug and may heighten the risk of side effects when combined. Regular NSAID use can also reduce aspirin's effectiveness in preventing heart attacks or strokes. If you take low-dose aspirin for these purposes, speak with your doctor or pharmacist about alternative options like acetaminophen for managing pain or fever.

Additionally, this drug may affect certain laboratory tests, such as urine sugar tests, leading to inaccurate results. Ensure that all healthcare providers and laboratory staff are aware that you are taking this medication.