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When taking this medication, some side effects may occur, although they are rare. Commonly, you might notice a harmless darkening of your stools or tongue, which will resolve once you stop the medication. Most people experience no serious side effects. However, persistent vomiting or diarrhea could lead to dehydration. If you suspect dehydration, watch for symptoms like reduced urination, dry mouth, increased thirst, rapid heartbeat, or dizziness, and seek medical advice.

Serious side effects, though uncommon, require immediate attention. These include ringing in the ears, hearing loss, and potentially serious bleeding from the stomach or intestines. Warning signs of internal bleeding include persistent stomach pain, vomit resembling coffee grounds, or black, tarry stools. In such cases, discontinue use and consult a healthcare professional promptly.

While rare, severe allergic reactions can occur. Be vigilant for symptoms like rash, swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing. Seek urgent medical help if these occur. Remember, this is not an exhaustive list of side effects. If you experience any unusual symptoms not mentioned, contact your healthcare provider for further guidance.

This medication can interact with several other drugs, leading to potential health risks. The following medications may have interactions: valproic acid, carbonic anhydrase inhibitors like acetazolamide, corticosteroids such as prednisone, dichlorphenamide, and methotrexate. Additionally, this drug may elevate the risk of bleeding when combined with other medications that have similar effects, such as anti-platelet drugs like clopidogrel or anticoagulants including dabigatran, enoxaparin, and warfarin.

It's important to review all your prescription and over-the-counter medications since many may contain pain relievers or fever reducers, known as NSAIDs (e.g., aspirin, ibuprofen, naproxen), which can increase the likelihood of side effects when used with this drug. If your healthcare provider has prescribed low-dose aspirin (81-162 milligrams daily) for heart attack or stroke prevention, continue taking it unless otherwise advised by your doctor. Consult with your doctor or pharmacist for further guidance.

Moreover, this medication might interfere with specific medical or laboratory tests, such as intestinal x-rays using contrast dye, potentially leading to inaccurate results. Inform all your healthcare providers and lab personnel that you are using this drug to avoid any misunderstandings.