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When taking this medication, you might experience constipation, diarrhea, stomach cramps, or an upset stomach. These side effects are generally mild and tend to resolve as your body becomes accustomed to the medication. If these symptoms persist or worsen, it is advisable to consult your healthcare provider. Additionally, you may notice that your stools turn black, which is a harmless effect of the medication.

For most users, serious side effects are uncommon. However, a very serious allergic reaction is rare, but it requires immediate medical attention. Symptoms of such a reaction include rash, itching or swelling (particularly of the face, tongue, or throat), severe dizziness, and difficulty breathing.

While this is not an exhaustive list of side effects, it is important to stay vigilant. If you experience any other unusual symptoms, reach out to your healthcare provider for guidance.

This medication can reduce the effectiveness of certain drugs by affecting their absorption. These include medications like bisphosphonates (e.g., alendronate), levodopa, penicillamine, quinolone antibiotics (e.g., ciprofloxacin, levofloxacin), thyroid treatments (e.g., levothyroxine), and tetracycline antibiotics (e.g., doxycycline, minocycline). To prevent this, try to space out the doses of these medications as much as possible from your dose of this medication. Consult your doctor or pharmacist for guidance on the appropriate timing between doses, and for a schedule that accommodates all your medications.

Additionally, do not take this medication alongside antacids. Ensure at least a 2-hour gap between taking this medication and any antacids.

If your iron supplement contains folic acid, inform your doctor or pharmacist if you're taking anti-seizure medications like hydantoins (e.g., phenytoin).

This medication may impact certain laboratory tests, such as fecal occult blood tests, leading to inaccurate results. Make sure all healthcare providers and lab personnel are aware that you are using this medication.