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Common side effects:

• breath and body odor
• upset stomach

• heartburn

  Less common but important to monitor:

• easy or unusual bruising and bleeding

  Serious side effects:

• severe allergic reactions
• rash
• itching or swelling
• severe dizziness
• trouble breathing

Certain medications can interact with this product, potentially altering their effectiveness. For instance, non-nucleoside reverse transcriptase inhibitors like Nevirapine and Efavirenz, as well as Isoniazid, may have interactions. Additionally, using any medications or herbal products that increase bleeding risk, such as blood thinners like Warfarin and heparin, anti-platelet drugs like Clopidogrel, NSAIDs like Ibuprofen, or herbs such as danshen, ginger, and gingko, should be approached with caution.

This product can either speed up or slow down the elimination of other drugs from your body, impacting their function. This effect might be seen with medications such as Acetaminophen, azole antifungals like Ketoconazole, Chlorzoxazone, and calcium channel blockers like diltiazem.

Aspirin, in particular, may heighten bleeding risk if taken alongside this product. However, if you are on a low-dose aspirin regimen for heart health, usually between 81 and 162 milligrams daily, continue as advised by your doctor. It is important to discuss any concerns with your healthcare provider.

Moreover, this product might reduce the effectiveness of hormonal birth control methods, including pills, patches, or rings, which could lead to unintended pregnancy. Consult with your doctor or pharmacist about the necessity of additional contraceptive methods. Be vigilant for any unusual spotting or breakthrough bleeding, as these could indicate that your birth control is not working properly.