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When taking this medication, you might experience mild side effects such as nausea, vomiting, stomach upset, heartburn, trouble sleeping, or increased urination. These are generally manageable, but if they persist or worsen, it is important to consult your healthcare provider.

There are some serious side effects to be aware of, including mental or mood changes such as nervousness or agitation, shaking, an irregular or fast heartbeat, changes in hearing like ringing in the ears, easy bleeding or bruising, unusual tiredness, and signs of kidney issues like changes in urine output. Severe or persistent nausea and vomiting, yellowing of the eyes or skin, and dark urine also warrant immediate medical attention.

In rare cases, this drug may cause serious bleeding in the stomach or intestines, indicated by black or tarry stools, severe abdominal pain, or vomit that resembles coffee grounds. Other rare but serious symptoms include trouble speaking, weakness on one side of the body, sudden vision changes, or a severe headache.

Allergic reactions to this medication are very rare but can be serious. Seek immediate medical help if you experience fever, swollen lymph nodes, rash, itching or swelling, especially of the face, tongue, or throat, severe dizziness, or difficulty breathing.

This summary includes key side effects, but if you notice any other unusual symptoms, contact your healthcare provider for guidance.

Before using this medication, it's important to be aware of potential interactions with other substances. Some drugs that may interact with this medication include acetazolamide, corticosteroids like prednisone, dichlorphenamide, methotrexate, mifepristone, valproic acid, and vemurafenib. Additionally, be cautious if you are taking herbal supplements such as ginkgo biloba.

Consult your doctor if you have recently received live vaccines, like the varicella or live flu vaccine, as this medication may affect their efficacy.

When taken with other medications that increase bleeding risk, such as anti-platelet drugs like clopidogrel or blood thinners like dabigatran, enoxaparin, and warfarin, this drug may raise the likelihood of experiencing bleeding.

Check the labels of all your medications, both prescription and over-the-counter, for pain relievers or fever reducers like aspirin and NSAIDs (ibuprofen, ketorolac, naproxen) as they are similar to this medication and may heighten side effects if used together.

Be aware that regular use of NSAIDs could reduce aspirin's effectiveness in preventing heart attacks or strokes. If you are on low-dose aspirin for heart attack or stroke prevention, discuss with your healthcare provider the best options for managing pain or fever, which might include alternatives like acetaminophen.

Finally, this medication might interfere with certain medical or laboratory tests, such as dipyridamole-thallium imaging tests and specific urine tests, potentially leading to inaccurate results. Ensure that all your healthcare providers and lab personnel are informed about your use of this medication.