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When taking this medication, you might experience common side effects such as nausea, vomiting, stomach upset, heartburn, trouble sleeping, or increased urination. These are typically mild, but if they persist or worsen, consult your healthcare provider. While many individuals do not encounter serious side effects, it is important to be aware of them. Serious side effects can include mental or mood changes like nervousness and agitation, tremors, a fast or irregular heartbeat, changes in hearing such as ringing in the ears, easy bleeding or bruising, unusual tiredness, and signs of kidney issues like changes in urination. If you experience severe or persistent nausea and vomiting, yellowing of the eyes or skin, or dark urine, seek medical advice promptly.

In rare cases, this medication can cause significant bleeding in the stomach or intestines. Warning signs include black or tarry stools, severe or persistent stomach pain, vomit resembling coffee grounds, trouble speaking, weakness on one side of the body, sudden changes in vision, or severe headaches. These symptoms require immediate medical attention. Additionally, although a serious allergic reaction is rare, symptoms such as fever, swollen lymph nodes, rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, and difficulty breathing necessitate urgent medical care.

Remember, this is not an exhaustive list of side effects. If you observe any other unusual symptoms, reach out to your doctor or pharmacist for advice.

Before starting this medication, it's important to be aware of potential interactions with other drugs. Some drugs that may interact with this medication include acetazolamide, corticosteroids like prednisone, dichlorphenamide, methotrexate, mifepristone, valproic acid, vemurafenib, and herbal supplements such as ginkgo biloba. Consultation with your doctor is advised if you have recently received certain live vaccines, such as the varicella or live flu vaccines.

This medication can increase the risk of bleeding when used with drugs that also have this effect. These include anti-platelet medications like clopidogrel and anticoagulants such as dabigatran, enoxaparin, and warfarin. Be vigilant about prescription and over-the-counter labels, as many contain pain relievers or fever reducers, including aspirin and NSAIDs like ibuprofen, ketorolac, and naproxen, which are similar to this medication and might heighten side effects if combined.

Daily NSAID use, such as ibuprofen, can reduce the effectiveness of low-dose aspirin in preventing heart attacks or strokes. If you're using aspirin for this purpose, discuss with your doctor or pharmacist about alternative treatments, like acetaminophen, for managing pain or fever.

Additionally, this medication may affect the results of certain medical or laboratory tests, such as dipyridamole-thallium imaging tests and some urine tests, potentially leading to false results. Ensure that all healthcare providers and lab personnel are informed that you are taking this medication.