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This medication typically has few side effects, with the most common being harmless darkening of the stools or tongue, which should resolve after discontinuing the drug. Although many individuals experience no serious side effects, it's important to be aware of potential issues. If you experience persistent vomiting or diarrhea, this could lead to dehydration. Be alert for symptoms such as reduced urination, dry mouth, increased thirst, rapid heartbeat, or dizziness, and seek medical advice if these occur.

In rare cases, there may be serious side effects like ringing in the ears or hearing loss, requiring prompt medical attention. Even more rarely, severe stomach or intestinal bleeding can occur. Discontinue use immediately and consult a healthcare professional if you experience persistent abdominal pain, vomit resembling coffee grounds, or black, tarry, or bloody stools.

Allergic reactions to this medication are very rare but can be serious. Seek immediate medical help if you notice a rash, swelling (particularly of the face, tongue, or throat), severe dizziness, or difficulty breathing. This list does not cover all possible side effects, so consult your healthcare provider if you notice any other concerning effects.

Certain medications can interact with this drug, including valproic acid, carbonic anhydrase inhibitors like acetazolamide, corticosteroids such as prednisone, dichlorphenamide, and methotrexate. Using this medication alongside others that also increase bleeding risk can raise the likelihood of bleeding. Such medications include anti-platelet drugs like clopidogrel and anticoagulants such as dabigatran, enoxaparin, or warfarin.

Examine all medication labels thoroughly, both prescription and over-the-counter, as many may contain NSAIDs (e.g., aspirin, ibuprofen, naproxen), which are similar to this drug and may amplify side effects if taken together. If your healthcare provider has recommended taking low-dose aspirin (usually 81-162 milligrams daily) for heart disease or stroke prevention, continue using it unless advised otherwise by your doctor. Consult your doctor or pharmacist for further guidance.

This medication might affect specific medical or laboratory tests, like intestinal x-rays with contrast dye, potentially leading to inaccurate results. Inform all healthcare professionals and lab staff that you are using this medication.