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When taking this medication, you might experience mild side effects such as stomach upset, heartburn, headache, trouble sleeping, or an increased appetite. These are generally not serious, but if they persist or worsen, it is important to consult a healthcare professional.

There are more serious side effects that require immediate medical attention. These include signs of infection like a persistent sore throat or fever, bone or joint pain, irregular heartbeat, eye pain or vision issues, unusual weight gain, swelling in the ankles or feet, and symptoms indicating stomach or intestinal bleeding, such as severe abdominal pain or black stools. Mental health changes, menstrual irregularities, muscle pain, weakness, easy bruising, slow wound healing, thinning skin, seizures, or red/purple skin spots should also be immediately addressed.

This medication may rarely increase blood sugar levels, potentially leading to or worsening diabetes. Symptoms such as increased thirst and urination should be promptly reported to a doctor. For those with existing diabetes, regular monitoring of blood sugar is crucial, and any changes should be discussed with a healthcare provider to adjust treatment plans accordingly.

Though a serious allergic reaction is rare, seek urgent medical help if you experience rash, severe dizziness, swelling (particularly of the face, tongue, or throat), or difficulty breathing. While this list does not cover all possible side effects, any additional unusual reactions should be communicated to a healthcare professional.

This medication can interact with various other drugs. Notably, it may affect aldesleukin, desmopressin, and medicines that increase the risk of bleeding or bruising, such as antiplatelet agents like clopidogrel, anticoagulants like dabigatran and warfarin, as well as NSAIDs like aspirin, celecoxib, and ibuprofen. Additionally, mifepristone is another drug that can interact with this medication.

The medication can also enhance the elimination of some drugs from your body, potentially reducing their effectiveness. This includes certain cancer treatments like dasatinib, lapatinib, and sunitinib, as well as praziquantel and rilpivirine.

If you have been advised by your doctor to use low-dose aspirin (81-162 milligrams daily) for heart attack or stroke prevention, continue doing so unless directed otherwise by your healthcare provider.

Furthermore, this medication may interfere with certain laboratory tests, including skin tests, possibly leading to incorrect results. It is important to inform lab personnel and all your healthcare providers about your use of this drug.