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When taking this medication, some common side effects might include stomach upset, heartburn, headache, trouble sleeping, and increased appetite. These are typically mild and tend to resolve on their own. However, if they persist or worsen, it is advisable to consult with a healthcare professional.

More serious side effects, though less common, require immediate medical attention. These include persistent sore throat or fever, signs of infection, bone or joint pain, irregular heartbeat, vision issues, unusual weight gain, swelling of the ankles or feet, symptoms of gastrointestinal bleeding like stomach pain or black stools, mental changes such as mood swings or depression, changes in menstrual cycles, muscle cramps, easy bruising, slow wound healing, thinning skin, seizures, and red or purple spots on the skin.

There is also a possibility that this medication may increase blood sugar levels, potentially affecting diabetes. Symptoms of high blood sugar include increased thirst and urination. Those with diabetes should monitor their blood sugar levels closely and discuss any changes with their healthcare provider, who might adjust their treatment plan accordingly.

Although rare, allergic reactions to this medication can occur and require urgent medical help. Symptoms of a serious allergic reaction include rash, itching or swelling, severe dizziness, and trouble breathing. While this list covers many potential side effects, it is not exhaustive. If you experience any other unusual symptoms, reach out to a healthcare professional for advice.

This medication can interact with several other products. Notably, it may affect drugs like aldesleukin, desmopressin, and medications that increase the risk of bleeding or bruising, such as antiplatelet drugs (e.g., clopidogrel), anticoagulants or "blood thinners" (e.g., dabigatran, warfarin), and NSAIDs like aspirin, celecoxib, or ibuprofen. Mifepristone is another drug that may interact with this medication.

Additionally, this medication can enhance the elimination of certain drugs from your body, potentially reducing their effectiveness. This includes some cancer medications (such as dasatinib, lapatinib, and sunitinib), praziquantel, and rilpivirine.

If your healthcare provider has prescribed low-dose aspirin (usually 81-162 milligrams daily) to prevent heart attacks or strokes, continue taking it unless advised otherwise by your doctor. For more information, consult your doctor or pharmacist.

It's important to inform all your healthcare providers and laboratory personnel that you are using this medication, as it may interfere with certain lab tests, including skin tests, potentially leading to inaccurate results.