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When taking this medication, you might experience common side effects such as nausea, vomiting, diarrhea, and stomach pain. To mitigate these effects, consider taking the medication after meals. It's normal to see an empty tablet shell in your stool; this is harmless as the medication has already been absorbed. While many people do not experience serious side effects, it is important to be aware of them. Serious side effects include stomach or intestinal issues like bleeding, blockage, or puncture. Symptoms to watch for include abdominal swelling, black or bloody stools, constipation, dizziness, a fast heartbeat, severe stomach or abdominal pain, difficulty swallowing, severe vomiting, or vomit that resembles coffee grounds. Additionally, this medication may elevate potassium levels in your blood, leading to hyperkalemia. Be alert for symptoms such as muscle cramps or weakness, severe dizziness, slow or irregular heartbeat, mental or mood changes like confusion or restlessness, tingling of the hands or feet, or unusually cold skin. A very serious allergic reaction to this medication is rare, but immediate medical attention is necessary if you experience a rash, itching or swelling, especially of the face, tongue, or throat, severe dizziness, or trouble breathing. This summary does not cover all possible side effects, so if you notice any other unusual symptoms, contact your healthcare provider.