What should I watch for?
Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse.
This medicine does not prevent heart attack or stroke. In fact, this medicine may increase the chance of a heart attack or stroke. The chance may increase with longer use of this medicine and in people who have heart disease. If you take aspirin to prevent heart attack or stroke, talk with your doctor or health care professional.
Do not take other medicines that contain aspirin, ibuprofen, or naproxen with this medicine. Side effects such as stomach upset, nausea, or ulcers may be more likely to occur. Many medicines available without a prescription should not be taken with this medicine.
This medicine can cause ulcers and bleeding in the stomach and intestines at any time during treatment. Ulcers and bleeding can happen without warning symptoms and can cause death. To reduce your risk, do not smoke cigarettes or drink alcohol while you are taking this medicine.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
This medicine can cause you to bleed more easily. Try to avoid damage to your teeth and gums when you brush or floss your teeth.
This medicine may be used to treat migraines. If you take migraine medicines for 10 or more days a month, your migraines may get worse. Keep a diary of headache days and medicine use. Contact your healthcare professional if your migraine attacks occur more frequently.
Common and Rare Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
acid or sour stomach
decrease in amount of urine
decrease in urine output or decrease in urine-concentrating ability
difficulty having a bowel movement (stool)
excess air or gas in stomach or intestines
pain or discomfort in chest, upper stomach, or throat
noisy, rattling breathing
rash with flat lesions or small raised lesions on the skin
shortness of breath
swelling of face, fingers, hands, feet, lower legs, or ankles
troubled breathing at rest
troubled breathing with exertion
unusual bleeding or bruising
unusual tiredness or weakness
stomach soreness or discomfort
back, leg, or stomach pains
blistering, peeling, loosening of skin
blood in urine or stools
bloody, black, or tarry stools
burning feeling in chest or stomach
change in vision
cough or hoarseness
decreased urine output
dilated neck veins
fast, irregular, pounding, or racing heartbeat or pulse
fever with or without chills
general body swelling
general feeling of tiredness or weakness
hair loss, thinning of hair
hives or welts
increased blood pressure
increased volume of pale, dilute urine
joint or muscle pain
lab results that show problems with liver
loss of appetite
lower back or side pain
painful or difficult urination
pains in stomach, side, or abdomen, possibly radiating to the back
pinpoint red spots on skin
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
red skin lesions, often with a purple center
red, irritated eyes
redness of skin
severe abdominal pain, cramping, burning
severe and continuing nausea
sores, ulcers, or white spots in mouth or on lips
stiff neck or back
swollen or painful glands
tenderness in stomach area
tightness in chest
unpleasant breath odor
upper right abdominal pain
vomiting of blood
vomiting of material that looks like coffee grounds
yellow eyes and skin
Symptoms of overdose
Bluish lips or skin
dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly
drowsiness to profound coma
lightheadedness or fainting
mood or other mental changes
rapid, deep breathing
slow or irregular heartbeat
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Continuing ringing or buzzing or other unexplained noise in ears
feeling sad or empty
lack of appetite
loss of interest or pleasure
quick to react or overreact
rapidly changing moods
sleepiness or unusual drowsiness
unable to sleep
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.