Visit your health care provider for regular checks on your progress. Tell your health care provider if your symptoms do not start to get better or if they get worse.
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 non-prescription medicines contain aspirin, ibuprofen, or naproxen. Always read labels carefully.
This medicine can cause serious ulcers and bleeding in the stomach. It can happen with no warning. Smoking, drinking alcohol, older age, and poor health can also increase risks. Call your health care provider right away if you have stomach pain or blood in your vomit or stool.
This medicine does not prevent a heart attack or stroke. This medicine may increase the chance of a heart attack or stroke. The chance may increase the longer you use this medicine or if you have heart disease. If you take aspirin to prevent a heart attack or stroke, talk to your health care provider about using this medicine.
Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
This medicine may cause serious skin reactions. They can happen weeks to months after starting the medicine. Contact your health care provider right away if you notice fevers or flu-like symptoms with a rash. The rash may be red or purple and then turn into blisters or peeling of the skin. Or, you might notice a red rash with swelling of the face, lips or lymph nodes in your neck or under your arms.
Talk to your health care provider if you are pregnant before taking this medicine. Taking this medicine between weeks 20 and 30 of pregnancy may harm your unborn baby. Your health care provider will monitor you closely if you need to take it. After 30 weeks of pregnancy, do not take 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 up or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.
Be careful brushing or flossing your teeth or using a toothpick because you may get an infection or bleed more easily. If you have any dental work done, tell your dentist you are receiving this medicine.
This medicine may make it more difficult to get pregnant. Talk to your health care provider if you are concerned about your fertility.
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:
bloody or black, tarry stools
burning upper abdominal or stomach pain
decrease in urine output or decrease in urine-concentrating ability
itching skin or rash
loss of appetite
nausea or vomiting
severe abdominal or stomach pain, cramping, or burning
severe and continuing nausea
swelling of the face, fingers, feet, or lower legs
troubled breathing with exertion
unusual bleeding or bruising
unusual tiredness or weakness
vomiting of blood or material that looks like coffee grounds
blood in the urine
burning feeling in the chest or stomach
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
cough or hoarseness
difficult or labored breathing
difficult, burning, or painful urination
difficulty with swallowing
dilated neck veins
fever or chills
flushing or redness of the skin
frequent urge to urinate
increased sensitivity of the skin to sunlight
increased volume of pale, dilute urine
large, flat, blue, or purplish patches in the skin
lower back or side pain
numbness or tingling in the hands, feet, or lips
pain or burning in the throat
peeling of the skin
pinpoint red or purple spots on the skin
pounding in the ears
rapid, shallow breathing
redness or other discoloration of the skin
redness, swelling, or soreness of the tongue
slow, fast, pounding, or irregular heartbeat or pulse
sores, ulcers, or white spots on the lips or tongue or inside the mouth
swelling or inflammation of the mouth
tenderness in the stomach area
tightness in the chest
unpleasant breath odor
unusually warm skin
weakness or heaviness of the legs
yellow eyes or skin
back or leg pains
burning, dry, or itching eyes
cracks in the skin
discharge or excessive tearing
dizziness, faintness, or lightheadedness when getting up from a lying or sitting position
flushed, dry skin
fruit-like breath odor
general body swelling
general feeling of discomfort or illness
inflammation of the joints
irregular, fast or slow, or shallow breathing
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
loss of heat from the body
muscle aches and pains
no blood pressure
pain or discomfort in the arms, jaw, back, or neck
pains in the stomach, side, or abdomen, possibly radiating to the back
pale or blue lips, fingernails, or 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, pain, or swelling of the eye, eyelid, or inner lining of the eyelid
seeing, hearing, or feeling things that are not there
sores, welting, or blisters
stiff neck or back
stomach pain, continuing
swollen, painful, or tender lymph glands in the neck, armpit, or groin
Get emergency help immediately if any of the following symptoms of overdose occur:
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:
Acid or sour stomach
continuing ringing or buzzing or other unexplained noise in the ears
excess air or gas in the stomach or intestines
stomach discomfort or upset
Feeling of constant movement of self or surroundings
hair loss or thinning of the hair
lack or loss of strength
sensation of spinning
shakiness in the legs, arms, hands, or feet
trembling or shaking of the hands or feet
Change in hearing
changes in appetite
inability to sit still
need to keep moving
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.