What should I watch for?
You may need blood work done while you are taking this medicine.
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. Do not smoke cigarettes or drink alcohol. These increase irritation to your stomach and can make it more susceptible to damage from this medicine. Ulcers and bleeding can happen without warning symptoms and can cause death.
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 cause a decrease in vitamin B12. You should make sure that you get enough vitamin B12 while you are taking this medicine. Discuss the foods you eat and the vitamins you take with your health care professional.
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:
Blistering, peeling, or reddening of the skin
burning feeling in the chest or stomach
loss of appetite
tenderness in the stomach area
upper abdominal or stomach pain
Black, tarry stools
bloating or swelling of the face, arms, hands, lower legs, or feet
bloody or cloudy urine
difficult, burning, or painful urination
difficulty with breathing
difficulty with moving
difficulty with swallowing
frequent urge to urinate
full or bloated feeling
lower back or side pain
muscle pain or stiffness
pain in the joints
pain or burning in the throat
pressure in the stomach
rapid weight gain
sores, ulcers, or white spots on the lips or tongue or inside the mouth
swelling of the abdominal or stomach area
tingling of the hands or feet
unusual weight gain or loss
vomiting of blood or material that looks like coffee grounds
Incidence not known
mood or mental changes
muscle spasms (tetany) or twitching
unusual tiredness or weakness
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:
Body aches or pain
change in taste
cough producing mucus
difficulty having a bowel movement
excess air or gas in the stomach or bowels
loss of taste
loss of voice
pain or tenderness around the eyes and cheekbones
stuffy or runny nose
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.