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What are the precautions when taking this medicine?
• If you are 65 or older, use this medicine with caution. You could have more side effects.
• If you have asthma, talk with healthcare provider.
• If you have high blood pressure, talk with healthcare provider.
• If you have kidney disease, talk with healthcare provider.
• If you have liver disease, talk with healthcare provider.
• If you have had an ulcer or bleeding from your stomach or intestines, talk with healthcare provider.
• If you have a weakened heart, talk with healthcare provider.
• Use caution if you have risk factors for osteoporosis (alcohol use, cigarette smoking, other family members with osteoporosis, taking medicines to treat seizures, taking steroids).
• Check medicines with healthcare provider. This medicine may not mix well with other medicines.
• Talk with healthcare provider before using other: aspirin, aspirin-containing products, blood thinners, garlic, ginseng, ginkgo, ibuprofen or like products, pain medicines, or vitamin E.
• Do not take colestipol or cholestyramine within 2 hours of this medicine.
• Tell dentists, surgeons, and other healthcare providers that you use this medicine.
• You may bleed more easily. Be careful. Avoid injury. Use soft toothbrush, electric razor.
• Avoid alcohol (includes wine, beer, and liquor).
• Tell healthcare provider if you are pregnant or plan on getting pregnant.
• Tell healthcare provider if you are breast-feeding.
What are some possible side effects of this medicine?
• Belly pain or heartburn.
• Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
• Constipation. More liquids, regular exercise, or a fiber-containing diet may help. Talk with healthcare provider about a stool softener or laxative.
• Hip, spine, or wrist fractures may rarely occur.
Reasons to call healthcare provider immediately
• If you suspect an overdose, call your local poison control center or emergency department immediately.
• Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
• Chest pain or pressure.
• Change in strength on one side greater than the other, difficulty speaking or thinking, change in balance, or blurred vision.
• Severe nausea or vomiting.
• Severe belly pain.
• Severe diarrhea.
• Significant weight gain.
• Black, tarry, or bloody stools.
• Blood in the urine.
• Unusual bruising or bleeding.
• Severe swelling or pain of hands or feet.
• Severe bone pain.
• Any rash.
• No improvement in condition or feeling worse.