 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  Oral: Hot flashes, breast swelling/tenderness/pain, nausea, vomiting, constipation, diarrhea, stomach upset, weight changes, headache, trouble sleeping, drowsiness, or dizziness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: increased thirst/urination, decreased sexual ability/desire, mental/mood changes (such as anxiety, depression), swelling hands/ankles/feet, shortness of breath, increased coughing, numb/tingling skin, bone/joint pain, unusual tiredness, muscle weakness, painful/bloody urination, signs of infection (such as sore throat that doesn't go away, fever, chills). Get medical help right away if you have any very serious side effects, including: chest/jaw/left arm pain. This medication may rarely cause serious (possibly fatal) liver disease. Get medical help right away if any of these side effects occur: nausea/vom </s>