 <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] , tell your doctor or pharmacist promptly. If your doctor has directed you to use this medication, remember that 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: mental/mood changes (such as nervousness, agitation), shaking (tremor), fast/pounding/irregular heartbeat, hearing changes (such as ringing in the ears, difficulty hearing), easy bleeding/bruising, unusual tiredness, signs of kidney problems (such as change in the amount of urine), nausea/vomiting that is severe or doesn't go away, yellowing eyes/skin, dark urine. This drug may rarely cause serious bleeding from the stomach/intestine or other areas of the body. If you notice any of the following rare but very serious side effects, get medical help right away: black/tarry stools, stomach/abdominal pain that is severe or doesn't go away, vomit that looks like coffee grounds, trouble speaking, weakness on one side of the body, sudden vision changes or severe headache. A very serious allergic reaction to this drug is rare. However, </s>