 <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]  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: stomach/abdominal pain, pain/redness/swelling of arms or legs, muscle/joint pain, yellowing eyes/skin, dark urine, unusual bleeding/bruising (such as nose bleeds, black or bloody stools), signs of high blood sugar (such as increased thirst, frequent urination). Get medical help right away if you have any very serious side effects, including: vision changes, severe headache, severe dizziness, seizures, chest pain. This medication may lower your ability to fight infections. This may make you more likely to get a serious (rarely fatal) infection or make any infection you have worse. Tell your doctor right away if you have any signs of infection (such as sore throat that doesn't go away, fever, chills, cough). A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue </s>