 <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]  the risk of side effects. Many people using this medication do not have serious side effects. When this medication is first started, there is a chance an old kidney stone will be passed. Tell your doctor right away if you develop any symptoms of a kidney stone passing, including: painful/frequent urination, sudden/severe pain in the side/back/abdomen, blood in the urine. Tell your doctor right away if you have any serious side effects, including: bone/joint pain, muscle cramps, swelling ankles/feet, sudden weight gain, fast/irregular heartbeat, signs of kidney problems (such as change in the amount of urine), tingling/numbness of the hands/feet/lips, confusion, seizures, unusual weakness/tiredness, shortness of breath. 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/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other side effects not listed above, contact your doctor or pharmacist. In the US - </s>