 <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]  interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug are: aromatase inhibitors (such as anastrozole, exemestane), corticosteroids (such as prednisolone), ospemifene, tamoxifen, troleandomycin, tranexamic acid, medication for low thyroid (hypothyroidism). Certain drugs can affect the estrogen levels in your system. Drugs that may cause this effect include: azole antifungals (such as itraconazole, ketoconazole), many antibiotics (such as cephalosporins, chloramphenicol, macrolides, penicillins, tetracyclines, sulfas), aprepitant, bexarotene, bosentan, dapsone, griseofulvin, certain HIV protease inhibitors (such as nelfinavir), modafinil, nevirapine, rifamycins (such as rif </s>