 <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] /back pain. This medication decreases bone marrow function, an effect that may lead to a low number of blood cells such as red cells, white cells, and platelets. This effect can cause anemia, decrease your body's ability to fight an infection, or cause easy bruising/bleeding. 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 develop any of the following symptoms: unusual tiredness, rapid breathing, easy bruising/bleeding, signs of infection (such as sore throat that doesn't go away, fever, chills, cough). This drug may rarely cause serious (rarely fatal) bleeding in the brain or bleeding from the stomach or intestines. If you notice any of the following serious side effects, get medical help right away: stomach/abdominal pain that doesn't go away, black stools, vomit that looks like coffee grounds, dizziness/fainting, sudden vision changes, confusion, trouble speaking. This medication may rarely make your blood sugar rise, which can cause or worsen diabetes. Tell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urination. If you already have diabetes, </s>