 <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]  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, get medical help right away if you notice any symptoms of a serious allergic reaction, including: fever, swollen lymph nodes, rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing </s>