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Get emergency medical help if you have any of these signs of an allergic reaction: hives; pain or tight feeling in your chest, wheezing, difficult breathing; swelling of your face, lips, tongue, or throat.

Also seek emergency medical attention if you have symptoms of a spinal blood clot: back pain, numbness or muscle weakness in your lower body, or loss of bladder or bowel control.

Call your doctor at once if you have:

  • any bleeding that will not stop;

  • headache, weakness, dizziness, feeling like you might pass out;

  • easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;

  • blood in your urine or stools, black or tarry stools;

  • coughing up blood or vomit that looks like coffee grounds;

  • pink or brown urine;

  • joint pain or swelling; or

  • heavy menstrual bleeding.

Common side effects may include:

  • stomach pain or discomfort;

  • indigestion; or

  • heartburn.

This is not a complete list of side effects and others may occur.

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