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NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAID)-ORAL (cont.)

SIDE EFFECTS: Upset stomach, nausea, vomiting, heartburn, headache, diarrhea, constipation, drowsiness, and unusual fatigue may occur. If any of these effects persist or worsen, notify your doctor. Tell your doctor immediately if any of these serious side effects occur: stomach pain, swelling of the feet or ankles, ringing in the ears (tinnitus). Tell your doctor immediately if any of these unlikely but serious side effects occur: vision changes, joint pain, muscle pain or weakness, easy bruising or bleeding, persistent sore throat and fever. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: changes in amount or color of urine, yellowing of the eyes or skin. If you notice any of the following unlikely but serious side effects, stop taking this medication and consult your doctor or pharmacist immediately: black stools, persistent stomach/ abdominal pain, vomit that looks like coffee grounds. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, especially of: kidney problems, liver problems, stomach problems (e.g., ulcers), heart disease (e.g., arrhythmias, heart failure), high blood pressure (hypertension), diabetes, blood problems (e.g., anemia, bleeding disorders, porphyria), asthma, nasal polyps, eye problems, severe or long-lasting headaches, any allergies - especially aspirin/NSAID allergy (e.g., ibuprofen, celecoxib). This drug may make you dizzy or drowsy. Use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, use a sunscreen, and wear protective clothing when outdoors. This medicine may cause stomach bleeding. Daily use of alcohol and this medicine may increase your risk for stomach bleeding. Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Using this drug during the last 6 months of pregnancy is not recommended. This drug may pass into breast milk. Consult your doctor before breast-feeding.



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