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A blood thinner such as warfarin coumadin ; lithium eskalith, lithobid ; methotrexate rheumatrex, trexall ; thiothixene navane ; alprazolam xanax ; diuretics water pills such as furosemide lasix ; muscle relaxers; steroids prednisone and others ; seizure medications such as carbamazepine carbatrol, tegretol or phenytoin dilantin ; a heart or blood pressure medication such as candesartan atacand , eprosartan teveten , irbesartan avapro, avalide , losartan cozaar, hyzaar , valsartan diovan , telmisartan micardis , or olmesartan benicar ; or aspirin or other nsaids such as etodolac lodine , flurbiprofen ansaid , indomethacin indocin , ketoprofen orudis , ketorolac toradol , mefenamic acid ponstel , meloxicam mobic , nabumetone relafen , naproxen aleve, naprosyn , piroxicam feldene , and others; or an ace inhibitor such as benazepril lotensin , captopril capoten , fosinopril monopril , enalapril vasotec , lisinopril prinivil, zestril , ramipril altace , and others.

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Bone pain or fractures bleedingtenderor enlarged gums changes in muscle movements or coordination confusion dizziness rash sensation of spinning signs of anemialow red blood cellse.gdizzinesspale skinunusual tiredness or weaknessshortness of breathsigns of bleedinge.gunusual nosebleedsbruisingblood in urinecoughing bloodbleeding gumscuts that don’t stop bleedingsigns of infectionsymptoms may include fever or chillssevere diarrheashortness of breathprolonged dizzinessheadachestiff neckweight lossor listlessnesssigns of liver problemse.gnauseavomitingdiarrhealoss of appetiteweight lossyellowing of the skin or whites of the eyesdark urinepale stoolsslurred speech symptoms of high blood sugare.gfrequent urinationincreased thirstexcessive eatingunexplained weight losspoor wound healinginfectionsfruity breath odourunusual eye movement.

Avoid taking antacids at the same time you take DilantinAntacids can make it harder for your body to absorb the medication.

Antibiotics such as cycloserineSeromycindoxycyclineDoryxVibramycinAdoxaisoniazidfor treating tuberculosislinezolidZyvoxrifampinRimactaneRifadinRifamateor sulfa drugsBactrimSeptraSulfatrimSMX-TMPand others

Some people may experience side effects other than those listedCheck with your doctor if you notice any symptom that worries you while you are taking this medication.

Many things can affect the dose of a medication that a person needssuch as body weightother medical conditionsand other medicationsIf your doctor has Order speman forte recommended a dose different from the ones listed heredo not change the way that you are taking the medication without consulting your doctor.

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