The most common side effects are gastrointestinal:-
These are reduced by taking with a meal (not just a biscuit). Diarrhoea is avoided by using lower doses where possible.
If there are still problems patients may be started on a lower dose for one week, after which the patient usually doesn't develop a return of symptoms.
It also causes menorrhagia and therefore shouldn't be used in pregnant women or women planning pregnancy.
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