Stomach pain from the generic or even brand-name pill is an issue for many.

Your spouse needs to take it on a large, starchy breakfast. Think a giant low-fat substantial (whole grain) bready biscuit or a tall stack of spongy pancakes. I follow my bready biscuit with a section of steamed, green plantain (I have a limited diet and its density helps with the pill).

Make it a much bigger breakfast than on other mornings.

Also two glasses of water with the pill. Absolutely do this. This is recommended by my specialist MD. I drink very little with the meal so I am thirsty when I take my pill.

If I don't do these two things, Atelvia causes stomach pain for me (I have a very weak digestive tract).

I have never had any of the listed side effects (other than stomach pain if I don't eat enough before taking the pill).

See if you can find the frequency of the listed side effects. They may be low.

I am on my second five-year stint of Atelvia.